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儿童白瞳症——母亲总是正确的

[Leukocoria (white pupil) among children--mother is always right].

作者信息

Baggesen K, Flage T, Arnljot H M

机构信息

Oyeavdelingen, Rikshospitalet, Oslo.

出版信息

Tidsskr Nor Laegeforen. 1999 Feb 28;119(6):794-5.

Abstract

Leucocoria is a rare, but serious symptom in early childhood. It may be present at birth or develop during infancy. As in adults, infants usually display a black pupil, and upon shining a bright light into the pupil with the ophthalmoscope, an orange or red reflex emerges. The first person to see that something is wrong, is often the mother, but she cannot give a precise description. When the infant is crying it can be difficult to examine the red reflex, and the necessity of admitting the infant to an ophthalmologist, when the mother is worried, is discussed. In this paper we discuss two cases of retinoblastoma and one case of congenital cataract where the treatment was delayed due to late diagnosis of the leucocoria. The main conclusion is always to listen to the relatives when they are worried about the infant's eye, and to make sure that the infant is properly examined.

摘要

白瞳症是幼儿期一种罕见但严重的症状。它可能在出生时就存在,也可能在婴儿期出现。和成年人一样,婴儿通常瞳孔呈黑色,用检眼镜向瞳孔照射强光时,会出现橙色或红色反光。通常最先发现异常的是母亲,但她无法给出精确描述。婴儿哭闹时很难检查红色反光,因此讨论了在母亲担心时将婴儿转诊给眼科医生的必要性。在本文中,我们讨论了两例视网膜母细胞瘤和一例先天性白内障病例,这些病例因白瞳症诊断延迟而导致治疗延误。主要结论是,当亲属担心婴儿眼睛问题时一定要听取他们的意见,并确保对婴儿进行恰当检查。

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