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ROP筛查难题:一名早产儿出生后出现遗传性白内障。

An ROP screening dilemma: hereditary cataracts developing in a premature infant after birth.

作者信息

Marcus Inna, Salchow Daniel J, Stoessel Kathleen M, Levada Andrew J

机构信息

Department of Ophthalmology and Visual Science, Yale School of Medicine, New Haven, CT, USA.

出版信息

J Pediatr Ophthalmol Strabismus. 2012 Feb 14;49 Online:e1-4. doi: 10.3928/01913913-20120207-01.

DOI:10.3928/01913913-20120207-01
PMID:22320244
Abstract

A female infant born prematurely at 23 weeks' gestational age developed bilateral hereditary cataracts at post-menstrual age 33 weeks, which precluded retinopathy of prematurity screening. The infant underwent right cataract extraction 1 week later, and retinopathy of prematurity was monitored by examining the right eye. In the seventeenth week of life (post-menstrual age 40 weeks), the cataract was removed from the left eye. Visual outcome at 19 months of age was good in both eyes. Very early cataract extraction may be necessary in premature infants to allow ROP evaluations.

摘要

一名孕23周早产的女婴在孕龄33周时出现双侧遗传性白内障,这使得早产儿视网膜病变筛查无法进行。1周后该婴儿接受了右眼白内障摘除术,并通过检查右眼监测早产儿视网膜病变。在出生后第17周(孕龄40周),左眼的白内障被摘除。19个月大时双眼视觉预后良好。对于早产儿,可能有必要尽早进行白内障摘除术以进行早产儿视网膜病变评估。

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