Abstract
Background: To assess the frequency of deviation in eyes in Down Syndrome patients and also to determine the type of deviation in each eye.
 Objective(s): The purpose of this study was how frequent the strabismus is among the Down Syndrome patients.
 Methodology: The related study was carried out at Shadaab Special School, Lahore. A self-designed Performa was used to gather the data that mainly includes the type of strabismus, findings of the Hirschberg test and cover uncover test. Strabismus was assessed with the pen torch used to determine the findings of cover test, Hirschberg test and cover uncover test. Then we used IBM SPSS Version for entering and analysing the data.
 Results: A total of 60 patients took part in this research with a gender split of 36 male and 24 female varying in age from 2-18y.These are categorized into 4 age groups. The patients with DS had high prevalence in age group of teens (13-18 years) 51.70%. 41.70% of deviation was in school going children (6-12 years). Pre-school children (3.5-5 years) and toddlers (2-3 years) had 3.3% of misalignment. Strabismus was found in 36 (60%) males and 24 (24%) females. Esotropic deviation was assessed in 25 (67.57%) and exotropia deviation in 9 (24.32%) in RE. In LE esotropic deviation was found in 14 (60.86%) and exotropic deviation in 7 (30.43%).
 Conclusion(s): This study showed that strabismus in DS Patients were more prevalent in males as compared to females. Esodeviation was the commonest type in DS Patients.
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