{"id":20548,"date":"2022-01-30T08:57:08","date_gmt":"2022-01-30T08:57:08","guid":{"rendered":"https:\/\/www.optometrists.org\/?page_id=20548"},"modified":"2022-01-30T08:57:08","modified_gmt":"2022-01-30T08:57:08","slug":"can-you-help-a-child-with-down-syndrome-see-the-world-clearly","status":"publish","type":"page","link":"https:\/\/www.optometrists.org\/childrens-vision\/vision-therapy-for-special-needs\/can-you-help-a-child-with-down-syndrome-see-the-world-clearly\/","title":{"rendered":"Can You Help a Child With Down Syndrome See the World Clearly?"},"content":{"rendered":"<h2><b>Over 6 in 10 children with Down Syndrome experience vision problems. <\/b><b>How can parents and teachers help?<\/b><\/h2>\n<p><a href=\"https:\/\/www.optometrists.org\/childrens-vision\/vision-therapy-for-special-needs\/vision-and-down-syndrome\/\">Down syndrome<\/a> is a chromosomal disorder that affects a person\u2019s development both physically and cognitively, with an incidence of over 1 in 800 births.<\/p>\n<p><b>Up to 60% of children with Down syndrome have severe vision problems that can impact their life and make learning more difficult.<\/b><\/p>\n<p>Parents and teachers need to be aware of these problems so they can proactively ensure that any visual difficulties are detected and dealt with. This will minimize the impact of these difficulties on the child, and allow them to thrive in and out of the classroom.<\/p>\n<h2><b>Down syndrome and vision problems<\/b><\/h2>\n<p><a href=\"https:\/\/www.optometrists.org\/childrens-vision\/guide-to-visual-development\/\">Visual development<\/a> in the early years of a child\u2019s life will influence the way they are able to function in everyday life, and how they will eventually be able to learn in school. It is influenced both by genetics and the visual input and information a child is able to gather as they observe and interact with the world around them.<\/p>\n<p>Over the last quarter century, a great deal of research has been done into how vision develops in a child with Down syndrome, and how these developments will affect their view of the world.<\/p>\n<p>Some common vision issues Down syndrome can cause include:<\/p>\n<h2><b>Refractive errors<\/b><\/h2>\n<p>A <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-exams\/eye-exams\/the-4-main-refractive-errors-clearly-explained\/\">refractive error<\/a> occurs when the eye is not properly shaped, or there is a problem with the <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-health\/how-does-the-eye-work\/ocular-anatomy-the-front-of-the-eye\/\">cornea or lens<\/a> of the eye. These cause light entering the eye to focus either too far forward or too far back in the eye, making images blurry at certain distances.<\/p>\n<p>Common refractive errors include <a href=\"https:\/\/www.optometrists.org\/childrens-vision\/guide-to-pediatric-eye-conditions\/what-is-myopia\/\">myopia (nearsightedness),<\/a><a href=\"https:\/\/www.optometrists.org\/childrens-vision\/guide-to-pediatric-eye-conditions\/what-is-long-sightedness\/\"> hyperopia (farsightedness)<\/a> and <a href=\"https:\/\/www.optometrists.org\/childrens-vision\/guide-to-pediatric-eye-conditions\/what-is-astigmatism\/\">astigmatism<\/a> (blurring of vision at all distances).<\/p>\n<p><b>Research published in <\/b><b><i>Clinical and Experimental Optometry<\/i><\/b> <b><i>(January, 2015)<\/i><\/b><b>, shows that close to 80% of children with Down syndrome require optical correction.<\/b><\/p>\n<p>Though many children have refractive errors as infants and small children, these errors tend to improve in most children, but this improvement does not seem to take place in children with Down syndrome.<\/p>\n<h2><b>Impaired focusing<\/b><\/h2>\n<p>Many children with Down syndrome have difficulties with the focusing skills on the eyes.<\/p>\n<p><b>Multiple studies, including one in <\/b><b><i>Investigative Ophthalmology &amp; Visual Science<\/i><\/b><b> (<\/b><b><i>May, 2004)<\/i><\/b><b>, have shown that most children with Down syndrome struggle with difficulties in focusing.