符合野视治疗后的非正常视力敏度:残留/耐火野视或同时存在的病理? - 进行回顾性分析
Virender Sachdeva1, Bidisha Bhattacharya2, Snehal Ganatra1
1Child Sight Institute, Nimmagadda Prasad Children's Eye Care Centre, L V Prasad Eye Institute, Visakhapatnam.
Strabismus
|February 4, 2024
概括
大约5%的被诊断患有野视的儿童有潜在的疾病. 亚临床视觉神经病变和隐性黄斑缩 (OMD) 是常见的替代诊断,强调需要考虑儿科视觉护理中的共存病理.
科学领域:
- 眼科医生 眼科 眼科
- 儿科医学 儿科医学
- 诊断的准确性 诊断的准确性
背景情况:
- 眼,或"惰的眼睛",是儿童视力减弱的常见原因.
- 眼的过度诊断可能会发生,这可能会延迟对其他视力障碍的诊断.
- 识别替代病因对于有效治疗和管理非正常视力至关重要.
研究的目的:
- 为了确定最初被诊断为患有眼的儿童中替代诊断或同时存在的病理的患病率.
- 确定导致儿科患者过度诊断眼盲的因素.
- 使用诊断错误评估和研究 (DEER) 分类学工具分析诊断错误.
主要方法:
- 对2016年1月1日至2019年12月31日期间被诊断患有野视的儿童记录的回顾性审查.
- 分析治疗后最佳校正视敏度 (BCVA) ≤20/32的患者,分为耐火和残留视群.
- 数据收集包括风险因素,眼科检查结果和导致修订诊断的调查.
主要成果:
- 在508名儿童中,26名 (5.1%) 被重新诊断为另一个诊断/同时存在的病理.
- 亚临床视神经炎 (50%) 和隐性黄斑缩症 (OMD) (38.4%) 是最常见的替代诊断.
- 诊断错误主要是由于过度强调眼是不正常视力的唯一原因.
结论:
- 大约5%的被诊断患有野视的儿童可能有潜在的替代性或同时存在的疾病.
- 亚临床视神经病变和OMD是应考虑的重要替代诊断.
- 缺乏BCVA改善,细微的病史和检查结果应该促使进一步调查,以避免过度诊断.
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