Video Diversion Improves Success Rate of Fundoscopic Examination in Children

Study Overview
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Brief Summary
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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
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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.

Official Title
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Video Diversion Improves the Success Rate of Fundoscopic Examination in Children: a Prospective Multi-clinic, Multi-practitioner, Randomized Controlled Trial

Conditions
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Fundoscopy

Intervention / Treatment
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* Other: Video diversion


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 1 Year
Maximum Age: 4 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Diagnostic
Allocation: Randomized
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Study Arm A<br>Right eye examined first with video diversion then left eye examined without video diversion | Other: Video diversion<br>* The intervention is playing a video on a computer or iPad (using www.youtube.com) while performing fundoscopy.<br>|
| Other: Study Arm B<br>Right eye examined first without video diversion then left eye examined with video diversion | Other: Video diversion<br>* The intervention is playing a video on a computer or iPad (using www.youtube.com) while performing fundoscopy.<br>|
| Other: Study Arm C<br>Left eye examined first with video diversion then right eye examined without video diversion | Other: Video diversion<br>* The intervention is playing a video on a computer or iPad (using www.youtube.com) while performing fundoscopy.<br>|
| Other: Study Arm D<br>Left eye examined first without video diversion then right eye examined with video diversion | Other: Video diversion<br>* The intervention is playing a video on a computer or iPad (using www.youtube.com) while performing fundoscopy.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Success rate of visualizing the optic disc within 60 seconds |  | 60 second | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Time required to visualize the optic disc |  | 60 seconds | 
| Ease of performing fundoscopy |  | 60 seconds |