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早产儿的眼科问题。

Ophthalmological problems of the premature infant.

作者信息

Repka Michael X

机构信息

Department of Ophthalmology, Department of Pediatrics, Johns Hopkins University, Baltimore, Maryland 21287-9028, USA.

出版信息

Ment Retard Dev Disabil Res Rev. 2002;8(4):249-57. doi: 10.1002/mrdd.10045.

Abstract

Preterm infants are more likely than term infants to have significant abnormalities of all parts of the visual system leading to reduced vision. The most common problem is retinopathy of prematurity (ROP). The frequency and severity of this disorder is inversely related to gestational age. Damage ranges from minor to catastrophic. Preterm infants also have higher rates of amblyopia, strabismus, refractive error, and cortical visual impairment. The later problem is largely associated with neonatal brain injury. Years later, these children may develop glaucoma and retinal detachments.

摘要

与足月儿相比,早产儿更有可能出现视觉系统各部位的严重异常,从而导致视力下降。最常见的问题是早产儿视网膜病变(ROP)。这种疾病的发生率和严重程度与胎龄呈负相关。损害程度从轻微到灾难性不等。早产儿患弱视、斜视、屈光不正和皮质视觉障碍的几率也更高。后一种问题主要与新生儿脑损伤有关。数年后,这些儿童可能会患上青光眼和视网膜脱离。

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