Barnett Sarah, Malone Sara, Strelnikov Jacob, L'Hotta Allison J, Zabotka Luke, Lueder Gregg, King Allison A, Hayashi Robert J, Willis Daniel N, Reynolds Margaret
Department of Ophthalmology and Visual Sciences, Washington University School of Medicine St Louis, St Louis, MO, USA.
Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine St Louis, St Louis, MO, USA.
Rare Tumors. 2024 Dec 10;16:20363613241306191. doi: 10.1177/20363613241306191. eCollection 2024.
Pediatric retinoblastoma survivors exhibit visual deficits. How these visual deficits impact reading skills is unknown. The purpose of this study is to assess reading level, reading acuity, and reading speed among retinoblastoma survivors. Parents of English-speaking retinoblastoma survivors between ages of 8 and 17 consented/assented to participate. Children completed MNRead for reading speed and reading acuity. The Gray Oral Reading Test-Fifth Edition (GORT) was administered to assess reading rate, accuracy, fluency, and comprehension. Five children participated in the study. Two out of five participants fell within the "Below Average" range on the GORT while 3/5 were "Average". One participant with below average performance ranked below average in all four subtests, while the other participant was below average in accuracy and comprehension only. On the MNRead, all five participants had slower maximum reading speeds and worse reading acuity than the baseline measure for their age. Four out of five participants had a higher (i,e., worse) CPS than their expected baseline measure, suggesting that these individuals may require larger print or higher magnification than their peers to achieve effortless reading. These findings suggest that retinoblastoma survivors may experience reading difficulties. Characterizing the reading challenges in retinoblastoma survivors will be critical in advancing interventions to optimize educational attainment in this population.
小儿视网膜母细胞瘤幸存者存在视力缺陷。这些视力缺陷如何影响阅读技能尚不清楚。本研究的目的是评估视网膜母细胞瘤幸存者的阅读水平、阅读敏锐度和阅读速度。年龄在8至17岁之间的英语为母语的视网膜母细胞瘤幸存者的父母同意/赞成参与研究。孩子们完成了MNRead测试以评估阅读速度和阅读敏锐度。使用格雷口语阅读测试第五版（GORT）来评估阅读速度、准确性、流畅性和理解力。五名儿童参与了该研究。五名参与者中有两名在GORT测试中处于“低于平均水平”范围，而五分之三为“平均水平”。一名表现低于平均水平的参与者在所有四个子测试中均排名低于平均水平，而另一名参与者仅在准确性和理解力方面低于平均水平。在MNRead测试中，所有五名参与者的最大阅读速度都比其年龄对应的基线测量值慢，阅读敏锐度也更差。五名参与者中有四名的字符感知速度（CPS）高于其预期的基线测量值（即更差），这表明这些个体可能需要比同龄人更大的字体或更高的放大倍数才能轻松阅读。这些发现表明视网膜母细胞瘤幸存者可能会遇到阅读困难。明确视网膜母细胞瘤幸存者的阅读挑战对于推进干预措施以优化该人群的教育程度至关重要。
