Department of Ophthalmology, University of Washington, Seattle, Washington; Division of Pediatric Ophthalmology, Seattle Children's Hospital, Seattle, Washington.
Department of Ophthalmology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
J AAPOS. 2022 Feb;26(1):6.e1-6.e5. doi: 10.1016/j.jaapos.2021.09.006. Epub 2021 Dec 29.
Delayed treatment of congenital or infantile cataracts can cause deprivation amblyopia. Prompt diagnosis and surgical intervention is critical for optimal outcomes. This study assessed referral patterns for congenital or infantile cataracts in two regions of the United States.
The medical records of children 0-1 years of age with congenital or infantile cataracts at Stanford University (2008-2018) and Emory University (2010-2015) were reviewed retrospectively.
A total of 111 children were included. Of these, 82 (74%) were initially evaluated by a primary care doctor, of whom 40 (49%) were referred directly to a pediatric cataract surgeon. Of 61 newborns 0-2 months of age, 9 (15%) were initially referred to an eye care provider before 6 weeks of age, but the initial evaluation by a pediatric cataract surgeon was delayed until after 6 weeks of age. Referral patterns were similar between the two institutions (P = 0.06).
Many children with congenital of infantile cataracts are initially referred by a primary care doctor to an eye care provider who does not perform pediatric cataract surgery. Nevertheless, the majority of newborn infants with cataracts were evaluated by a pediatric cataract surgeon before 6 weeks of age.
先天性或婴儿期白内障的延迟治疗可能导致剥夺性弱视。及时诊断和手术干预对于获得最佳结果至关重要。本研究评估了美国两个地区先天性或婴儿期白内障的转诊模式。
回顾性分析了斯坦福大学（2008-2018 年）和埃默里大学（2010-2015 年）111 名 0-1 岁儿童先天性或婴儿期白内障的病历。
共纳入 111 例患儿。其中 82 例（74%）由初级保健医生首次评估，其中 40 例（49%）直接转诊至小儿白内障外科医生。61 例 0-2 个月的新生儿中，有 9 例（15%）在 6 周龄前首次转诊至眼科医生，但直到 6 周龄后才进行小儿白内障外科医生的初次评估。两所机构的转诊模式相似（P=0.06）。
许多先天性或婴儿期白内障患儿最初由初级保健医生转诊至不进行小儿白内障手术的眼科医生。然而，大多数白内障新生儿在 6 周龄前都由小儿白内障外科医生进行了评估。
