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Corneal Morphologic Characteristics in Patients With Down Syndrome
Jorge L Alio1,2,3, Alfredo Vega-Estrada1,2,3, Pablo Sanz1
1Division of Ophthalmology, Universidad Miguel Hernández, Alicante, Spain.
JAMA Ophthalmology
|June 23, 2018
Summary
Patients with Down syndrome (DS) frequently exhibit corneal irregularities indicative of keratoconus. Early detection through detailed eye exams is crucial to prevent vision loss in this population.
Area of Science:
- Ophthalmology
- Genetics
- Corneal Diseases
Background:
- Down syndrome (DS) is associated with a high prevalence of corneal morphologic abnormalities.
- These abnormalities can lead to significant visual impairment if not addressed.
Purpose of the Study:
- To characterize abnormal corneal features in patients with Down syndrome.
- To compare these features with a healthy control group.
Main Methods:
- A multicenter case-control study involving 112 participants with DS and 105 controls.
- Corneal topography was assessed using Placido disc/Scheimpflug imaging (Sirius, CSO).
- Evaluated parameters included visual acuity, refractive error, and anterior/posterior corneal characteristics.
Main Results:
- 71.3% of patients with DS showed corneal characteristics compatible with keratoconus.
- Patients with DS had significantly steeper corneas (47.35 D vs 43.70 D) and thinner corneas (503 μm vs 545 μm) compared to controls.
- Increased corneal aberrations were noted in the DS group.
Conclusions:
- Patients with Down syndrome exhibit significantly altered corneal topography, including features consistent with keratoconus.
- Comprehensive corneal examinations are recommended for individuals with DS to facilitate early diagnosis and management of keratoconus, thereby preventing visual impairment.
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