OCULAR MANIFESTATION OF DOWN SYNDROME IN INDIAN CHILDREN

Abstract

Introduction: Manifestation in Down syndrome children has strong racial variation. The aim is to study ocular manifestation in children with Down Syndrom

Patients and Methods: This observational study was done in Outpatient clinic of Department of Pediatrics and Ophthalmology, Government Medical College Jammu from August 2017 to July 2018. Children between the age group of 6 months to 14 years with confirmed diagnosis of Down syndrome on karyotyping were includes in study. A total of 68 patients (42 boys and 26 girls) of Down syndrome were includes in study. The mean and median age was 5.8 years and 4.5 years respectively. Detailed ophthalmological examination was done in each case

Results and Conclusion: Upward slant and epicanthal folds were the two commonest finding at 94% and 80% repectively. Emmetropia was seen in 47% children, whereas hyperopia, myopia and astigmatism were seen in 27.9%, 25% and 35.2% respectively. No Brushfield’s spots, focal retinal pigment hyperplasia, glaucoma, corneal opacities or keratoconus is seen.

Key words: Down syndrome, upward slant, epicanthal folds, epiblepharon.