常规基底镜检查:揭示了未被诊断的大动脉显著带
Sripathi Kamath1, Akshata Charlotte1, Pooja Peethambaran1
1Ophthalmology, Father Muller Medical College, Mangalore, IND.
Cureus
|January 21, 2025
概括
一个年轻的男孩.
科学领域:
- 眼科医生 眼科 眼科
- 儿科 儿科 儿科
- 心脏病学 心脏病学
背景情况:
- 一个10岁的男孩出现了两年的视力逐渐减弱的历史.
- 常规的底镜显示了严重的高血压视网膜病变,促使进一步调查.
研究的目的:
- 报告一例儿科大动脉缩病例,最初呈现出视觉障碍.
- 强调后视镜检查在诊断儿童严重心血管疾病方面的作用.
主要方法:
- 综合眼科检查,包括最佳校正视敏度 (BCVA) 和后视镜检查.
- 儿科医学咨询,以评估生命体征和周围循环.
- 诊断成像包括心声图和CT血管图,以确认心脏异常.
主要成果:
- 在两只眼睛中观察到IV级高血压视网膜病变和斑点风扇.
- 严重升高的血压 (200/140 mmHg上肢,90/60 mmHg下肢) 已注意到.
- 心声图和CT血管图证实了主动脉 (CoA) 的显著凝结.
结论:
- 镜检查结果可以成为潜在的系统性和可能危及生命的疾病的关键指标,例如儿科患者的大动脉缩.
- 通过例行眼科检查及早发现,可以及时诊断和管理关键心脏病.
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