Ocular disorders in children with down's syndrome

ABSTRACT

To find out the frequency and nature of ocular anomalies in children with Down's syndrome. All the Down's syndrome patients attending the outdoor clinic of the department of Paediatrics Ophthalmology from June 2005 to December 2005 were included in the study. Their records were reviewed and related information regarding age and sex distribution, ocular anomalies and mental status were noted on performa. Thirty seven patients with Down's syndrome reported during 7 month period. They were examined and evaluate for the characteristics and frequency of ocular conditions of these patients, 17 [45.9%] were hypermetropes, 13 [45.9%] emmetropes, and 4 [10.8%] myopes. Astigmatism of more than 3.00 diopters was present in 3 [8.1%], Strabismus was observed in 8 [27.8%] and eight patients had esotropia. Congenital nasolacrimal duct obstruction was present in 6 subjects [16, 2%] and blepharitis in 12 [37.8%]. Nystagmus occurred in 5 [13.5%]. Brushfield spots were detected in 2 [5.4%]. Lens opacities were diagnosed in 4 [10.8%] and all had successful cataract surgery. Significant correctable ocular problems are present in person with Down syndrome. It not connected they may interfere with binocular vision and the quality of life. Surgical intervention may be necessary for strabismus and cataracts