Down's syndrome: vision, visual problems and visual assessment

Presented on 15 May 2008

J. Margaret Woodhouse, Cardiff University

Mohammad Al-Bagdady, Nathan Bromham, Mary Cregg,
Ping Ji, Ffion John, Julie-Anne Little, Julie McClelland,
Val Pakeman, Kathryn J. Saunders, Ruth Stewart

Additional eye problems in Down's syndrome

• Refractive errors (60%)
• Poor accommodation (80%)
• Squint (25%)
• Nystagmus (15%)
• Blepharitis (up to 50%)
• Cataracts (8-13%)
• Keratoconus (15%)
• Reduced visual acuity and contrast sensitivity (100%)

Responds to 'lid hygiene' measures

• Baby shampoo on a clean finger
• Scrub the lid edges every night

Cataract extraction

Cataract removed and replaced with plastic implant.