婴幼儿4 860例眼底检查结果与分析
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Fundus examination in 4 860 infants
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    摘要:

    目的:了解婴幼儿眼病的发病情况,探讨RetCam Ⅱ广域视网膜眼底成像系统在婴幼儿各种眼病筛查中的应用价值。

    方法:收集2011-09/2012-09在我院行RetCam Ⅱ眼底检查的婴幼儿临床资料。

    结果:共有4 860例婴幼儿完成眼底筛查,其中早产儿视网膜病变(ROP)308例、视网膜出血172例、先天性视网膜皱襞13例、白化病眼底11例、先天性白内障10例、视网膜母细胞瘤12例、永存原始玻璃体增生症9例、视神经视盘发育不良8例、先天性脉络膜缺损5例、原发性视网膜色素变性4例、牵牛花综合征4例、视网膜有髓神经纤维4例、先天性黄斑缺损3例、Coats病3例、家族渗出性玻璃体视网膜病变3例、视网膜斑痣样色素沉着2例、先天性虹膜发育异常6例、视盘水肿28例、视神经萎缩15例。

    结论:婴幼儿眼病危害严重,应重视早期筛查,早产儿及伴有高危因素的足月儿应该是眼底筛查的重点人群。RetCam Ⅱ不仅可用于早产儿视网膜病变的筛查,同时也可用于婴幼儿的常规眼病筛查及临床随访,可提高婴幼儿眼病的诊断率,有利于其早期发现,早期治疗。

    Abstract:

    AIM: To obtain information concerning the incidence of infants' ocular disease, and explore the applications of RetCam Ⅱ in the screening of infants' ocular disease.

    METHODS: All infants examined with RetCam Ⅱ form September 1, 2011 to September 31, 2012 were enrolled in this study.

    RESULTS: Among the 4 860 infants, retinopathy of prematurity(ROP)in 308 cases, retinal hemorrhage in 172 cases; 13 cases of congenital retinal folds; 11 cases of albinism fundus; 10 cases of congenital cataracts; 12 cases of retimoblastoma; persistent hyperplasia of primary vitreous in 9 cases; optic nerve disc dysplasia in 8 cases; congenital choroidal defect in 5 cases; primary pigmentary degeneration of the retina in 4 cases; morning glory syndrome in 4 cases; medullated nerve fibers of retina in 4 cases; congenital macular defect in 3 cases; external exudative retinopathy in 3 cases; familial exudative vitreoretinopathy in 3 cases; nevoid pigmentation of retina in 2 cases; congenital iris dysplasia in 6 cases; optic disc edema in 28 cases; optic atrophy in 15 cases.

    CONCLUSION: The infant eye diseases can cause serious harm, and we should pay attention to the early screening, preterm children and term infants with risk factors should be a fundus screening focus groups. RetCam Ⅱ can not only be used in the screening of ROP, but also used in screening of ocular disease for infants and clinical follow-up. Early intervention is of great importance for the prevention and treatment of infants' ocular disease.

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郭燕.婴幼儿4 860例眼底检查结果与分析.国际眼科杂志, 2013,13(3):607-610.

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  • 收稿日期:2012-11-26
  • 最后修改日期:2013-02-25
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