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Video diversion boosts fundoscopy success rate in young children

14 Jun 2018
The screen dilemma: when babies or toddlers only eat with a screen in front of them

Playing a video as a diversion during fundoscopy appears to increase the success rate of the operation in young children, according to a recent study.

Researchers performed a prospective, multi-practitioner, multi-clinic, randomized controlled trial involving 101 young children (mean age 2.8 years) who were randomized to fundoscopy with or without video diversion assistance. Success was defined as being able to visualize the fundus within 60 seconds.

In a total of 202 fundi examined, the absolute success rate was significantly higher in operations with vs without video diversion assistance (84 percent vs 64 percent; p<0.001).

Subgroup analysis showed that such effect was driven mostly by improvements in the very young patients who did vs did not have video assistance (1–2 years; 79 percent vs 55 percent; p=0.004). No significant improvements were observed in the 3–4-year age group (92 percent vs 79 percent; p=0.104).

In terms of secondary outcomes, the mean time required to visualize the optic disc was significantly shorter in the video vs nonvideo group (14.6 vs 19.9 s; p<0.01), with the effect being more pronounced in the 1–2-year-old subgroup (21.7 vs 23.6 s; p<0.01). Improvements in time to view were not observed in the 3–4-year-old subgroup (16.7 vs 15.6 s; p=0.14).

The perceived difficulty, measured by the 10-point Likert scale, likewise significantly improved in fundoscopy performed with video assistance, as assessed by practitioners (33-percent improvement) and caregivers (42-percent improvement).

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Most Read Articles
Jairia Dela Cruz, 11 Jan 2019
Use of standard-dose aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs) appears to confer protection against the risk of endometrial cancer in overweight and obese women, according to a meta-analysis.
Tristan Manalac, 11 Jan 2019
Less than 15 percent of Singaporean adolescents get the recommended 8–10 hours of sleep on a school night, reports a recent study, noting that such short sleep duration is linked to symptoms of depression, overweight or obesity, and poorer self-rated health.
04 Jan 2019
Obstructive sleep apnoea may increase the risk of male-pattern baldness in men with a family history of hair loss, and this association appears to be mediated by low serum transferrin saturation levels related to hypoxia, a study suggests.
6 days ago
Airway type 2 inflammation remains persistent in many asthmatics on inhaled corticosteroids, a new study has shown. These patients tend to be older and have a more severe disease.