Anaesthetic Management in a Congenital Catharact Patient with Down Syndrome

We have reported a case of down’s syndrome with congenital catharact on both eyes in 5 month old male. He was admitted to Comprehensive Ophthalmology Sumatera Eye Center reporting a progressive decrease in vision and worsening glare in both eyes. Examination of oral cavity revealed a high arched palate with grade II Mallampati. No abnormal findings in X-ray examination. Chest x-ray showed bronchopneumonia with pleural thickening in lateral basal left hemithorax. Echocardiogram revealed minimal atrium septal defect and moderate tricuspid regurgitation with an ejection fraction of 81%. Other examinations were within normal limits. Keyword: Down’s syndrome, congenital catharact, mallampati, bronchopneumonia, atrium septal defect.