Background: Children with multiple disabilities often experience visual impairments, significantly restricting their ability to function in daily activities. A comprehensive examination of vision and functional vision is essential for identifying early intervention strategies for children with multiple disabilities.

Purpose: This case study illustrates the functional vision assessment of a child with multiple disabilities

Methods and Results: A four-year-old child with her parents attended An-Najah University's low vision center for visual evaluation. She was born with isovaleric acidemia. The child has moderate cognitive, motor, and language delays.
A full visual impairment evaluation was performed to assess her vision. Although her visual acuity was difficult to assess, she was excited about bright objects 20–30 cm away. The pupil's reaction to light was normal, but her attention, target tracking, saccades, eye contact, and contrast sensitivity were poor. Eye-hand coordination was variable, and there was a delay in responding to the visual field. The refraction showed severe compound hyperopic astigmatism and esotropia. Therefore, the child was prescribed a pair of spectacles.
The National Center for Children evaluated her for occupational and physical rehabilitation. The child responded more to audio stimuli than other senses and lose concentration when tactile or auditory stimuli are combined with visual stimuli. Sensory integration should be a priority in this child's recovery. Given the child's heightened attention to light and sound toys, clinical or home rehabilitation sessions could utilize comparable toys to enhance her sensory integration. Due to her limited distance and near vision, the therapist must work 30–40 cm away from the child.

Conclusions: Multidisciplinary rehabilitation can increase educational and training options for children with multiple disabilities, improve their quality of life, and help some achieve functional independence or reduce functional dependency.

Conference Title

Muscat international ophthalmology conference

Conference Country

Oman

Conference Date

Nov. 28, 2024 - Nov. 30, 2024

Conference Sponsor

none