Adapting Eye Exams for Neurodivergent Patients

Adaptations can maintain diagnostic validity when sensory, communication, or executive-function barriers interfere with conventional methods.

By: Sarah Fackler, managing editor, Optometric Management and Eyecare Business

Optometric Management October 3, 2026

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Adapting eye exams for neurodivergent patients can preserve diagnostic validity despite sensory and communication barriers.
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An estimated 15% to 20% of the general population may be considered neurodivergent, including conditions like autism and ADHD.
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Neurodivergent populations show increased rates of visual issues, such as strabismus and convergence insufficiency.
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Environmental modifications during exams can enhance cooperation and measurement reliability for neurodivergent patients.
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Clinicians should document testing adaptations and communicate clearly with patients and caregivers about strengths.

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