Tips on how to write a professional report regarding children's eyesight.
For the child with special needs there are many different medical, therapy and educational support staff involved with their care and daily living. Good communication between professionals and parents is fundamental to the child receiving patient centred care.
An understanding of visual status and any limitations of vision will influence many aspects of care, education and management of the patient. A functional visual report containing relevant information in lay terms is desirable. Here is what to include in a functional vision report:
We have been doing some work with SeeAbility to try and help make communication about vision clearer for parents and teachers.
Below are some examples of a jargon-free report which covers all aspects of the child's vision, including guidance for completing this report.
Report Summary: Down syndrome child with nystagmus and reduced visual acuity and contrast sensitivity.
Report Summary: No visual concerns but poor cooperation and engagement with tests.
Report Summary: Good visual acuity but left visual field defect.
Visual Summary: Good visual acuity but evidence of cerebral visual impairment.
Visual Summary: Child with severe sight impairment. Light and dark perception only.
Visual Summary: Child with poor eye movement control which affects her education and learning.
General Background: Older primary school age child with autism. Attends school for children with special needs.
Visual Summary: Good visual acuity but evidence of CVI (dorsal stream involvement) from visual skills inventory.
General Background: Pre-school child with Down syndrome moving into mainstream schooling with the support of a classroom assistant.
Visual Summary: Moderately good VA, hyperopia, nystagmus, reduced contrast sensitivity, evidence of cortical visual impairment (dorsal stream) from visual skills inventory.
General Background: School-age child with Down syndrome attending mainstream school with additional classroom support.
Visual Summary: Visual acuity moderately reduced, refractive error, contrast sensitivity deficit, poor accommodation (managed with bifocals)
General Background: Pre-school child with aniridia and WAGR syndrome
Visual Summary: Significant visual impairment, aniridia, reduced contrast sensitivity, evidence of CVI, refractive error, nystagmus, cataract, squint
General Background: Infant with history of epilepsy, delayed development. Additional notes: cerebral palsy
Visual Summary: Severe visual impairment (gross form perception), cortical visual impairment, delayed visual responses, visual field restriction
General Background: Infant with developmental delay (Joubert's syndrome).
Visual Summary: Significant visual impairment (due to ocular motor apraxia), refractive error, good VA
General Background: Pre-school child with severe developmental disability including physical and intellectual impairment.
Visual Summary: Significant visual impairment, nystagmus, poor eye movement control, inconsistent visual responses. Will require education using multi-sensory approach.
General Background: Pre-school child with severe developmental disability including physical and intellectual impairment. .
Visual Summary: Profound visual impairment (light perception), cortical visual impairment, optic atrophy. Will require education using non-visual methods.
General Background: School age child with moderate learning difficulties and physical impairment. Additional notes: history of preterm birth, meningitis, hydrocephalus, cerebral palsy (right side more affected).
Visual Summary: Ocular motor apraxia and visual field defect, evidence of CVI. Visual skills inventory applied and strategies offered.