The Affects and Effects on the Visual System
Dubowitz syndrome can cause the eyes to have very distinct characteristics and may cause vision problems. Ocular problems occur in about twenty percent of cases. The conditions most frequent seen are: strabismus- the two eyes do not line up in the same direction, blepharophimosis- bilateral ptosis (drooping of eyelids), telecanthus- increased width between the eyes,epicanthal folds- skin fold of the upper eyelid, hyperopia (farsightedness) megalocornea- cornea has an enlarged diameter, iris hypoplasia- incomplete development of the iris, iris colobomo- part of the iris is missing, and tapetoretinal degeneration- degeneration of the pigmented layer of the retina.
Treatments
There is no known cure for this disorder. Individuals with Dubowitz syndrome can be followed by a team of doctors, with a treatment plan depending on which signs and symptoms are present. The general pediatrician, endocrinologist, and gastroenterologist can help follow growth and feeding problems. A dermatologist can help treat eczema and other skin conditions. A neurologist/psychiatrist can help follow seizures, headaches, and behavioral problems. An early intervention program can provide resources such as speech, physical, and occupational therapy. Regular physical exams, blood tests, and urine analyses are recommended, in addition to regular vision and hearing screenings. Plastic or reconstructive surgery may be helpful for craniofacial and hand/feet abnormalities.Joining support groups may help the person with Dubowitz syndrome and the family. Support groups can help give a better understanding of the disorder and how other people deal with certain things. It can also help the person that has Dubowitz syndrome to see that they aren't the only person with this disorder, and in fact there are many others dealing with the same exact thing.
Type of Condition
Dubowitz syndrome is an extremely rare congenital condition that only affects a few hundred people throughout the world. It is usually a progressive condition that can change and lead to further difficulties throughout life.
Anticipated Functional Implications
Children with Dubowitz syndrome have special educational needs. There are certain programs that are created to address the cognitive and behavioral characteristics for these needs. The keys for educational success include early intervention, emphasis on functional skills, teaching of functional communication skills and social skills, construction of a classroom environment that allows for learning, and collaboration with parents or caregivers. Some of the visual needs may require accommodations for optimal viewing.
References
Johnson, Paul. (2005). Dubowitz syndrome. Retrieved from
Sava, Kaylee. (2009, December 18). Dubowitz syndrome: symptoms and treatment. Retrieved from
Tsukahara, Masato. (2005, February ). Dubowitz syndrome. Retrieved from
What is dubowitz syndrome?. (2002, February 17). Retrieved from
Wiki Genetics. (2008, June 10). Dubowitz syndrome. Retrieved from