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Vaccine year end. A child with down syndrome will be evaluated by the pediatrician at birth and referred to an ophthalmologist if something abnormal is detected. To estimate the occurrence of early cataract among patients with downs syndrome and to evaluate the clinical characteristics of the cases. Some other common eye problems associated with down syndrome are.
Other eye problems in down syndrome. A patient feels excess pressure in the eyes if he or she has glaucoma. 28 however comorbidities such as congenital heart disease chd must still be considered when placing children under general anesthesia.
People with downs syndrome may benefit from an earlier referral for an operation so that they can become familiar with the hospital clinic and so that appropriate planning for aftercare can be put in place in plenty of time. Membranous cataracts involve an opaque thin fibrotic lens caused by resorption of lens protein and subsequent thinning in the anteroposterior direction of the lens. In 3 5 of cases the development of cataracts is in the infantile period or is congenital.
Cases with downs syndrome were ascertained from a cohort of all danish children between 0 and 17 years of age who were diagnosed with cataract during the period 19772001 n 1027. Total cataracts may be found in down syndrome metabolic cataracts congenital rubella and rarely as a severe mendelian cataract as well as sporadically. An early eye examination in patients with down syndrome can help in avoiding eye vision loss caused by cataract.
Down or downs syndrome trisomy 21 is one of the most common genetic diseases. There is also a unique form of cataract in down syndrome patients that we have found in our research. Cataracts and down syndrome research shows that between 5 and 50 of children with down syndrome ds under the age of 17 years will develop cataracts 1.
This is what makes early detection of cataracts in infants and children so important. Children with down syndrome are at increased risk for a variety of ophthalmic disorders including strabismus high refractive error accommodative insufficiency cataracts. Cataract removal is a highly successful operation.
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