Abstract
We have reported a case of down’s syndrome with congenital catharact on both eyes in 5 month old male. He was admitted to Comprehensive Ophthalmology Sumatera Eye Center reporting a progressive decrease in vision and worsening glare in both eyes. Examination of oral cavity revealed a high arched palate with grade II Mallampati. No abnormal findings in X-ray examination. Chest x-ray showed bronchopneumonia with pleural thickening in lateral basal left hemithorax. Echocardiogram revealed minimal atrium septal defect and moderate tricuspid regurgitation with an ejection fraction of 81%. Other examinations were within normal limits.
Keyword: Down’s syndrome, congenital catharact, mallampati, bronchopneumonia, atrium septal defect.
References
1. Patil AD, et al. Anaesthesia for a Child with Down syndrome UndergoingCleft Palate Repair and Review of Anaesthesia Management of Other Associated Conge-nital Syndromes, IOSR Journal of Dental and Medical Sciences (IOSR-JDMS), 2014 ; 13 : 32-39.
2. BhattaraiB., KulkarniAH., Rao ST.,MairpadiA.Anesthetic consideration in downs syndrome-a review. Nepal Medical College Journal. 2008; 10(3):199-203.
3. Kobel M., Creighton R.E., Steward D.J.,Anaesthetic considerations in down's syndrome: experience with 100 patients and a review of the literature. Canadian Anesthetic Society. 1982; 29:593-599.
4. Sivakumar S., Harikaran K. Anesthetic management in downs syndrome patient posted for tonsillectomy surgery – A case report. International Journal of Medicine Research.2003; 1: 77-78.
5. Sanjeev Kumar, V. K. Verma, Arun Kumar, Bibha Kumari, Nidhi Arun, K. H. Raghwendra, Sangeeta Pankaj. “Anesthetic consideration in Patients of Down’s Syndrome”. Journal of Evolution of Medical and Dental Sciences 2014; Vol. 3, Issue 28, July 14; Page: 7715-7721
6. Jules E.A., Charlotte J.H. Down‘s syndrome. British Journal of Anesthesia. 2003; 3:83-86.
7. Santamaria L.B., Paola C.D., Mafrica F., Fodale V. Preanesthetic Evaluation and Assessment of Children with Down's Syndrome. The Scientific World Journal. 2007; 7 : 242-251
8. Meitzner M.C., Skurnowicz J.A. Anesthetic Consideration for Patients With Down Syndrome. American Association of Nurse Anesthetist. 2005; 73:103-107
Corresponding Author
Andriamuri P Lubis
Department of Anesthesiology and Intensive Care, Faculty of Medical University of Sumatera Utara,
Haji Adam Malik Hospital, Medan
Sumatera Eye Center Hospital