[关键词]
[摘要]
目的:探讨小儿视网膜病变的检查方法和可行性。方法:回顾总结我院采用间接眼底镜及RetcanⅡ广域视网膜成像系统检查的1594例小儿眼底病变的情况。其中男825例,女769例,年龄28d~3岁,平均4mo,早产儿1314例(82.43%),足月儿280例(17.57%)。常规用美多丽扩瞳后采用RetcanⅡ广域视网膜成像系统进行检查。结果:患儿1594例中筛查出339例眼底异常。异常检出率为21.27%,其中早产儿视网膜病变200例(12.55%),视网膜出血88例,白内障3例,牵牛花综合征5例,视网膜母细胞瘤5例,视网膜渗出性改变64例,视神经萎缩8例。结论:RetcanⅡ具有宽视野即时成像图像真实清晰易保存的特点,是小儿眼底病尤其是早产儿视网膜病变筛查的安全有效可靠的方法。儿童眼底病危害大,发病率高,应重视早期筛查,以便早期干预和治疗。
[Key word]
[Abstract]
·AIM:To investigate the feasibility of examining methods for pediatric fundus.·METHODS:The direct or indirect ophthalmoscope and RetcanⅡ were used to check pediatric fundus.All children(including 1314 prematurity 82.43%,280 infants 17.57%;female/male:825/769)with the average age 2.1 month(from 28-days to 3-years old)were checked with RetcanⅡ Wide-Field Digital Retinal Imaging System after mydriasis.·RESULTS:Among 1594 cases,339 children(25.03%)have the abnormal fundus,of which 200 cases were retinopathy of prematuraty,accounting for 12.55%,retinableeding in 88 cases,cataract in 3 cases,morning glory syndrome in 5 cases,retinoblastoma in 5 cases,retinal exudative changes in 64 cases and optic atrophy in 8 cases.·CONCLUSION:Retcan Ⅱ is characterized with a wide view,real-time imaging,and easy to preserve the clear picture,which was a safe and effective method for pediatric fundus screening especially for retinopathy of prematurity.We should pay attention to early screening in order to intervention and treatment.·
[中图分类号]
R774.1
[基金项目]