Case study: Dispensing a non-verbal child on the autistic spectrum

Former hospital dispensing optician Stephen Golding shares one of his more challenging and rewarding cases, a child that could only be refracted and dispensed under general anaesthetic

Figure 1: Loud noises causing a sensory overload

A 10-year-old boy, AB, had an accident in March 2003 that resulted in the total loss of sight in the right eye and a detached retina in his left. A vitrectomy was performed on the left eye with the vitreous humour being replaced by silicone oil and laser surgery carried out to repair the retina.

I was asked by the paediatric consultant to go and discuss with the parents, while he was on the ward awaiting further surgery on his left eye to remove the oil, the options regarding the dispensing of spectacles.

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