<\/b><\/p>\n<p>Focusing refers to the eyes\u2019 ability to change the shape of the lens accurately and efficiently to keep images in focus as a person shifts from near focus to far focus or vice versa.<\/p>\n<p>Difficulties in this area cause blurry vision each time the child has to change focus on what they\u2019re looking at and can also result in headaches, eye strain and frustration.<\/p>\n<p><strong>SEE RELATED:<\/strong><\/p>\n<h3><a href=\"https:\/\/www.optometrists.org\/childrens-vision\/vision-therapy-for-special-needs\/vision-and-special-needs\/\">Vision and Special Needs<\/a><\/h3>\n<p><strong>For more information about how Down syndrome can affect your child\u2019s vision, and how you can help, <a href=\"https:\/\/www.optometrists.org\/practice-search\/\">contact your eye doctor near you<\/a>.<\/strong><\/p>\n\n\t<div class=\"practice-search-widget\">\n\t\t<h3>Find an eye doctor for children near you<\/h3>\n\t\t\n\t<form class=\"practice-search-form practice-search-form-widget\" action=\"https:\/\/www.optometrists.org\/practice-search\/results\/\" method=\"get\">\n\n\t\t<input type=\"hidden\" name=\"distance\" value=\"100\" class=\"practice-search-distance\">\n\t\t<input type=\"hidden\" name=\"page\" class=\"practice-search-page\">\n\t\t<input type=\"hidden\" name=\"address_latitude\"><input type=\"hidden\" name=\"address_longitude\">\n\n\t\t<input type=\"text\" name=\"address\" class=\"practice-search-address\" placeholder=\"City, Surburb or Address\" value=\"\">\n\n\t\t\n\t\t\t<input type=\"hidden\" name=\"distance\" value=\"100\" class=\"practice-search-distance\">\n\n\t\t\n\n\t\t<button type=\"submit\" class=\"practice-search-button\">\n\t\t\t\t\t\t\t\t\t<svg width=\"19\" height=\"19\" viewBox=\"0 0 19 19\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M10.6796 0.130005C9.15708 0.130059 7.66615 0.5646 6.38198 1.38258C5.09781 2.20057 4.07373 3.36803 3.43004 4.74783C2.78634 6.12763 2.54976 7.66246 2.74808 9.17205C2.9464 10.6816 3.57139 12.1033 4.54964 13.27L0.729639 17.08C0.6364 17.1732 0.562439 17.2839 0.511979 17.4058C0.461519 17.5276 0.435547 17.6581 0.435547 17.79C0.435547 17.9219 0.461519 18.0524 0.511979 18.1743C0.562439 18.2961 0.6364 18.4068 0.729639 18.5C0.917942 18.6883 1.17334 18.7941 1.43964 18.7941C1.5715 18.7941 1.70207 18.7681 1.82389 18.7177C1.94571 18.6672 2.0564 18.5932 2.14964 18.5L5.99964 14.62C7.35406 15.6038 8.98566 16.1324 10.6596 16.13C12.7814 16.13 14.8162 15.2871 16.3165 13.7869C17.8168 12.2866 18.6596 10.2517 18.6596 8.13C18.6596 6.00827 17.8168 3.97344 16.3165 2.47315C14.8162 0.97286 12.7814 0.130005 10.6596 0.130005H10.6796ZM10.6796 14.13C9.49295 14.13 8.33291 13.7781 7.34622 13.1188C6.35952 12.4595 5.59049 11.5225 5.13636 10.4261C4.68224 9.32975 4.56342 8.12335 4.79493 6.95946C5.02644 5.79558 5.59788 4.72648 6.437 3.88736C7.27611 3.04825 8.34521 2.4768 9.5091 2.24529C10.673 2.01378 11.8794 2.1326 12.9757 2.58673C14.0721 3.04085 15.0092 3.80989 15.6685 4.79658C16.3277 5.78328 16.6796 6.94332 16.6796 8.13C16.6796 9.7213 16.0475 11.2474 14.9223 12.3726C13.7971 13.4979 12.2709 14.13 10.6796 14.13Z\" fill=\"#fff\"\/><\/svg>\n\t\t\t\t\t<\/button>\n\n\t\t<button type=\"button\" class=\"practice-search-use-my-location\">\n\t\t\tSearch near me\n\t\t<\/button>\n\n\n\t<\/form>\n\n\n\n\t\t<\/div>\n\n\t\n<h2><b>Binocular vision problems<\/b><\/h2>\n<p>It is not enough that each eye should work well on it\u2019s own, it\u2019s also important to make sure that the eyes work together in unison to produce what\u2019s known as binocular vision.<\/p>\n<p><b>People with Down syndrome are significantly more likely to experience conditions that impact their binocular vision, such as <a href=\"https:\/\/www.optometrists.org\/childrens-vision\/a-guide-to-eye-turns\/strabismus-crossed-eyes\/\">eye turns (strabismus)<\/a> and <a href=\"https:\/\/www.optometrists.org\/vision-therapy\/vision-therapy-for-lazy-eye\/amblyopia-lazy-eye\/\">lazy eye<\/a><\/b>.<\/p>\n<p>Binocular vision is the eyes\u2019 ability to work together to easily collect visual information to send to the brain for interpretation.