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.

BMC Ophthalmology
|May 15, 2023
PubMed

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.
Abstract

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