Lambert Jennifer E, Christiansen Stephen P, Peeler Crandall E
a Department of Ophthalmology, Boston University School of Medicine, Boston Medical Center , Boston , Massachusetts.
b Department of Pediatrics, Boston University School of Medicine, Boston Medical Center , Boston , Massachusetts.
J Binocul Vis Ocul Motil. 2019 Jul-Sep;69(3):102-105. doi: 10.1080/2576117X.2019.1609893.
The pupillary exam in the pediatric population is a vital part of any clinician's workup. In the right clinical setting, pupillary abnormalities such as anisocoria, light-near dissociation, an afferent pupillary defect, and paradoxic pupillary constriction in the dark can be red flags that trigger further examination and workup. Through both careful physical examination and detailed history-taking and observation, potentially vision- and life-threatening conditions can be detected.
在儿科人群中，瞳孔检查是任何临床医生检查工作的重要组成部分。在合适的临床环境中，瞳孔异常，如瞳孔不等大、光近反射分离、传入性瞳孔缺陷以及暗处反常瞳孔收缩等，可能是警示信号，会促使进一步的检查和诊断。通过仔细的体格检查、详细的病史采集和观察，可以发现潜在的威胁视力和生命的疾病。
