When refracting children with disabilities, if possible, have a parents or relative in the room. Any way that makes the patient comfortable is helpful. We have also found that creating a "relaxed environment" produces better results. Avoid wearing White Lab Coats. Often times, children associate this type of clothing with doctors and injections and they are afraid.
When refracting, utilize that relative as the distance target. Place a stuffed animal or toy in the relatives hand. They can move the toy in the distance so the patient is able to focus on it while looking beyond the red light.
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