Handling eye health in those with Ehlers-Danlos syndrome

29 January 2021
Winter 2021

What ocular complications does Ehlers-Danlos cause and how should optometrists treat patients with this condition? Léa Surugue reports.

The first descriptions of a condition characterised by laxity and fragility of the skin and hyperextensibility of the joints were made at the end of the nineteenth century (Parapia and Jackson, 2008). But Ehlers-Danlos syndrome (EDS) – actually a group of 13 inherited disorders (Malfait et al, 2017) – remains poorly understood today, and progress in its diagnosis and treatment is slow.

Feeling fragile

In EDS, gene mutations cause abnormal collagen synthesis (Leeming and Karsdal, 2019), which leads to connective tissue becoming fragile and stretchy, in particular in the skin, the joints and the blood vessel walls. The eyes are also affected by these gene mutations. Probably one of the best-known features of EDS can be seen in those who exhibit the ability to extend their joints further than is usual, being “hypermobile” or “double-jointed”.

Sign in to continue

Forgotten password?
Register

Not already a member of the College?

Start enjoying the benefits of College membership today. Take a look at what the College can offer you and view our membership categories and rates.

Related further reading

Primary eye care organisations have welcomed the publication of NHS England's Getting It Right First Time (GIRFT) Best Practice Guidance for Glaucoma Services.

Patients will be paid £20 per session and all travel expenses will be reimbursed.

The College of Optometrists and The Association of Optometrists (AOP) warn the current self-declaration system puts more lives at risk of death or injury.