在自闭症患者中 Xerophthalmia 的多方面的表现
Annuar Zaki Azmi1, Sylves Patrick2, Mohamad Israk B Isa1
1Department of Paediatric Ophthalmology, Sabah Women and Children Hospital, Kota Kinabalu, MYS.
Cureus
|December 22, 2023
概括
由于选择性饮食,维生素A缺乏症 (VAD) 可以在患有自闭症的儿童中表现出来. 早期检测和饮食管理至关重要,以防止异眼症的视力丧失.
科学领域:
- 眼科医生 眼科 眼科
- 营养科学 营养科学
- 发育儿科 发育儿科
背景情况:
- 自闭症谱系障碍 (ASD) 通常与选择性饮食习惯有关.
- 选择性饮食可能导致营养缺乏,包括维生素A缺乏 (VAD).
- 眼科症状可能是ASD儿童中VAD的第一个指标.
研究的目的:
- 描述自闭症儿童中VAD的临床表现.
- 为了突出自闭症,选择性饮食和VAD之间的联系.
- 强调眼科查VAD在这个人群中的重要性.
主要方法:
- 一系列案例报告了三个患有自闭症和VAD的孩子.
- 对眼科症状和体征的评估.
- 评估饮食摄入量和营养状况.
主要成果:
- 这三名儿童均呈现出因饮食摄入不足而导致的二次性VAD.
- 症状的表现范围从轻微的异眼症 (点状上皮质侵蚀) 到严重的并发症 (视神经病变).
- 与自闭症相关的选择性饮食被确定为VAD的主要原因.
结论:
- 由于饮食选择性,VAD是自闭症儿童的一个重大问题.
- 眼科查对于在自闭症儿童中早期发现VAD至关重要.
- 管理包括饮食修改和维生素A补充,以防止不可逆转的视力丧失.
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