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【Purpose】Certified orthoptists (CO) performed ophthalmological evaluation and analyzed treatment methods for children with developmental disorders, who sought for a closer examination at a medical institution with speech-language-hearing therapists (ST). Through the vision assessment provided by the CO for these children with developmental disorders, we evaluated the medical cooperation between the CO and ST and the developmental support by the CO. 【Subjects and Methods】Subjects were 17 children (age range, 2 years and 8 months to 12 years and 9 months; mean, 6 years and 1 month) with developmental disorders (9 children before school-age and 8 children of school-age). The developmental disorders included autism spectrum disorder, attention deficit hyperactivity disorder, learning disorder, developmental coordination disorder, developmental language disorder, articulation disorder, and combinations of these disorders. 【Results】The reasons for the ST to refer the patients to us included vision problems (12 patients), problems in visual behavior (6 patients), and seeking for a closer examination with a family history (3 patients) (repeated cases included). The vision problems included abnormal eye position (4 patients), abnormal head posture (3 patients), monocular eye closure (2 patients), difficulties in focusing and tracking (1 patient), and insufficient eyeglass wear (3 patients). Of the 12 patients with vision problems, 11 were diagnosed with amblyopia or strabismus. All the 6 patients with problems in visual behavior were diagnosed with amblyopia or strabismus. Treatment for these patients included surgery for exotropia (2 patients), occlusion (1 patient), and lower eyelid entropion surgery for both eyes (1 patient) (repeated cases included). All the patients had refraction errors and 14 (82%) had spherical equivalent of > ±0.75 D and received refractive correction. 【Conclusion】Through the medical cooperation between CO and ST, early vision assessment and orthoptics by CO for children with developmental disorders could be possible. CO play a role in equipping the visual input system for the task of visual perception.

Ophthalmological Evaluation for Developmental Support Through Medical Cooperation Between Certified Orthoptists and Speech-Language-Hearing Therapists