Zhou Jun, Liu Zheng, Ying Hai-Yan, Liu Tao
Department of Ophthalmology, 3201 Hospital, Xi'an Jiaotong University Health Science Center, Hanzhong, China.
Department of Pathology and Molecular Medicine, 3201 Hospital, Xi'an Jiaotong University Health Science Center, Hanzhong, China.
Case Rep Ophthalmol. 2017 Jul 25;8(2):396-400. doi: 10.1159/000478694. eCollection 2017 May-Aug.
A premature male infant was born at 30 weeks' gestation with a birth weight of 1,700 g in a rural hospital. He was diagnosed with respiratory distress syndrome and received continuous positive airway pressure treatment for 26 days. At 26 days after birth, the patient was transferred to our hospital for further evaluation and management. A comprehensive eye examination revealed a stage 3 retinopathy of prematurity (ROP) involving zone 2 in both eyes. The patient was recommended to a provincial-level eye hospital for emergency laser therapy. Five months after birth, the feedback from the eye hospital showed that the patient had a high risk of blindness in both eyes. Our case report shows that delaying first screening examination increases the possibility of developing aggressive posterior ROP in infants with ROP. Doctors in rural hospitals should be aware of this possibility and trained for early screening and treatment in high-risk infants.
一名早产男婴在一家乡村医院孕30周时出生，出生体重1700克。他被诊断为呼吸窘迫综合征，并接受了持续气道正压通气治疗26天。出生后26天，该患者被转至我院进行进一步评估和治疗。全面的眼部检查显示双眼为3期早产儿视网膜病变（ROP），累及2区。该患者被转诊至省级眼科医院进行紧急激光治疗。出生五个月后，眼科医院的反馈显示该患者双眼失明风险很高。我们的病例报告表明，推迟首次筛查检查会增加ROP婴儿发生侵袭性后部ROP的可能性。乡村医院的医生应意识到这种可能性，并接受高危婴儿早期筛查和治疗的培训。
