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Fifteen-minute consultation—the child with a developmental disability: is there an ocular or visual abnormality?
  1. Alison Salt1,2,
  2. Jenefer Sargent1
  1. 1 Neurodisability Service, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
  2. 2 Clinical Neurosciences, UCL Institute of Child Health, London, UK
  1. Correspondence to Dr Alison Salt, Great Ormond Street Hospital for Children, Great Ormond Street, London WC1N 3JH, UK; alison.salt{at}


Objective To present a structured approach for an outpatient consultation for a child with developmental disability who may have an ocular or visual disorder.

Method Review of relevant literature and description of the approach to ocular and visual assessment which could be used by any paediatrician.

Conclusion A systematic approach to history, observation and examination of a child with a developmental disability will assist in identifying a possible visual problem. A structured referral letter will ensure that the child will receive the most appropriate assessment to clarify the problem and appropriate management in the eye clinic.

  • Neurodisability
  • Visual disorder
  • Ocular disorder
  • Vision impairment

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  • Contributors Both authors have contributed equally to drafting and revising this article and responding to the reviewers comments.

  • Competing interests None declared.

  • Patient consent Detail has been removed from this case description/these case descriptions to ensure anonymity. The editors and reviewers have seen the detailed information available and are satisfied that the information backs up the case the authors are making.

  • Provenance and peer review Commissioned; externally peer reviewed.

  • Correction notice This paper has been amended since it was published Online First. Owing to a scripting error, some of the publisher names in the references were replaced with ‘BMJ Publishing Group’. This only affected the full text version, not the PDF. We have since corrected these errors and the correct publishers have been inserted into the references.