Barriers to ophthalmic care for children with autism spectrum disorder
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Authors
Yahya I.
Reddy,M. A.
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Issue Date
2025
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Article
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Abstract
This thematic literature review explores barriers to ophthalmic care for children with autism spectrum disorder (ASD), focusing on healthcare access, communication, sensory sensitivities, behavioural challenges, and adherence to eye care instructions. Relevant peer-reviewed literature published between January 2020 and March 2025 from high-income countries was reviewed, focusing on recurring themes and clinical implications. Key sources were selected to illustrate the most significant challenges and promising strategies. Case studies, non-peer-reviewed articles, and non-English publications were excluded. Common barriers identified included communication difficulties, sensory sensitivities, behavioural and emotional challenges, limited access to specialized services, and poor adherence to care routines. Effective strategies included sensory-friendly modifications in clinical environments, tailored communication techniques, and structured behavioural supports. Involvement of caregivers and pre-appointment preparation were also found to improve cooperation and outcomes. A multidisciplinary, person-centred approach is essential to improving ophthalmic care for children with ASD. Implementing sensory, communication, and behavioural strategies can enhance access and adherence. Further research should aim to standardize these practices across healthcare settings to ensure consistent, inclusive care. Copyright © 2025 Elsevier Ltd
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Journal
Paediatrics and Child Health (United Kingdom)
Volume
35
Issue
12