Soszka-Przepiera Ewelina, Krzyścin Mariola, Modrzejewska Monika
II Department of Ophthalmology, Pomeranian Medical University, Al. Powstańców Wlkp. 72, 70-111 Szczecin, Poland.
Pediatric, Adolescent Gynecology Clinic, Department of Gynecology, Endocrinology and Gynecological Oncology, Pomeranian Medical University in Szczecin, Unii Lubelskiej 1, 71-252 Szczecin, Poland.
J Clin Med. 2024 Sep 13;13(18):5451. doi: 10.3390/jcm13185451.
Among the severe organ complications occurring in patients with Turner syndrome (TS), ophthalmic dysmorphia and visual impairment are usually marginalized. There are only a few studies that take into account the prevalence of ophthalmic disorders in female patients with TS. Articles in PubMed, Scholar, and Website were reviewed, considering the prevalence of various ocular disorders in patients with X chromosome deficiency. Current standards for the management of patients with TS in the context of the prevalence of ophthalmic disorders were also analyzed. Identification of visual impairment in people is important because it significantly impairs quality of life (QoL) along with other health problems. QoL affects cognitive and behavioral functioning and significantly increases self-esteem, acceptance of treatment, and, consequently, physical and mental health. Low self-esteem makes patients feel helpless and unable to plan their social development. Patients with TS are relatively more frequently diagnosed with various eye defects compared to the healthy population. Therefore, special attention should be paid to the early assessment of the visual system in people with TS to eliminate any factors that could potentially impair their QoL. Patients with TS should be referred to specialist ophthalmologists, pediatricians, or optometrists for preventive care or early treatment of visual impairment. The authors point out the need for comprehensive ophthalmological examinations as standard management in patients with TS.
在特纳综合征(TS)患者出现的严重器官并发症中,眼部畸形和视力损害通常被边缘化。仅有少数研究考虑了女性TS患者眼部疾病的患病率。检索了PubMed、学术搜索平台和相关网站上的文章,考量了X染色体缺失患者中各种眼部疾病的患病率。还分析了在眼部疾病患病率背景下TS患者的现行管理标准。识别视力损害很重要,因为它会与其他健康问题一起严重损害生活质量(QoL)。生活质量会影响认知和行为功能,并显著提高自尊、对治疗的接受度,进而影响身心健康。低自尊会让患者感到无助,无法规划自己的社会发展。与健康人群相比,TS患者相对更频繁地被诊断出各种眼部缺陷。因此,应特别关注对TS患者视觉系统的早期评估,以消除任何可能损害其生活质量的因素。TS患者应转诊至眼科专科医生、儿科医生或验光师处,以便对视力损害进行预防性护理或早期治疗。作者指出,需要进行全面的眼科检查作为TS患者的标准管理措施。