[关键词]
[摘要]
目的：观察免散瞳眼底照相机在检查中所见的学龄前儿童眼底病变的发病情况，并与直接检影镜检查结果进行对比分析。
方法：收集2012-04/2013-10来我院眼科门诊就诊的学龄前儿童3 896例7 760眼，采用日本 Topcon TRC-NW300彩色荧光眼底照相机拍照，图像及时保存，并进行直接检影镜检查。
结果：免散瞳眼底照相技术的检出率较直接检影镜高。3 896例7 760眼患儿中，检出41眼(1.05%)眼底异常者。其中视网膜有髓鞘神经纤维(24.39%)、牵牛花综合征(21.95%)、视网膜色素变性(14.63%)、先天性视网膜劈裂(12.20%)； 而儿童眼病非单一发生，常伴有视力异常(68.30%)、屈光异常(63.41%)、斜视(19.51%)。
结论：免散瞳眼底照相技术具有不用药物散瞳，学龄前儿童易于接受，图像结果即刻显示，能够直观、清晰显示眼底各种病变，对学龄前儿童眼病筛查有重要意义。
[Key word]
[Abstract]
AIM: To observe the incidence of ocular fundus disease in preschool children examined by non-mydriatic fundus camera and evaluate its effectiveness compared with direct inspection shadow mirror.
METHODS: Three thousand eight hundred and ninety-six preschool children from April 2012 to October 2013 were examined by Topcon TRC-NW300 color fluorescence fundus camera and direct inspection shadow mirror, and images were saved immediately.
RESULTS: Detection rate of non-mydriatic fundus photography was higher than that of direct inspection shadow mirror. In 3 896 cases, 41 eyes were detected abnormal fundus accounting for 1.05%. The retinal myelinated nerve fibers, morning glory syndrome, retinitis pigmentosa, congenital retinoschisis were common, accounted for 24.39%, 21.95%, 14.63%, 12.20% respectively. The children eye diseases were often accompanied by abnormal vision(68.30%), ametropia(63.41%), strabismus(19.51%).
CONCLUSION: Non-mydriatic fundus photography is a mydriatic method without medicine, so it is easy for preschool children to accept. Image results could directly display the fundus lesions. It shows important significance in the screening for preschool children eye diseases.
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