The road to vision recovery for people with Down syndrome

Mondo Health Updated on 2024-01-31

Everyone's road to health is not all smooth, it may be bumpy, but also thrilling, and for people with Down syndrome, their lives are full of hardships and challenges from the day they are born, they have physical and mental retardation, low immunity, and often multiple systemic diseases.

42-year-old Mr. Qi is a Down syndrome patient who was raised by his parents with hard work, and his parents, who have taken care of him for two years, found that he stumbled when he walked, could not hold things accurately, and later developed to the point that he could not see food, could not eat and go to the toilet by himself, his parents hurriedly took him around to seek medical treatment, and the reply he got was that "the operation is risky, and the effect cannot be guaranteed......”

Only the 70-year-old parents of this only son were unwilling to give up, so they inquired everywhere, and after being recommended by a doctor, they came to the Fanxi Road Campus of the Municipal People's Hospital to find Liu Jie, an ophthalmologist.

Liu Jie found that Mr. Qi had a typical special face and body shape with Down syndrome, and erythematous rash could be seen in many places all over the body, and crusts were attached to the surface. The lenses of both eyes were white, completely cloudy and distended, and the fundus could not be penetrated, because the examination was not cooperative, and it took a lot of time to coax and scare, and it was barely measured that the axes of both eyes were about 28 mm. This means that he not only has severe cataracts, but also suffers from high myopia.

Mr. Qi's parents told him that his health path was very difficult, because he had a low immunity, he had been sick since childhood, he suffered from gout 6 years ago, hypothyroidism and dermatitis 3 years ago, and he was also allergic to diclofenac sodium eye drops and ethanol and other drugs.

What to do?If surgery, this particular patient is at risk of general anesthesia and postoperative infection;

If he doesn't, he will live in darkness for the rest of his life, and the burden on his elderly parents will be even heavier.

First of all, please consult the anesthesiology department, Song Tieying, the experienced deputy director of the anesthesiology department of Fanxi Road Hospital, personally consulted, and after checking the patients, he put forward the difficulties that need to be paid attention to - most patients with Down syndrome have poor heart function, and perioperative anesthesia related cooperation is also difficult, and the risk is indeed relatively high, and the anesthesia method may need to be changed at any time according to the patient's condition and surgical needs during the operation, and the family members expressed their understanding.

In addition, Mr. Qi's face and body were covered with rash and dandruff, and the itching was severe, so he also asked for a consultation and gave ** to alleviate the symptoms.

After adequate preoperative preparation, Liu Jie performed phacoemulsification extraction of both eyes under general anesthesia + first-stage implantation of intraocular lenses for Mr. Qi, and the surgery was successfully completed in less than 20 minutes.

Although the operation was successfully completed, the medical team did not dare to take it lightly, because the situation after awakening from anesthesia was unpredictable. Although Mr. Qi's intelligence is only equivalent to that of a three- or four-year-old child, and his stature is not tall, he is a man in his forties after all.

Sure enough, after Mr. Qi woke up from anesthesia, he insisted on removing the protective eye patch attached to his eyes, and when he was stopped, he would make a fuss like a toddler, resist vigorously, and repeatedly reach out and tear it. His parents and medical staff took turns to take care of him, but they didn't stop him from tearing off his eye patches, and he found that he could see things, and he ran around happily ......

Because the patient has low immunity and dermatitis, the surgical incision is exposed too early, and the risk of postoperative infection is greatly increased, which is very dangerous.

So, Mr. Qi's parents took turns on duty, staying up all night, not letting him rub his hands and touch his eyes. In addition, the incision of cataract surgery was small, closed well, and healed quickly, and on the first day after surgery, although he would not cooperate with the vision check, he was discharged from the hospital after checking his eyes without finding any abnormalities. For the sake of prudence, his parents took him to stay in a hotel near the hospital for a few days, so that he could come to the doctor at any time if he had any problems, and after observing that there were no problems for a few days, he returned to his hometown.

Since then, "looking at the eyes" has been a pleasant thing in Mr. Qi's heart, and he will be very cooperative with taking a car to Shijiazhuang for a review when he does not want to go out. His parents happily told Liu Jie: "The child can now see everything, flying in the sky, running on the ground, even ants, hair, ......."”

Mr. Qi's parents are over 70 years old, and what makes them happiest is still the happiness and health of their children. We are honored to have been part of it and to feel the joy of fighting together because of love.

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