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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.

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Title: Co-existence of strabismus and Down syndrome in relation to visual impairment in institutionalised adults with intellectual disabilities: Implications for vision care.
Authors: Hsieh, Ching-Ju, Fang, I.-Mo, Lin, Fu-Gong
Source: Journal of Intellectual & Developmental Disability. Sep2025, Vol. 50 Issue 3, p330-338. 9p.
Subjects: Cross-sectional method, Down syndrome, Vision disorders, Institutional care, Logistic regression analysis, Vision testing, Strabismus, Intellectual disabilities, Myopia, Slit lamp microscopy, Tonometry, Visual acuity, Comorbidity, Disease risk factors
Geographic Terms: Taiwan
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. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Intellectual & Developmental Disability is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Co-existence of strabismus and Down syndrome in relation to visual impairment in institutionalised adults with intellectual disabilities: Implications for vision care.
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  Data: <searchLink fieldCode="AR" term="%22Hsieh%2C+Ching-Ju%22">Hsieh, Ching-Ju</searchLink><br /><searchLink fieldCode="AR" term="%22Fang%2C+I%2E-Mo%22">Fang, I.-Mo</searchLink><br /><searchLink fieldCode="AR" term="%22Lin%2C+Fu-Gong%22">Lin, Fu-Gong</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Taiwan%22">Taiwan</searchLink>
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  Data: 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. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Group: Ab
  Data: <i>Copyright of Journal of Intellectual & Developmental Disability is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.3109/13668250.2024.2446218
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 330
    Subjects:
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Down syndrome
        Type: general
      – SubjectFull: Vision disorders
        Type: general
      – SubjectFull: Institutional care
        Type: general
      – SubjectFull: Logistic regression analysis
        Type: general
      – SubjectFull: Vision testing
        Type: general
      – SubjectFull: Strabismus
        Type: general
      – SubjectFull: Intellectual disabilities
        Type: general
      – SubjectFull: Myopia
        Type: general
      – SubjectFull: Slit lamp microscopy
        Type: general
      – SubjectFull: Tonometry
        Type: general
      – SubjectFull: Visual acuity
        Type: general
      – SubjectFull: Comorbidity
        Type: general
      – SubjectFull: Disease risk factors
        Type: general
      – SubjectFull: Taiwan
        Type: general
    Titles:
      – TitleFull: Co-existence of strabismus and Down syndrome in relation to visual impairment in institutionalised adults with intellectual disabilities: Implications for vision care.
        Type: main
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            NameFull: Hsieh, Ching-Ju
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            NameFull: Fang, I.-Mo
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            NameFull: Lin, Fu-Gong
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          Dates:
            – D: 01
              M: 09
              Text: Sep2025
              Type: published
              Y: 2025
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              Value: 13668250
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              Value: 50
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            – TitleFull: Journal of Intellectual & Developmental Disability
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