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Crouzon 综合征的眼部表现及治疗进展。

Ocular manifestations and treatment progress of Crouzon syndrome.

机构信息

Eye School of Chengdu, University of Traditional Chinese Medicine, Chengdu, Sichuan Province, China.

Department of Ophthalmology, Chengdu First People's Hospital/Chengdu Integrated TCM and Western Medicine Hospital, No.18 Wanxiang North Road, Chengdu, 610041, Sichuan Province, China.

出版信息

Int Ophthalmol. 2024 Sep 5;44(1):367. doi: 10.1007/s10792-024-03293-5.

DOI:10.1007/s10792-024-03293-5
PMID:39235629
Abstract

PURPOSE

Crouzon syndrome is a congenital genetic disease caused by mutations of the FGFR2 gene on chromosome 10. It is usually inherited in an autosomal dominant pattern and is one of the most common types of craniosynostosis syndromes. This article focuses on the ophthalmology-related aspects of Crouzon syndrome in order to help diagnose and develop personalized treatment plans.

METHODS

A combined systematic search of PubMed electronic database by using Boolean operators AND and OR was conducted, choosing the following keywords: "Crouzon", "craniosynostosis", " eye ", " oculus ", " ocular ", " ophthalmic ", " ophthalmologic ", " ophthalmology ", " globe ", " orbit ", " exophthalmos ", " exorbitism ", " keratopathy ", " visual " etc. After the initial screening of these articles, repetitive literatures were excluded.

RESULTS

47 articles were selected. This article introduces the ocular manifestations, possible pathogenesis and treatment progress in Crouzon syndrome.

CONCLUSIONS

The incidence of ocular abnormalities in Crouzon syndrome is very high, such as shallow orbits, exophthalmos, hypertelorism, exposure keratopathy, strabismus, optic neuropathy, ametropia, glaucoma, etc. The pathogenesis of these ocular abnormalities is related to orbital deformities. Most of the treatments are aimed at compensating the abnormal anatomic structure at present.

摘要

目的

Crouzon 综合征是一种由 10 号染色体上 FGFR2 基因突变引起的先天性遗传疾病。它通常以常染色体显性遗传方式遗传,是最常见的颅缝早闭综合征之一。本文重点介绍 Crouzon 综合征与眼科相关的方面,以帮助诊断和制定个性化的治疗计划。

方法

通过使用布尔运算符 AND 和 OR 对 PubMed 电子数据库进行组合系统搜索,选择以下关键字:“Crouzon”、“颅缝早闭”、“眼”、“oculus”、“ocular”、“ophthalmic”、“ophthalmologic”、“ophthalmology”、“globe”、“orbit”、“exophthalmos”、“exorbitism”、“keratopathy”、“visual”等。对这些文章进行初步筛选后,排除重复文献。

结果

选择了 47 篇文章。本文介绍了 Crouzon 综合征的眼部表现、可能的发病机制和治疗进展。

结论

Crouzon 综合征眼部异常的发生率非常高,如眼眶浅、眼球突出、眼球距过宽、暴露性角膜炎、斜视、视神经病变、屈光不正、青光眼等。这些眼部异常的发病机制与眼眶畸形有关。目前大多数治疗方法都旨在补偿异常的解剖结构。

