ABSTRACT We report the first case of successful bilateral cataract surgery performed under modified topical anesthesia in an adolescent with Down syndrome and a difficult airway. Airway management under general anesthesia (GA) for this patient population presents significant challenges, including increased risk of adverse intraoperative and postoperative events. This report details our innovative anesthetic approach, termed trained topical anesthesia (TTA), which facilitated uneventful successive cataract surgery in both eyes. The success of this approach highlights the importance of comprehensive psychological […]

ABSTRACT Objective To determine the incidence of the congenital nasolacrimal duct obstruction in Down Syndrome children and its treatment. Methods Retrospective study with medical records of 33 patients with Down Syndrome treated at the Peri-Peri Health Center from July 7, 2004 to October 14, 2009. Results Of the 33 Down syndrome children, 9 (27,27%) had congenital nasolacrimal duct obstruction, 5 were female and 4 were male and 6 (66,66%) had bilateral obstruction. The resolution rate with conservative treatment was in […]

Abstract Objectives: Describe ocular findings and its correlation with systemic diseases in Down Syndrome (DS) pediatric patients. Methods: Quantitative and cross-sectional study of prevalence with children aged from 0 to 25 years. Standard ophthalmic examinations performed: visual acuity, slit lamp biomicroscopy, ocular motility, static refraction and indirect ophthalmoscopy. Ocular findings were associated with comorbidities available in pediatric records of patients in FURB Down Syndrome Outpatient clinic, in which they have regular follow-up. Results: A total of 76 patients were evaluated […]

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 […]