Video Diversion Improves the Success Rate of Fundoscopic Examination in Children: a Prospective Multi-clinic, Multi-practitioner, Randomized Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 101
- Locations
- 1
- Primary Endpoint
- Success rate of visualizing the optic disc within 60 seconds
Study Overview
Brief Summary
Fundoscopy is an important component of the neurological examination as it can detect pathologies such as high intracranial pressure. However, the exam can be challenging in uncooperative children. This study looked at whether playing a video during eye examination, improves the success, duration and ease of pediatric fundoscopy.
Detailed Description
Fundoscopy is an important component of the neurological examination as it can detect pathologies such as high intracranial pressure. However, the exam can be challenging in uncooperative children. This study looked at whether playing a video during eye examination, improves the success, duration and ease of pediatric fundoscopy. The authors plan to recruit from 4 different clinical care settings for a total of 101 subjects. Success rate is defined as visualizing the optic disc within 60 seconds from commencement of fundoscopy. The ease of examination is determined by using a 10 point likert scale.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Primary Purpose
- Diagnostic
- Masking
- None
Eligibility Criteria
- Ages
- 1 Year to 4 Years (Child)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •patient aged 1 to 4 years of age (inclusive) with 2 examinable eyes
Exclusion Criteria
- •Patients who were blind, younger than 1 year of age, or older than 4 years of age
Arms & Interventions
Study Arm A
Right eye examined first with video diversion then left eye examined without video diversion
Intervention: Video diversion (Other)
Study Arm B
Right eye examined first without video diversion then left eye examined with video diversion
Intervention: Video diversion (Other)
Study Arm C
Left eye examined first with video diversion then right eye examined without video diversion
Intervention: Video diversion (Other)
Study Arm D
Left eye examined first without video diversion then right eye examined with video diversion
Intervention: Video diversion (Other)
Outcomes
Primary Outcomes
Success rate of visualizing the optic disc within 60 seconds
Time Frame: 60 second
Secondary Outcomes
- Time required to visualize the optic disc(60 seconds)
- Ease of performing fundoscopy(60 seconds)
Investigators
Ash Singhal
principal investigator
University of British Columbia