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Journals / MN Oftalmoloji / 2015 / Cilt: 22 - Sayı: 1

Ocular Signs in Children with Down's Syndrome

Down Sendromlu Çocuklarda Göz Bulguları

Can KOCASARAÇ
Hasan ALTINKAYNAK
Serpil AKAR
Birsen GÖKYİĞİT
Miray FAİZ
Erdinç CEYLAN
Ahmet DEMİROK
Pages
39–42
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Close follow-up in this patient group is important for the provision of vision rehabilitation and early diagnosis and treatment of cataract, strabismus and refractive errors.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: To determine ocular pathologies in patients with Down syndrome.
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Key Findings & Data:Material and Method: Medical records of 35 patients with Down's syndrome (aged between 1 and 13 years) who were referred to strabismus division between 2009 and 2013 were retrospectively analyzed.
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Conclusion & Impact:Close follow-up in this patient group is important for the provision of vision rehabilitation and early diagnosis and treatment of cataract, strabismus and refractive errors.
🔬Design:Research Article
📍Scope:2009 Verileri
⚙️Variables:Domain Parameters

Abstract

Objective: To determine ocular pathologies in patients with Down syndrome. Material and Method: Medical records of 35 patients with Down's syndrome (aged between 1 and 13 years) who were referred to strabismus division between 2009 and 2013 were retrospectively analyzed. The ophthalmologic evaluation included a global inspection of orbit and bulbus oculi, biomicroscopic examination of the anterior segment, measurement of intraocular pressure with Goldmann applanation tonometer, dilated fundus examination, cycloplegic refraction and evaluation of ocular motility. Results: Phenotypic features (oblique palpebral fissures, upward slanting eyes, epicanthus and flat nasal bridge) were present in all cases (100%). We observed myopia in 11 (31.4%), hyperopia in 23 (65.7%), astigmatism in 26 (74.3%), esotropia in 20 (57.1%), exotropia in 4 (11.4%), vertical strabismus in 3 (8.5%), esotropia accompanied by vertical strabismus in 5 (14.3%), nystagmus in 5 (14.3%), cataract in 2 (5.7%), keratoconus in 1 (2.8%), glaucoma in 1 (2.8%), nasolacrimal duct obstruction in 4 (11.4%) and blepharoconjunctivitis in 5 (14.3%) of the cases. Conclusion: The incidence of ocular pathologies in patients with Down syndrome is higher than that in normal population. Close follow-up in this patient group is important for the provision of vision rehabilitation and early diagnosis and treatment of cataract, strabismus and refractive errors.

Özet

Amaç: Down sendromlu olgularda oküler patolojileri tespit etmek.Gereç ve Yöntem: Şaşılık birimine 2009 ile 2013 tarihleri arasında başvuran yaşları 1 ile 13 arasında değişen 35 Down sendromlu hastanın kayıtları retrospektif olarak incelendi. Ayrıntılı glob ve orbita inspeksiyonu, biyomikroskopik ön segment muayenesi, uygun hastalara Goldmann aplanasyon tonometresi ile göz içi basınç ölçümü, dilate fundus muayenesi, sikloplejili refraksiyonu, düksiyon ve versiyon hareketleri incelendi.Bulgular: Olgularımızın tamamında (%100) fenotipik özellikler (oblik palpebral fissürler, yukarı çekik gözler, epikantus ve düz burun köprüsü)mevcuttu. Onbir (%31,4) olguda miyopi, 23 (%65,7) olguda hipermetropi, 26 (%74,3) olguda astigmatizma, 20 (%57,1) olguda ezotropya, 4 (%11,4)olguda ekzotropya, 3 (%8,5) olguda vertikal şaşılık, 5 (%14,3) olguda vertikal şaşılık ile birlikte ezotropya, 5 (%14,3) olguda nistagmus, 2 (%5,7) olguda katarakt, 1 (%2,8) olguda keratokonus, 1 (%2,8) olguda glokom, 4 (%11,4) olguda nazolakrimal kanal tıkanıklığı, 5 (%14,3) olguda blefarokonjunktivit tespit ettik. Sonuç: Down sendromlu hastalarda oküler patoloji sıklığı normal popülasyona göre daha yüksektir. Bu hasta grubunda yakın takip, görsel rehabilitasyonun sağlanmasında katarakt, şaşılık ve refraksiyon kusurlarının erken tanı ve tedavisinde oldukça önemlidir

