Rodrigues Antonio Carlos Lottelli, Prado Rodrigo Bueno, Miguel Licério
Departamento de Oftalmologia, Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Faculdade de Medicina de Botucatu, Botucatu (SP), Brasil.
Arq Bras Oftalmol. 2012 Oct;75(5):337-40. doi: 10.1590/s0004-27492012000500008.
To describe the implantation of the red reflex test in 30 cities in the area of Botucatu Medical School Clinical Hospital, (480,337 inhabitants) and the creation of a reference Center for children with red reflex changes, the Red reflex screening and another Center for treatment of childhood cataract.
The red reflex exam was released in 30 cities of the surrounding Botucatu area, lectures were done in the cities invited to participate by the Regional Department of Health.109 pen torch ophthalmoscopes were distributed to the hospital maternities and primary care units. The Red reflex screening attended cases of altered or doubtful red reflex and established the diagnosis. The Center for treatment of childhood cataract performed the preoperative examination, surgical treatment and follow-up of children with cataracts.
After one year the Red reflex screening attended 29 children, 17 males and 12 females, mean age and pattern deviation (PD) of 10.09 ± 20.35 months (7 days - 98 months old). 16 patients were referred with altered red reflex, with a mean age and pattern deviation of 13.17 ± 24.14 months (7 days - 98 months old). The alteration was confirmed in all of these cases. 13 children had cataract. In 13 children with doubtful exam, with a mean age and PD of 6.29 ± 14.46 months (7 days - 54 months old), the alteration was not confirmed in any of these patients. The incidence of negative red reflex found among newborns was 9.2/10,000 and the incidence cataracts in this same group was 7.9/10,000.
We described the implantation of the red reflex exam in the Botucatu area, and the creation of a reference Center for eye examination of children with changes in the red reflex, and the creation of a reference Center for treatment of childhood cataract and difficulties.
描述在博图卡图医学院临床医院所在地区的30个城市开展红光反射检查，并为红光反射异常的儿童设立一个参考中心——红光反射筛查中心，以及另一个儿童白内障治疗中心。
在博图卡图周边的30个城市开展红光反射检查，由地区卫生部邀请相关城市参加并举办讲座。向医院产科和基层医疗单位分发了109个笔式手电筒检眼镜。红光反射筛查中心负责诊治红光反射异常或可疑的病例并进行诊断。儿童白内障治疗中心负责白内障患儿的术前检查、手术治疗及随访。
一年后，红光反射筛查中心接诊了29名儿童，其中男性17名，女性12名，平均年龄和模式偏差（PD）为10.09±20.35个月（7天至98个月大）。16例患者因红光反射异常前来就诊，平均年龄和模式偏差为13.17±24.14个月（7天至98个月大）。所有这些病例的异常情况均得到确诊。13名儿童患有白内障。13名检查结果可疑的儿童，平均年龄和模式偏差为6.29±14.46个月（7天至54个月大），这些患者均未确诊异常。新生儿中红光反射阴性的发生率为9.2/10000，同一组中白内障的发生率为7.9/10000。
我们描述了在博图卡图地区开展红光反射检查的情况，以及为红光反射异常的儿童设立眼科检查参考中心，和为儿童白内障及相关疑难病症设立治疗参考中心的情况。
