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Ophthalmic manifestations in children with Down Syndrome in Bogotá, Colombia
William Rojas-Carabali1, María Camila Cortés-Albornoz1, Gabriela Flórez-Esparza1
1Neuroscience (NEUROS) Research Group, School of Medicine and Health Sciences, NeuroVitae Center for Neuroscience, Institute of Translational Medicine (IMT), Universidad del Rosario, Carrera 24 # 63C 69, Bogotá, Colombia.
Insights
Children with Down syndrome (DS) often have significant, yet overlooked, ocular issues like amblyopia. Early detection and management by eye care professionals are crucial for preventing vision loss and supporting neurodevelopment in DS patients.
Area of Science:
- Ophthalmology
- Genetics
- Pediatrics
Background:
- Down syndrome (DS) is a genetic condition associated with various health issues, including ocular abnormalities.
- Understanding the specific ocular features in children with DS is essential for early intervention and management.
Purpose of the Study:
- To characterize the ocular and refractive features in a cohort of children with Down syndrome (DS) in Bogotá, Colombia.
- To identify common ophthalmological manifestations and their prevalence in this population.
Main Methods:
- A cross-sectional study evaluated 67 children with DS through comprehensive optometric and ophthalmological examinations.
- Evaluations included visual acuity, ocular alignment, external eye assessment, biomicroscopy, auto-refractometry, and fundus examination.
- Statistical analysis involved frequency distributions and Chi-square/Fisher's exact tests for categorical data, and ANOVA/Kruskal-Wallis for continuous data.
Main Results:
- The study analyzed 134 eyes from 67 children (mean age 12.3 years).
- Common refractive errors included hyperopia (47%), myopia (32.1%), and mixed astigmatism (18.7%).
- Frequent ocular findings were oblique fissures (89.6%), amblyopia (54.5%), and lens opacities (39.4%). Female sex was linked to strabismus and amblyopia.
Conclusions:
- A high prevalence of potentially vision-impairing ocular conditions was observed in children with DS.
- Conditions like amblyopia can lead to irreversible vision loss and impact neurodevelopment.
- Ophthalmologists and optometrists require heightened awareness to ensure timely assessment and management, improving outcomes for children with DS.
Background:
To describe the ocular features of a cohort of children with Down Syndrome (DS) in Bogotá, Colombia.
Methods:
We performed a cross-sectional study, evaluating 67 children with DS. A pediatric ophthalmologist performed a complete optometric and ophthalmological evaluation of each child, including visual acuity, ocular alignment, external eye examination, biomicroscopy, auto-refractometry, retinoscope in cycloplegia, and fundus examination. Results were reported as frequency distribution tables with percentages for categorical variables and means and standard deviation or median and interquartile ranges for continuous variables, according to their distribution. We used the Chi-square test or Fisher's exact test for categorical variables and ANOVA or Kruskal-Wallis for continuous variables when indicated.
Results:
A total of 134 eyes from 67 children were evaluated. Males represented 50.7%. The children's age ranged from 8-16 years, with a mean of 12.3 (SD 2.30). The most frequent refractive diagnosis per eye was hyperopia (47%), followed by myopia (32.1%) and mixed astigmatism (18.7%). The most frequent ocular manifestations were oblique fissure (89.6%), followed by amblyopia (54.5%) and lens opacity (39.4%). Female sex was associated with strabismus (P = 0.009) and amblyopia (P = 0.048).
Conclusion:
Our cohort had a high prevalence of disregarded ophthalmological manifestations. Some of these manifestations, such as amblyopia, can be irreversible and severely affect the neurodevelopment of DS children. Therefore, ophthalmologists and optometrists should be aware of the visual and ocular affection of children with DS to assess and provide appropriate management. This awareness could improve rehabilitation outcomes for these children.
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