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Cite This Article

KOCASARAÇ, C., ALTINKAYNAK, H., AKAR, S., GÖKYİĞİT, B., FAİZ, M., CEYLAN, E., DEMİROK, A. (2015). Ocular Signs in Children with Down's Syndrome. MN Oftalmoloji, Cilt: 22 - Sayı: 1, 39–42. https://ajindex.com/articles/296746

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References (16)

  1. Apak MY. Genetik Bozukluklar. İn: Neyzi O, Ertuğrul T (eds), Pediatri. 3thedition. Nobel 2003:152-5. Hall JG. Chromosomal Clinical Abnormalities. İn: Behrman RE, Kliegman RM, Jenson HB (eds), Nelson Textbook of Pediatrics, 17th edition. Saunders 2004:384-7.
  2. Roizen NJ, Mets MB, Blondis TA. Ophthalmic disorders in children with Down syndrome. Dev Med Child Neurol 1994;36:594-600.
  3. Hanan H, Amira A, Azeem A, El-Bassyouni HT, Gheith ME, Rizk A. Ocular findings and management in Egyptian children with Down syndrome. J Am Sci 2011;7:782-8.
  4. Fimiani F, Iovine A, Carelli R, Pansini M, Sebastio G, Magli A. Inci - dence of ocular pathologies in Italian children with Down syndrome. Eur J Ophthalmol 2007;17:817-22.
  5. Cregg M, Woodhouse JM, Stewart RE, et al. Development of refrac- tive error and strabismus in children with Down syndrome. Invest Ophthalmol Vis Sci 2003;44:1023-30.
  6. Haugen OH, Havding G. Strabismus and binocular function in chil- dren with down syndrome. Acta Ophthalmol Scand 2001;79:133-9.
  7. Yurdakul NS, Ugurlu S, Maden A. Strabismus in Down syndrome. J Pediatr Ophthalmol Strabismus 2006;43:27-30.
  8. Hayasaka S, Noda S, Setogava T. Epiblepharon with inverted eye- lashes in Japanese children. Br J Ophthalmol 1989;73:128-30. Donaldson DD. The significance of spotting of the iris in mongoloids. Arch Ophthalmol 1960;65:26-31.
  9. Wagner SW, Caputo AR, Reynolds DR. Nystagmus in Down's syn- drome. Ophthalmology 1990;97:1439-44.
  10. Doyle SJ, Bullock J, Gray C, et al. Emmetropization, axial length, and corneal topography in teenagers with Down's syndrome. Br J Ophthalmol 1998;82:793-6.
  11. Da Cunha RP, De Castro Moreria JB. Ocular finding in Down's syn- drome. Am J Ophthalmol 1996;122:236-44.
  12. Tsiaras WG, Pueschel S, Keller C, Curran R, Giesswein S. Amblyopia and visual acuty in chidren with Down's syndrome. Br J Ophthalmol 1999;83:1112-4. Jaeger EA. Ocular findings in Down's syndrome. Trans Am Ophthal - mol Soc 1980;158:408-57.
  13. Wong V, Ho D. Ocular abnormalities in Down syndrome: An analysis of 140 Chinese children. Pediatr Neurol 1997;16:311-4.
  14. Adedayo Omobolanle Adio, Samuel Otabor Wajuihian. Ophthalmic manifestations of children with Down syndrome in Port Harcourt. Nigeria Clin Ophthalmol 2012;6:1859-64.
  15. Berk AT, Saatçı AO, Erçal MD, Tunç M, Ergin M: Ocular findings in 55 patients with Down's syndrome. Ophthalmic Genetics 1996;17: 15-9.
  16. Woodhouse JM, Pakeman VH, Cregg M, et al. Refractive errors in young children with Down syndrome. Optom Vis Sci 1997;74:844- 51. Liza-Sharmini