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Co-Existence of Strabismus and Down Syndrome in Relation to Visual Impairment in Institutionalised Adults with Intellectual Disabilities: Implications for Vision Care

Title: Co-Existence of Strabismus and Down Syndrome in Relation to Visual Impairment in Institutionalised Adults with Intellectual Disabilities: Implications for Vision Care
Language: English
Authors: Ching-Ju Hsieh; I.-Mo Fang; Fu-Gong Lin
Source: Journal of Intellectual & Developmental Disability. 2025 50(3):330-338.
Availability: Taylor & Francis. Available from: Taylor & Francis, Ltd. 530 Walnut Street Suite 850, Philadelphia, PA 19106. Tel: 800-354-1420; Tel: 215-625-8900; Fax: 215-207-0050; Web site: http://www.tandf.co.uk/journals
Peer Reviewed: Y
Page Count: 9
Publication Date: 2025
Document Type: Journal Articles; Reports - Research
Descriptors: Visual Impairments; Down Syndrome; Adults; Institutionalized Persons; Intellectual Disability; Incidence; Risk; Blindness; Foreign Countries; Intervention
Geographic Terms: Taiwan (Taipei)
DOI: 10.3109/13668250.2024.2446218
ISSN: 1366-8250; 1469-9532
Abstract: Background: Visual impairment (VI) is common among people with intellectual disabilities, with rates up to 19%. This study assessed the prevalence and risk factors for ocular disorders in 341 institutionalised adults with intellectual disabilities in Taipei City from January 2016 to December 2017. Method: The cross-sectional survey included visual acuity testing, cycloplegic refraction, strabismus evaluation, slit-lamp biomicroscopy, tonometry, and retinal exams. Results: Most participants were aged 20-39 years (72.9%), and 57.6% were male. VI or blindness was found in 19.7%, with strabismus (28.0%) and high myopia (23.6%) as key risk factors. Logistic regression indicated strabismus and high myopia significantly increased VI risk (OR 2.32 and 4.86). In participants with Down syndrome, the strabismus-VI association was stronger (OR 4.83 vs 1.73 without DS), with an interactive effect increasing VI risk sixfold. Conclusion: Early ocular screening and targeted interventions are crucial to reduce VI risk in adults with intellectual disabilities.
Abstractor: As Provided
Entry Date: 2025
Accession Number: EJ1481013
Database: ERIC