<\/p>\n<p><a href=\"https:\/\/www.optometrists.org\/vision-therapy\/guide-to-vision-therapy\/the-5-most-frequent-binocular-vision-problems\/\">Binocular vision problems<\/a> can cause headaches, double or blurry vision and eye strain.<\/p>\n<h2><b>Eye health issues<\/b><\/h2>\n<p>A 2015 study in <i>Clinical and Experimental Optometry,<\/i> Down syndrome also affects the lens of the eye, causing an increased risk of <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/guide-to-cataracts\/\">cataracts<\/a> earlier in life.<\/p>\n<p><b>It is especially important to ensure that infants with Down syndrome have their eyes checked, as over 2% of babies with Down syndrome will have cataracts in infancy.<\/b><\/p>\n<p>Early detection and treatment is the best way to ensure continued eye health and good vision.<\/p>\n<p>Issues with the way Down syndrome causes the eye to develop create an increased risk of malformation of the cornea, resulting in <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/guide-to-corneal-diseases\/keratoconus\/\">keratoconus<\/a> and other problems that can result in inflammation of the eyelids, known as <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/dry-eye\/eyelid-conditions\/do-i-have-blepharitis\/\">blepharitis<\/a>.<\/p>\n<h2><b>How to help<\/b><\/h2>\n<p>In light of the many ways that Down syndrome has been shown to affect a person\u2019s vision, a number of recommendations can be made to help a child adapt and thrive in school and at home.<\/p>\n<p>These recommendations include:<\/p>\n<p><b>1. Frequent eye exams\u00a0<\/b><\/p>\n<p>Children who live with Down syndrome have a high potential for developing vision-threatening eye disease as well as <a href=\"https:\/\/www.optometrists.org\/childrens-vision\/vision-for-school\/does-your-child-have-a-learning-difficulty\/childrens-vision-and-learning\/\">eye issues that may severely affect learning<\/a> and every day function.<\/p>\n<p>For this reason, children with Down syndrome should see an eye doctor for an <a href=\"https:\/\/www.optometrists.org\/childrens-vision\/guide-to-childrens-eye-exams\/\">eye exam<\/a> every six months.<\/p>\n<p><b>2. Eyeglasses at an earlier age<\/b><\/p>\n<p>Several studies, including one published in <i>Developmental Medicine &amp; Child Neurology<\/i> (July, 2007), have reported that prescribing eyeglasses at an earlier age to children with Down syndrome can help promote proper vision development and prevent eye strain, blurry\/double vision and other symptoms which can lead to discomfort and frustration.<\/p>\n<p>In some cases, these eyeglasses may include <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/optical\/guide-to-optical-lenses\/guide-to-bifocals-and-multifocals\/\">bifocal or multifocal lenses<\/a>, to correct for focusing issues as outlined above.<\/p>\n<p><b>3. Accommodations in the classroom and at home<\/b><\/p>\n<p>Parents and teachers are encouraged to create accommodations within the home and classroom that will allow the child to more easily navigate, understand and participate in these environments.<\/p>\n<p>Placing the child towards the front of the classroom, closer to the board can help, as can larger font in writing and visual prompts such as photographs and drawings.<\/p>\n<p><strong>LEARN MORE:\u00a0<a href=\"https:\/\/www.optometrists.org\/childrens-vision\/vision-therapy-for-special-needs\/\">Vision\u00a0for Special Needs<\/a><\/strong><\/p>\n<p><strong>If your child has Down syndrome, <a href=\"https:\/\/www.optometrists.org\/practice-search\/\">schedule an appointment with an eye doctor near you<\/a> as vision correction could significantly improve their quality of life.<\/strong><\/p>\n<p><i>Up to 60% of children with Down syndrome have severe vision problems that can make their life and learning more difficult.<\/i><\/p>\n<p><i>Parents and teachers need to be aware of these problems so they can proactively ensure that any visual difficulties are detected and dealt with.<\/i><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Over 6 in 10 children with Down Syndrome experience vision problems. 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