在儿科人口中脑膜炎的眼科疾病
Jia Yue You1, Milad Modabber2, Massimo Di Iorio3
1Departments of Ophthalmology and Pediatric Surgery, Montreal Children's Hospital, McGill University, Montreal, QC.
Canadian journal of ophthalmology. Journal canadien d'ophtalmologie
|November 30, 2023
概括
脑膜炎可能会导致儿童的持续视力问题,超过三分之二的儿童患有眼睛异常. 提高医疗保健提供者的意识对于早期发现和管理这些儿科眼科并发症至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 儿科 儿科 儿科
- 神经学 神经学
背景情况:
- 脑膜炎是一种严重的感染,可以影响儿童.
- 脑膜炎后的眼科并发症在发达国家没有得到充分的研究.
- 三级儿科医院管理严重的儿科病例,包括脑膜炎患者.
研究的目的:
- 在被诊断患有脑膜炎的儿科患者中调查眼睛和神经眼科后续的频谱.
- 为了确定患有脑膜炎的儿童眼睛异常的频率,向三级护理中心提交.
- 提高医疗保健提供者对儿童脑膜炎潜在的长期视觉并发症的认识.
主要方法:
- 在2006年至2015年期间被诊断患有脑膜炎的儿科患者的回顾性图表审查.
- 纳入标准侧重于接受眼科咨询的患者.
- 分析人口统计数据,病史,眼部发现和成像结果,以计算眼部异常的比例.
主要成果:
- 8.4%的脑膜炎患者 (72/861) 接受了眼科咨询.
- 在46名符合条件的患者中,67.4% (31/46) 呈现眼部异常.
- 常见的受影响区域包括视力敏,眼外运动,视神经功能,瞳孔反应性和周围轨道/轨道细胞炎. 年长的孩子更容易被发现.
结论:
- 脑膜炎经常导致儿童在第三级护理中心接受治疗的眼睛异常.
- 这些眼科并发症可能是持久的,影响长期的视力健康.
- 眼科医生和医疗保健提供者应在儿科脑膜炎患者中保持对眼部问题的高度怀疑指数.
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