Mild Keratoconus in the Mother of a Patient with Down Syndrome: Case Report and Clinical Hypothesis

JOURNAL TITLE: International Journal of Keratoconus and Ectatic Corneal Diseases

Author
1. Bernardo T Lopes
2. Fernando Faria-Correia
3. Marcella Q Salomão
4. Renato Ambrósio
5. Daniel G Dawson
6. Ana L Höfling-Lima
ISSN
2277-3800
DOI
10.5005/jp-journals-10025-1167
Volume
7
Issue
2
Publishing Year
2018
Pages
5
Author Affiliations
1. com.mps.common.model.Contributor@2570654c ,
2. com.mps.common.model.Contributor@15120574 ,
3. com.mps.common.model.Contributor@1e60256a ,
4. com.mps.common.model.Contributor@5f534c6e ,
5. com.mps.common.model.Contributor@792f18cd ,
6. com.mps.common.model.Contributor@7c138b39
Article keywords
Corneal tomography, Corneal topography, Down syndrome, Forme fruste keratoconus, Keratoconus

Abstract

The purpose of this study is to report a case of mild or forme fruste keratoconus (FFKC) in the mother of a patient with Down syndrome (DS) who presented for cataract surgery and to propose a possible association of mothers with mild forms of ectasia and higher risk for delivering babies with DS. Advanced corneal imaging including corneal topography, corneal tomography, and the integrated corneal tomography and biomechanical assessment allowed the identification of a mild form of keratoconus in both eyes of this patient, and the correct characterization of the corneal structure and whole optics of the eye were crucial for IOL selection and planning cataract surgery.

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