CAJ | 학술논문

目的观察广域数字化视网膜摄像系统(RetCamⅡ)检查所见的小儿眼底病变的图像特征和发病情况,探讨其在小儿眼底病变诊断中的临床价值,为早期干预、减少儿童盲和低视力提供科学依据.方法横断面研究.湖南省儿童医院眼科在2009年9月至2010年12月间经RetCamⅡ检查的患儿4574例.表麻下用复方托吡卡胺滴眼液散瞳后采用RetCamⅡ的130°镜头进行双眼全面眼底照相检查,将眼底图像存档并分析,对病例进行计数并求百分比.结果 4574例小儿中筛查出667例患眼底病变,筛查阳性率为14.58％.其中早产儿视网膜病变(ROP)412例(占早产儿的12.05％),视网膜出血151例,家族性渗出性视网膜病变7例,视网膜发育不良6例,视网膜渗出改变62例,白内障3例,牵牛花综合征8例,视网膜母细胞瘤7例,视神经萎缩3例,黄斑病变7例,真菌性视网膜炎1例.结论 RetCamⅡ可真实客观地观察到小儿眼底病变的特征并追踪其变化及疗效,具有很好的临床应用价值,加强小儿眼底病变的早期筛查与干预是防治儿童盲与低视力的关键.
목적 관찰엄역수자화시망막섭상계통(RetCamⅡ)검사소견적소인안저병변적도상특정화발병정황,탐토기재소인안저병변진단중적림상개치,위조기간예、감소인동맹화저시력제공과학의거.방법 횡단면연구.호남성인동의원안과재2009년9월지2010년12월간경RetCamⅡ검사적환인4574례.표마하용복방탁필잡알적안액산동후채용RetCamⅡ적130°경두진행쌍안전면안저조상검사,장안저도상존당병분석,대병례진행계수병구백분비.결과 4574례소인중사사출667례환안저병변,사사양성솔위14.58％.기중조산인시망막병변(ROP)412례(점조산인적12.05％),시망막출혈151례,가족성삼출성시망막병변7례,시망막발육불량6례,시망막삼출개변62례,백내장3례,견우화종합정8례,시망막모세포류7례,시신경위축3례,황반병변7례,진균성시망막염1례.결론 RetCamⅡ가진실객관지관찰도소인안저병변적특정병추종기변화급료효,구유흔호적림상응용개치,가강소인안저병변적조기사사여간예시방치인동맹여저시력적관건.
Objective To observe the image and incidence of retinopathy in young children examined by RetCam Ⅱ digital retina camera and evaluate its effectiveness in diagnosis of retinopathy.To provide scientific proof for early intervention on children exemption from impairment of low vision or blindness.Methods It was a cross-sectional study.Four thousand five hundred and seventy-four children from September 2009 to December 2010 were examined by RetCam Ⅱ digitial retina camera after pupils dilated,and the images were saved for analysis.Cases were counted and expressed as percentage.Results RetCam Ⅱ digitial retina camera examination identified 667 patients with retinal abnormality from 4574 young children.The screening positive rate reached 14.58％.Among the 667 patients,412 cases were diagnosed of retinopathy of prematurity (ROP),151 cases of ocular fundus hemorrhage,7 cases of familial exudative vitreoretinopathy,6 cases of hypoplasia of retina,62 cases of exudative retinopathy,3 cases of cataract,8 cases of morning-glory syndrome,7 cases of retinoblastoma,3 cases of optic atrophy and 7 cases of macular disease,1 cases of fungal retinitis.Conclusion RetCam Ⅱ digitial retina camera could capture the objective images of retina with disease or after treatment,it is useful and effective in the early screening and intervention on children with retinopathy in clinic.ROP is the most common retinopathy in infants,who with short geststional age and low birth weight were more prone to develop ROP.