Christiansen Stephen P
a Departments of Ophthalmology and Pediatrics, Boston Medical Center, Boston University School of Medicine , Boston , MA , USA.
J Binocul Vis Ocul Motil. 2019 Jul-Sep;69(3):87-89. doi: 10.1080/2576117X.2019.1582290.
Although the pediatric eye examination can be made more challenging by inattention, poor cooperation, sleep, or just the wiggles, these should never be justification for an inadequate assessment of the child. In fact, a challenging patient should make the examiner ever more careful to get a good history and to look carefully for potential red flags that should be examined in greater detail. Missing a history of diplopia, or not noticing an abnormal pupil, or blurred disc margins, to name a few, may delay the diagnosis and treatment of potentially life-threatening entities. In this symposium, red flags in the pediatric eye examination will be reviewed in depth with emphasis on diagnosis, testing, and referral.
尽管小儿眼科检查可能因注意力不集中、配合不佳、睡眠或只是好动而更具挑战性，但这些绝不能成为对儿童评估不充分的理由。事实上，面对有挑战性的患者，检查者应更加谨慎地获取良好的病史，并仔细寻找应进一步详细检查的潜在警示信号。漏问复视病史、未注意到异常瞳孔或视盘边缘模糊等情况，仅举几例，都可能延误对潜在危及生命疾病的诊断和治疗。在本次研讨会上，将深入回顾小儿眼科检查中的警示信号，重点是诊断、检查和转诊。
