[关键词]
[摘要]
目的:探讨儿童数字化广域成像系统RetCamⅢ在婴幼儿眼病筛查中的应用。
方法:收集2013-07/2015-07在我院行RetCamⅢ检查的婴幼儿89例,年龄6~24月龄。所有病例均行眼底照相检查,2例在全身麻醉下行荧光素眼底血管造影检查。
结果:家族性渗出性玻璃体视网膜病变19例、永存玻璃体增生症16例、视网膜母细胞瘤12例、外层渗出性视网膜病变12例、先天性脉络膜缺损9例、双眼球震颤8例、视神经先天发育异常6例、早产儿视网膜病变晚期5例、视神经炎2例。其中2例患儿在全身麻醉下行眼底荧光血管造影检查,1例诊断为双眼神经炎、1例诊断为家族渗出性玻璃体视网膜病变。
结论:RetCamⅢ为婴幼儿眼病的早期诊断提供了可靠依据,对于指导婴幼儿眼病的早期治疗和视觉康复具有重要的临床意义。
[Key word]
[Abstract]
AIM:To investigate the application of RetCamⅢ in the screening of infants' ocular diseases.
METHODS:RetCamⅢ images were taken in 89 infants aged 6 months to 2 years who needed screening for retinopathy from July 2013 to July 2015, two of which received fundus fluorescein angiography(FFA)examination under general anesthesia.
RESULTS:In the 89 infants, there were familial exudative vitreoretinopathy(FEV)in 19 cases, persistent hyperplastic primary vitreous in 16 cases, retinoblastoma in 12 cases, external exudative retinopathy in 12 cases, congenital coloboma of choroid in 9 cases, congenital nystagmus in 8 cases, optic disc hypoplasia in 6 cases, retinopathy of prematurity at advanced stage in 5 cases and optic neuritis in 2 case. Based on FFA examination, one of the two infants received FFA was diagnosed as optic neuritis, the other was diagnosed as FEV.
CONCLUSION:RetCamⅢ that plays an important role in early diagnosis and visual rehabilition can be trusted to screen the retinopathy in infants.
[中图分类号]
[基金项目]
2014年河南省科技惠民计划项目(No.142207310002)