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小儿白内障——早期发现和治疗的重要性。

Pediatric Cataract - Importance of Early Detection and Management.

机构信息

Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, 110029, India.

出版信息

Indian J Pediatr. 2018 Mar;85(3):209-216. doi: 10.1007/s12098-017-2482-2. Epub 2017 Nov 9.

DOI:10.1007/s12098-017-2482-2
PMID:29119464
Abstract

Pediatric cataract is often diagnosed and managed late. This delay may be due to the ignorance on the part of the community, financial constraints, delay in the diagnosis and lack of tertiary care facilities. There is an urgent need to include rubella vaccination in the universal immunization program. A Simple Red Reflex test to detect a cataract and guiding the parent for early intervention will go a long way in achieving the target of eliminating cataract as a cause of childhood blindness. The importance of early detection and quick referral to a multispecialty center can save the child of lot many blind-years. These children have the potential to achieve the best possible visual acuity if managed early.

摘要

小儿白内障往往诊断和治疗较晚。这种延迟可能是由于社区的无知、经济限制、诊断延迟以及缺乏三级保健设施。迫切需要将风疹疫苗接种纳入普遍免疫规划。进行简单的红色反射测试以检测白内障并指导家长进行早期干预,对于实现消除白内障致盲的目标大有帮助。早期发现和快速转诊到多专科中心的重要性可以为患儿节省很多盲年。如果及早管理,这些儿童有可能获得最佳的视力。

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本文引用的文献

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Validation of Guidelines for Undercorrection of Intraocular Lens Power in Children.儿童人工晶状体屈光度欠矫指南的验证
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Amblyopia update: new treatments.弱视最新进展:新的治疗方法
Curr Opin Ophthalmol. 2016 Sep;27(5):380-6. doi: 10.1097/ICU.0000000000000293.
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Visual Axis Opacification in Children Following Paediatric Cataract Surgery.儿童白内障手术后的视轴混浊
CELF1 在晶状体上皮细胞中通过转录水平促进基质金属蛋白酶基因的表达。
BMC Ophthalmol. 2022 Mar 14;22(1):122. doi: 10.1186/s12886-022-02344-8.
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High Risk of Early Cataracts in Young Type 1 Diabetes Group: A Nationwide Cohort Study.1型糖尿病青年组早期白内障的高风险:一项全国性队列研究。
Int J Endocrinol. 2020 Oct 9;2020:8160256. doi: 10.1155/2020/8160256. eCollection 2020.
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Evaluating amblyopia during the era of COVID-19.在新冠疫情时代评估弱视
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National consensus statement regarding pediatric eye examination, refraction, and amblyopia management.关于儿科眼科检查、验光和弱视管理的国家共识声明。
Indian J Ophthalmol. 2020 Feb;68(2):325-332. doi: 10.4103/ijo.IJO_471_19.
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Editorial: Pediatric Ophthalmology - Part II.社论:小儿眼科——第二部分。
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Congenital rubella syndrome: Global issue.先天性风疹综合征:全球问题。
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5
Pediatric cataract: challenges and future directions.小儿白内障:挑战与未来方向
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Arq Bras Oftalmol. 2014 May-Jun;77(3):143-7. doi: 10.5935/0004-2749.20140037.
7
Solutions in pediatric cataracts.小儿白内障的解决方案。
Curr Opin Ophthalmol. 2014 Jan;25(1):12-8. doi: 10.1097/ICU.0000000000000015.
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Eur J Ophthalmol. 2014 Jan-Feb;24(1):124-30. doi: 10.5301/ejo.5000342. Epub 2013 Jul 26.
9
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