一例婴儿白内障与新生儿低血糖病例。

A Case of Infantile Cataract and Neonatal Hypoglycemia.

作者信息

Maamouri Rym, Ferchichi Molka, Chehida Amel Ben, Cheour Monia

机构信息

Department of Ophthalmology, Habib Thameur Hospital, Tunis, Tunisia.

Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.

出版信息

J Curr Ophthalmol. 2024 Mar 29;35(3):291-293. doi: 10.4103/joco.joco_353_22. eCollection 2023 Jul-Sep.

DOI:10.4103/joco.joco_353_22

PMID:38681698

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11047813/

Abstract

PURPOSE

To describe a case of lamellar cataract in a child with a history of neonatal hypoglycemia and illustrate the importance of meticulous history-taking in children with cataracts, especially before planning surgery.

METHODS

A single case report.

RESULTS

A 7-year-old girl with a history of neonatal hypoglycemia and ketoacidosis with high suspicion of a primary defect in ketone body utilization who presented with bilateral progressive blurred vision. Her best-corrected visual acuity (BCVA) was 20/200 in her right eye (OD) and 20/400 in her left eye (OS). Slit-lamp examination showed the presence of bilateral dense lamellar cataract. Fundus examination was unremarkable in both eyes (OU). She underwent cataract surgery with intraocular lens implantation under general anesthesia without prolonged fasting. Final BCVA was 20/82 in OD and 20/63 in OS.

CONCLUSION

Our aim through this case is to emphasize the importance to screen for episodes of hypoglycemic attacks in children with infantile cataracts.

摘要

目的

描述一例患有新生儿低血糖病史的儿童板层白内障病例，并说明在患有白内障的儿童中，尤其是在计划手术前，详细询问病史的重要性。

方法

单病例报告。

结果

一名7岁女孩，有新生儿低血糖和酮症酸中毒病史，高度怀疑存在酮体利用的原发性缺陷，表现为双侧进行性视力模糊。她右眼（OD）的最佳矫正视力（BCVA）为20/200，左眼（OS）为20/400。裂隙灯检查显示双侧存在致密板层白内障。双眼（OU）眼底检查无异常。她在全身麻醉下接受了白内障手术并植入人工晶状体，无需长时间禁食。最终右眼BCVA为20/82，左眼为20/63。