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在患有水平斜视或正视的儿童眼睛扭转
Nayrouz Bdeer1, Noa Hadar2, Doris Raveh2
1Faculty of Medicine, Hadassah Hebrew University, Jerusalem 91120, Israel.
Children (Basel, Switzerland)
|September 28, 2023
概括
眼睛扭转,特别是敲诈,在患有横向偏的儿童中经常使用 fundus 摄影检测到眼睛扭转,即使他们无症状. 这种方法提供了比临床检查更高的检测率来诊断这种报告不足的疾病.
科学领域:
- 眼科医生 眼科 眼科
- 儿科眼科 儿科眼科
- 斯特拉比斯姆研究研究
背景情况:
- 眼睛扭转,眼睛的旋转偏差,可以与相联系,但通常很难在临床上检测到.
- 患有横向斜视或正视的儿童可能具有或没有眼睛扭曲症状.
- 准确评估眼睛扭曲对于了解它对视觉发育的影响和指导治疗策略至关重要.
研究的目的:
- 为了确定在被诊断为横向斜视或正视的儿童中眼睛扭曲的患病率.
- 为了比较临床检查和 fundus 摄影之间的眼睛扭曲的检测率.
- 调查眼睛扭转与儿科斜视的其他常见发现之间的关联,例如下斜过度和V图案.
主要方法:
- 对19名儿童 (4至16岁) 进行了回顾性分析,他们患有横向斜视或正视.
- 对所有参与者在演示时和手术后的一小部分人来说,获得了数字基底照片.
- 通过使用ImageJ软件在 fundus照片上测量圆盘-叶角来量化眼睛扭动.
主要成果:
- 在19名儿童中,有18名患有横向斜视 (异向性或异向性);其中一名患有扭曲斜视的正视.
- 在所有手术前患者的 fundus 照片上可以测量敲诈勒索 (平均8.7°右,8.5°左),比临床检测的显著更高 (3/19 个儿童).
- 在大多数儿童中都存在下斜,并且与扭曲强烈相关;在手术治疗的患者中,扭曲在术后得到改善.
结论:
- 与临床检查相比, fundus 摄影是一种更敏感的方法来检测水平偏的儿童的眼扭曲.
- 在这个人群中,眼睛扭伤通常是无症状的,并且诊断不足.
- 较低斜过度是关键的相关发现,突出了儿科的因素的复杂相互作用.
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