Department of Ophthalmology, Amrita Institute of Medical Sciences and Research Centre, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India.
Indian J Pediatr. 2018 Mar;85(3):217-227. doi: 10.1007/s12098-018-2623-2. Epub 2018 Feb 17.
Ocular manifestations that occur directly or indirectly as result of a pathologic process that involves other parts of the body, in a pediatric population, will be discussed here. While a myriad number of systemic conditions have ocular manifestations, its importance cannot be undermined because it has implications for both diagnosis and treatment. Often, the eye findings can give a clue to the systemic diagnosis and at other times, not managing the eye manifestations can lead to irreversible blindness although the systemic condition was treated well. So, it is important for all clinicians dealing with pediatric population to be aware of ocular manifestations of the common systemic conditions. The authors discuss the ocular manifestations of the following systemic conditions: Genetic and chromosomal anomalies, phakomatoses, metabolic disorders, infectious diseases, craniofacial anomalies, muscular disorders, inflammatory disorders and miscellaneous.
这里将讨论儿科人群中直接或间接由涉及身体其他部位的病理过程引起的眼部表现。虽然许多全身性疾病都有眼部表现,但它的重要性不容忽视,因为它对诊断和治疗都有影响。通常,眼部发现可以为全身性诊断提供线索,而在其他情况下,如果不治疗眼部表现,即使全身性疾病得到很好的治疗,也可能导致不可逆转的失明。因此,所有治疗儿科人群的临床医生都应该了解常见全身性疾病的眼部表现。作者讨论了以下全身性疾病的眼部表现:遗传和染色体异常、神经皮肤综合征、代谢紊乱、传染病、颅面畸形、肌肉疾病、炎症性疾病和其他疾病。