隐藏的内BB呈现为单边的色素视网膜病变
Harrison Huang1, Jeffrey Powell1, Emily Balding1
1Wake Forest University School of Medicine, Winston-Salem, North Carolina.
概括
一个小男孩因眼睛中未被检测到的BB外体而出现视力问题和视网膜变化. 这凸显了在儿童中怀疑创伤的必要性,即使没有报告的伤害.
科学领域:
- 眼科医生 眼科 眼科
- 儿科眼科医生 儿科眼科医生
- 眼睛的创伤 眼睛的创伤
背景情况:
- 单边色素视网膜病变可能呈现出视力敏度下降和瞳孔缺陷.
- 视网膜色素上皮的变化可能涉及视网膜的各个部门.
- 轨道外体,特别是在儿童中,可以导致严重的眼睛和视觉并发症.
研究的目的:
- 报告儿童因眼内异物引起的单边色素视网膜病变.
- 强调在儿科患者中考虑创伤的重要性,以无法解释的眼部发现.
- 要突出轨道成像在疑似眼睛创伤病例的诊断实用性.
主要方法:
- 一份病例报告详细介绍了患有单边色素视网膜病变的7岁男孩的临床表现,诊断工作和管理.
- 底部检查以评估视网膜变化和视觉敏度.
- 轨道计算机断层扫描 (CT) 扫描用于偶然检测金属异物.
主要成果:
- 患者出现视力敏度下降 (20/200) 和右眼相对 afferent 瞳孔缺陷.
- fundus 检查显示了多部门视网膜色素上皮的变化.
- 一个轨道CT扫描偶然发现一个6毫米的金属BB外体在右后轨道.
结论:
- 在儿科患者中,即使没有报告的损伤史,也应该怀疑眼部创伤,因为他们有不明原因的视力障碍和视网膜发现.
- 高可疑指数和适当的成像对于诊断眼内异物至关重要.
- 早期检测和管理眼内异物是预防长期视力损伤的关键.
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