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[非小儿眼科医生的小儿眼科精选内容。第1部分:识别采取专业措施必要性的基础知识和基本诊断方法]

[Selected aspects of pediatric ophthalmology for the non-pediatric ophthalmologist. Part 1: Basic knowledge and essential diagnostics to identify the need for specialized action].

作者信息

Käsmann-Kellner B, Seitz B

机构信息

Augenklinik, Universitätsklinik des Saarlandes, Kirrbergerstr. 1, Geb. 22, 66424, Homburg/Saar, Deutschland.

出版信息

Ophthalmologe. 2012 Feb;109(2):171-89; quiz 190-2. doi: 10.1007/s00347-011-2494-7.

Abstract

In this article several important aspects of pediatric ophthalmology are reviewed. The aim is to alert the non-pediatric ophthalmologist to potentially dangerous omissions in the diagnosis of childhood eye diseases. The recapitulation of basic pediatric ophthalmologic concepts should allow physicians to identify situations and pediatric presentations for which referral to a pediatric ophthalmologist is advisable. Special emphasis is placed on the review of basic and simple diagnostic tests and on clinical warning signs that - if overlooked - can have severe negative consequences for the child. The CME article should help to ensure that fewer children with pathological ophthalmological or orthoptic findings are overlooked and underdiagnosed during their first visits to the ophthalmologist. In addition, the article hopefully will contribute to constructive cooperation among ophthalmologists of different subspecialties for the benefit of our youngest patients.

摘要

本文回顾了小儿眼科的几个重要方面。目的是提醒非小儿眼科医生注意儿童眼病诊断中可能存在的危险疏漏。对小儿眼科基本概念的概括应能使医生识别出适合转诊至小儿眼科医生的情况和小儿临床表现。特别强调了对基本和简单诊断测试的回顾以及临床警示信号,这些信号若被忽视,可能会给儿童带来严重的负面后果。这篇继续医学教育文章应有助于确保在首次就诊时,更少患有病理性眼科或视光学问题的儿童被忽视和漏诊。此外,希望本文能促进不同亚专业眼科医生之间的建设性合作,以造福我们最年幼的患者。

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