Jardón Javier, Izquierdo Natalio J
UPR School of Medicine, University of Puerto Rico, Rio Piedras, Puerto Rico.
Bol Asoc Med P R. 2009 Apr-Jun;101(2):39-41.
Previous studies have reported that patients with the CHARGE association have congenital anomalies including: Coloboma; heart defects; choanal atresia, retarded growth and development; genital hypoplasia; and ear anomalies. Ocular findings in patients with the association include: poor visual acuity; anisometropia; myopic astigmatism; strabismus; microcornea; cataracts; staphyloma; and reduced stereopsis.
We conducted a non-concurrent prospective study of 13 patients with coloboma from Puerto Rico.
Seven patients out of the 13 patients (53.8%) had the CHARGE association. Age ranged from 10 to 84 (mean = 38 years). Ocular findings in all the patients with coloboma include: nystagmus; strabismus; poor visual acuity; refractive errors; microcornea; cataracts; glaucoma; and dry eyes. Patients in our study had systemic findings such as: heart defects; ear anomalies; and endocrine problems.
To our knowledge this is the first case series of patients with Coloboma and the CHARGE association reported in Puerto Rico and the Caribbean basin.
先前的研究报告称,患有CHARGE综合征的患者存在先天性异常,包括:脉络膜缺损;心脏缺陷;后鼻孔闭锁、生长发育迟缓;生殖器发育不全;以及耳部异常。该综合征患者的眼部表现包括:视力低下;屈光参差;近视散光;斜视;小角膜;白内障;葡萄肿;以及立体视减退。
我们对来自波多黎各的13例脉络膜缺损患者进行了非同期前瞻性研究。
13例患者中有7例(53.8%)患有CHARGE综合征。年龄范围为10至84岁(平均 = 38岁)。所有脉络膜缺损患者的眼部表现包括:眼球震颤;斜视;视力低下;屈光不正;小角膜;白内障;青光眼;以及干眼。我们研究中的患者有心脏缺陷、耳部异常和内分泌问题等全身表现。
据我们所知,这是波多黎各和加勒比海地区报道的首例脉络膜缺损合并CHARGE综合征患者的病例系列。