Saturday, June 6, 2015

Clinical profile and main comorbidities of Spanish adults with Down syndrome.

Clinical profile and main comorbidities of Spanish adults with Down syndrome.


I see numerous patients with Down Syndrome and it is important to keep up to date on all aspects of this genetic anomaly so that we can better serve our patients. Here's the results of the latest research.

Also see: Woodhouse M. Maino D. Down Syndrome. In Taub M, Bartuccio M, Maino D. (Eds) Visual Diagnosis and Care of the Patient with Special Needs; Lippincott Williams & Wilkins. New York, NY;2012:31-40.

"...Each subject presented an average of 5±2 clinical problems. Eye (117 adults, 81%), skin (86, 60%), thyroid (81, 56%), gastrointestinal (73, 51%), and psychopathological disorders (58, 40%) were amongst the most frequent clinical conditions of adults with DS. Cataracts (14, 61%), keratoconus (4, 17%), dementia (11, 48%), and seizures (6, 26%) were more frequent amongst individuals with DS over 50years . No relevant differences were found between genders. The medications most frequently prescribed were levothyroxine (70 subjects, 48.6%), vitamin D (50, 34.7%), antidepressants (32, 22%), and antipsychotics (31, 21.5%)....."

Click on the title above for more information about this important group of individuals with special needs. DM

Monday, June 1, 2015

Comparison of lateral rectus muscle re-recession and medial rectus muscle resection for treatment of postoperative exotropia

I have noted time and again that surgical intervention of strabismus remains as much an art as a science and that most studies show about 1/3 need a second or third surgery. This study also notes this. The results were:

...Unsuccessful outcomes were achieved in 36%) treated with medial rectus muscle resection and 27% treated with lateral rectus muscle re-recession.....

Read more about it here: http://www.ncbi.nlm.nih.gov/pubmed/25634535