相似文献

1
Ocular manifestations and treatment progress of Crouzon syndrome.Crouzon 综合征的眼部表现及治疗进展。
Int Ophthalmol. 2024 Sep 5;44(1):367. doi: 10.1007/s10792-024-03293-5.
2
Crouzon syndrome and the eye: An overview.Crouzon 综合征与眼部:概述。
Indian J Ophthalmol. 2022 Jul;70(7):2346-2354. doi: 10.4103/ijo.IJO_3207_21.
3
Glaucoma With Crouzon Syndrome.伴有 Crouzon 综合征的青光眼。
J Glaucoma. 2018 Jun;27(6):e110-e112. doi: 10.1097/IJG.0000000000000946.
4
Extremely severe scoliosis, heterotopic ossification, and osteoarthritis in a three-generation family with Crouzon syndrome carrying a mutant c.799T>C FGFR2.三代家系中伴有 FGFR2 c.799T>C 突变的 Crouzon 综合征患者出现严重脊柱侧凸、异位骨化和骨关节炎
Mol Genet Genomic Med. 2019 Sep;7(9):e843. doi: 10.1002/mgg3.843. Epub 2019 Jul 18.
5
An inherited FGFR2 mutation increased osteogenesis gene expression and result in Crouzon syndrome.一种遗传性FGFR2突变增加了成骨基因表达并导致克鲁宗综合征。
BMC Med Genet. 2018 May 30;19(1):91. doi: 10.1186/s12881-018-0607-8.
6
Ocular manifestations of Apert and Crouzon syndromes: qualitative and quantitative findings.Apert综合征和Crouzon综合征的眼部表现:定性和定量研究结果
J Craniofac Surg. 2010 Sep;21(5):1354-7. doi: 10.1097/SCS.0b013e3181ef2b53.
7
[Advances in research on Crouzon syndrome and related ophthalmic complications].[克鲁宗综合征及相关眼科并发症的研究进展]
Zhonghua Yan Ke Za Zhi. 2020 Jul 11;56(7):544-548. doi: 10.3760/cma.j.cn112142-20191128-00606.
8
Inherited FGFR2 mutation in a Chinese patient with Crouzon syndrome and luxation of bulbus oculi provoked by trauma: a case report.中国一位伴有眼球突出外伤脱位的 Crouzon 综合征患者存在 FGFR2 遗传突变:病例报告。
BMC Ophthalmol. 2019 Oct 22;19(1):209. doi: 10.1186/s12886-019-1217-8.
9
Clinical assessment and FGFR2 mutation analysis in a Chinese family with Crouzon syndrome: A case report.临床评估及 FGFR2 基因突变分析在一个中国家族性 Crouzon 综合征病例报告。
Medicine (Baltimore). 2021 Mar 12;100(10):e24991. doi: 10.1097/MD.0000000000024991.
10
Crouzon syndrome: mutations in two spliceoforms of FGFR2 and a common point mutation shared with Jackson-Weiss syndrome.克鲁宗综合征:FGFR2两种剪接异构体中的突变以及与杰克逊-韦斯综合征共有的一个常见点突变。
Hum Mol Genet. 1995 Aug;4(8):1387-90. doi: 10.1093/hmg/4.8.1387.

本文引用的文献

1
Surgical treatment and muscle protein analysis of V-pattern exotropia in craniosynostosis.颅缝早闭 V 型外斜视的手术治疗及肌肉蛋白分析
Sci Rep. 2022 Jul 7;12(1):11524. doi: 10.1038/s41598-022-15707-4.
2
Crouzon syndrome and the eye: An overview.Crouzon 综合征与眼部:概述。
Indian J Ophthalmol. 2022 Jul;70(7):2346-2354. doi: 10.4103/ijo.IJO_3207_21.
3
Prevalence of Ocular Anomalies in Craniosynostosis: A Systematic Review and Meta-Analysis.颅缝早闭中眼部异常的患病率:一项系统评价和荟萃分析
J Clin Med. 2022 Feb 18;11(4):1060. doi: 10.3390/jcm11041060.
4
Orbitofacial morphology changes with different suture synostoses in Crouzon syndrome.颅缝早闭综合征中不同颅缝融合导致的眶面形态变化。
J Craniomaxillofac Surg. 2022 May;50(5):406-418. doi: 10.1016/j.jcms.2021.06.012. Epub 2021 Jun 23.
5
Algorithm to the treatment of Crouzon syndrome.克鲁宗综合征的治疗算法。
J Craniomaxillofac Surg. 2022 Feb;50(2):124-133. doi: 10.1016/j.jcms.2021.11.008. Epub 2021 Nov 26.
6
Crouzon syndrome with strabismus.伴有斜视的克鲁宗综合征
Asian J Surg. 2021 Dec;44(12):1543-1545. doi: 10.1016/j.asjsur.2021.08.051. Epub 2021 Sep 26.
7
Ophthalmic features of craniosynostosis: A Malaysian experience.颅缝早闭的眼科特征:马来西亚的经验
Eur J Ophthalmol. 2022 May;32(3):1417-1423. doi: 10.1177/11206721211030093. Epub 2021 Jul 5.
8
Visual outcomes in children with syndromic craniosynostosis: a review of 165 cases.综合征型颅缝早闭患儿的视觉预后:165 例病例回顾
Eye (Lond). 2022 May;36(5):1005-1011. doi: 10.1038/s41433-021-01458-5. Epub 2021 May 10.
9
Crouzon Syndrome and Acanthosis Nigricans With Fibrous Dysplasia of the Maxilla: An Unreported Suggested Triad.Crouzon 综合征伴黑棘皮病和纤维结构不良:一个未被报道的三联征。
J Craniofac Surg. 2021;32(1):310-312. doi: 10.1097/SCS.0000000000007095.
10
Racial Disparity Between Asian and Caucasian Crouzon Syndrome in Skull Morphology.颅面形态学中亚洲人与高加索人颅缝早闭综合征的种族差异
J Craniofac Surg. 2020 Nov/Dec;31(8):2182-2187. doi: 10.1097/SCS.0000000000006741.