Síndrome de Down: Epidemiologia e alterações oftalmológicas

Abstract

Purpose: The research project goal is to determine the incidence of ophthalmologic changes in children with Down syndrome who were attended in Peri-Peri Health Center, from July 07, 2004 to October 14, 2009. Methods: This is an observational retrospective study of 35 children medical records with Down's Syndrome who were attended in Peri-Peri Health Center.The patients were submitted to ophthalmologic exams including: ocular inspection; retinoscopy; biomicroscopy; indirect ophthalmoscopy; fluorescein disappearance test; observation test of fluorescein in the oropharynx. Results: The children of this study were examined since 2 months of age. The ophthalmologic changes found in the 35 children with Down Syndrome was: oblique eyelid in 100%, epicanto in 70%, supernumerary vessels in the arcades in the retina exam in 100%, Brushfield spot in 48.57%, blefarity in 42.85%, congenital lacrimal obstruction in 25.71%, miopy in 14.28%, astigmatismy in 22.28%, esotropia in 11.42%, exotropia in 5.71%, nystagmus in 2.85%, ectropion in 5.71% and congenital cataract in 2.85%. Conclusion: This study found a lot of ophthalmologic diseases in children with Down's syndrome: blefarity, congenital nasolacrimal duct obstruction, etc. Therefore the follow-up of these children is very relevant.