Vinluan Marilyn L, Olveda Remigio M, Olveda David U, Chy Delia, Ross Allen G
Department of Health, Research Institute for Tropical Medicine, Manila, Philippines.
Menzies Health Institute Queensland, Queensland, Australia.
BMJ Case Rep. 2015 Apr 22;2015:bcr2014208197. doi: 10.1136/bcr-2014-208197.
Childhood cataracts are a major cause of treatable blindness. Early recognition, surgical intervention and appropriate follow-up after surgery can result in good visual outcomes. However, several factors may impact on the availability of such services, including lack of an available, affordable and accessible comprehensive eye care centre, financial limitations affecting coverage by the national healthcare provider, and household socioeconomic status. We report a case of congenital cataracts in a 12-year-old male adolescent from Northern Samar, the Philippines, who was left blind since birth. This case highlights the disparities in essential health services in the developing world and the challenges patients face in getting the care they need.
儿童白内障是可治疗性失明的主要原因。早期识别、手术干预以及术后适当的随访能够带来良好的视力预后。然而，有几个因素可能会影响此类服务的可及性，包括缺乏可用、可负担得起且可及的综合眼科护理中心、影响国家医疗服务提供者覆盖范围的经济限制以及家庭社会经济地位。我们报告了一例来自菲律宾北萨马省的12岁男性青少年先天性白内障病例，该患者自出生起就双目失明。这个案例凸显了发展中国家基本医疗服务的差距以及患者在获得所需护理方面面临的挑战。
