Sauer Arnaud, Speeg-Schatz Claude, Bourcier Tristan
Service d'ophtalmologie, CHU de Strasbourg, université Louis-Pasteur, 67084 Strasbourg Cedex.
Rev Prat. 2008 Feb 29;58(4):353-7.
Red eye in children is a common consultation purpose. Mostly benign, this sign may also cause visual impairment. We differentiate three kinds of red eye: localised, diffused and perikeratic injection. The last one must be recognized because of its association with severe ocular diseases. Diagnosis must be sure and treatment has to be efficient to not pertubate childrens visual development. Unfortunately, physical examination on children is not always easy. Consultation with an ophthalmologist is justified if a doubt remains, in case of chronic pathology or resistance to first intention treatment.
儿童红眼是常见的就诊原因。这种症状大多为良性,但也可能导致视力损害。我们将红眼分为三种类型:局限性、弥漫性和角膜周围充血。由于其与严重眼部疾病相关,必须识别出最后一种类型。诊断必须准确,治疗必须有效,以免干扰儿童的视力发育。不幸的是,对儿童进行体格检查并不总是容易的。如果仍有疑问、存在慢性病变或对初始治疗有抵抗,就有必要咨询眼科医生。