Keypoints vision. 18.12.01


                                    DOWN'S SYNDROME
                       OPHTHALMIC  PROBLEMS

                                                                Key points

(Based on DSMIG guidelines for basic essential medical surveillance)


 Refractive errors (including hypermetropia)
 very common from early childhood. If
 untreated these are a significant cause of
 preventable secondary handicap. Cataract
 and/or glaucoma may occur in infancy.
 Keratoconus overrepresented at older ages.

   Newborn - check for cataract.

   1st year - visual behaviour to be monitored by a
   paediatrician.

   2nd year - Full ophthalmological review:
        orthoptic assessment
        refraction
        fundus examination

   Follow up as required for those with problems.

   2 yearly full review for others throughout life.

   If pain, and\or changing vision, and\or red eye, refer
   urgently for specialist opinion.



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   DSMIG (UK) 2001   www.dsmig.org.uk                                                                                                           16.01.02