Paeds Cases · growth-development-and-behaviour
Visual impairment and development — OSCE
OSCE counselling and management station for childhood visual impairment.
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Study tools
Target exams
MRCPCH ClinicalRACP DCE
Prompt
You have 8 minutes with a parent of a 9-month-old who is not fixing well and has an asymmetric red reflex noted by the GP. Counsel, outline assessment priorities and agree a plan.
Station brief (candidate)
- Explain the red-reflex finding in plain language without false reassurance.
- State why urgent ophthalmology review is needed.
- Outline what you will examine today and what specialists may do next.
- Link vision to development and early supports.
- Agree safety-net advice and a written plan with teach-back. [1] [2] [3]
References6ShowHide
- [1]Donahue SP Visual System Assessment in Infants, Children, and Young Adults by Pediatricians. Pediatrics, 2016.PMID 29756730
- [2]American Academy of Pediatrics Red reflex examination in neonates, infants, and children. Pediatrics, 2008.PMID 19047263
- [3]Birch EE The critical period for surgical treatment of dense congenital bilateral cataracts. Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus, 2009.PMID 19084444
- [4]Delay A Interventions for children with cerebral visual impairment: A scoping review. Developmental medicine and child neurology, 2023.PMID 36217216
- [5]Ingram DG Sleep Challenges and Interventions in Children With Visual Impairment. Journal of pediatric ophthalmology and strabismus, 2022.PMID 34435902
- [6]Erickson KA Literacy and visual impairment. Seminars in speech and language, 2007.PMID 17340383