Clearly KC host Dr. Melissa Barnett OD asks Dr. Ann Ostrovsky MD about managing the care of individuals with Down syndrome who are diagnosed with keratoconus.  Dr. Ostrovsky who is chief of ophthalmology at ECU Health in Greenville, North Carolina stresses the importance of avoiding eye rubbing and scheduling regular eye exams to monitor for vision changes.  She notes that it can sometimes be difficult to get reliable test results and shares tips to make these patients more comfortable.  Dr. Ostrovsky notes the importance of working with parents or caregivers who are vested in optimizing their child’s eye health and partnering with them when considering procedures like crosslinking.