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[Ocular changes in Down syndrome].

Olav H Haugen1, Gunnar Høvding, Ruth Riise

  • 1Øyeavdelingen, Haukeland Universitetssykehus, 5021 Bergen. olav.haugen@helse-bergen.no

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|January 27, 2004
PubMed
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Individuals with Down's syndrome (DS) frequently experience ocular issues, including refractive errors and poor accommodation. Regular visual screening from birth is crucial for early detection and management of these common vision problems in DS patients.

Area of Science:

  • Ophthalmology
  • Genetics
  • Developmental Pediatrics

Context:

  • Down's syndrome is a leading cause of intellectual disability, affecting approximately 1.5 per 1000 live births.
  • Significant improvements in life expectancy and quality of life for individuals with Down's syndrome have been observed.
  • Ocular conditions are a prevalent comorbidity in Down's syndrome, impacting visual development and function.

Purpose:

  • To provide an updated review of ocular abnormalities in Down's syndrome.
  • To synthesize current international literature and clinical expertise on the subject.
  • To establish evidence-based screening guidelines for visual health in individuals with Down's syndrome.

Summary:

  • Common ocular findings include refractive errors, poor accommodation, strabismus, cataracts, and keratoconus.

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  • Accommodation deficits are highly prevalent, even in young individuals with Down's syndrome, necessitating early intervention with visual aids.
  • A continuous visual screening program, starting from birth with specific follow-up intervals, is recommended for all individuals with Down's syndrome.
  • Impact:

    • Highlights the high frequency of visual impairments in Down's syndrome, emphasizing the need for proactive eye care.
    • Recommends specific screening schedules and interventions, such as bifocal or progressive lenses, to improve visual outcomes.
    • Aims to enhance the quality of life for individuals with Down's syndrome through comprehensive management of ocular conditions.