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Published on: March 27, 2019
Ophthalmic abnormalities in children with Down syndrome
Alexandra L Creavin1, Ray D Brown
1University Hospital of North Staffordshire, Stoke-on-Trent, Staffordshire, United Kingdom.
Insights
Children with Down syndrome commonly experience ophthalmic disorders like refractive errors and strabismus. Regular eye screenings are crucial for early detection and management of these vision issues.
Area of Science:
- Ophthalmology
- Pediatrics
- Genetics
Background:
- Children with Down syndrome (DS) have a higher prevalence of ocular abnormalities compared to the general pediatric population.
- Early identification and management of ophthalmic conditions are vital for preserving vision in children with DS.
Purpose of the Study:
- To review and synthesize available literature on common ophthalmic disorders in children (0-16 years) with Down syndrome.
- To highlight the need for structured ophthalmic screening programs for this population.
Main Methods:
- A systematic literature search was conducted across seven electronic databases, including MEDLINE and EMBASE.
- Search terms combined Down syndrome, ophthalmology, and pediatrics, yielding 230 articles; 23 were included after applying exclusion criteria.
Main Results:
- Refractive errors (especially hyperopia) and strabismus (particularly esodeviation) were common findings.
- Poor visual acuity, nystagmus, and blepharitis were also frequently observed.
- Cataracts and glaucoma, though less common, pose significant risks to vision.
Conclusions:
- Children with Down syndrome require regular ophthalmic screening due to a high risk of various eye conditions.
- Further research is needed to optimize the implementation of screening programs and interprofessional collaboration.
Abstract:
A comprehensive review of the available literature was performed to determine the common ophthalmic disorders in children aged 0 to 16 years with Down syndrome. The UK National Library for Health interface was used to search seven electronic databases, including MEDLINE and EMBASE. Terms related to Down syndrome, ophthalmology, and pediatrics were combined in the search strategy, which yielded 230 articles. Application of exclusion criteria left 23 articles to include in the review. Literature synthesis demonstrated that children with Down syndrome are at risk for several ocular disorders. Refractive error was a common finding, particularly hyperopia. Strabismus was also reported regularly, particularly esodeviation. Other frequent findings included poor visual acuity, nystagmus, and blepharitis, whereas cataract and glaucoma were less common but had potentially serious implications for future vision. Only one study compared routine pediatric examination to that of a pediatric ophthalmologist. The findings of this review confirm the need for an ophthalmic screening program for children with Down syndrome. Additional work should investigate how such a program could be best implemented and ascertain how to involve different professionals in such a service.
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