上海交通大学学报（医学版）

上海交通大学学报（医学版）

• 论著（临床研究） • 上一篇    下一篇

903名婴儿RetCamⅡ检查临床分析

张 琦, 费 萍, 赵培泉   

  1. 上海交通大学 医学院附属新华医院眼科, 上海 200092
  • 出版日期:2013-08-28 发布日期:2013-09-16
  • 通讯作者: 赵培泉, 电子信箱: zhaopeiquan@126.com。
  • 作者简介:张琦(1968—), 女， 副主任医师， 硕士; 电子信箱: 13601972300@163.com。

Clinical application of RetCam Ⅱ examination in 903 infants

ZHANG Qi, FEI Ping, ZHAO Pei-quan   

  1. Department of Ophthalmology, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200092, China
  • Online:2013-08-28 Published:2013-09-16

PDF (PC)

1313

摘要：

目的 探讨小儿视网膜检查系统RetCamⅡ在婴儿眼科疾病筛查中的应用价值。方法 收集2012年1—6月接受RetCamⅡ眼底检查婴儿(年龄<1岁)的临床资料，记录出生史（出生体质量和胎龄）、矫正胎龄、性别以及家族疾病史。结果 903名婴儿共1 806眼完成RetCamⅡ检查，890眼（49.28%）存在各种异常，其中眼后段异常为主784眼，眼前节异常为主50眼，全身疾病伴眼部异常26眼，眼球萎缩26眼，外伤4眼。在眼后段异常的784眼中，早产儿视网膜病变（ROP）416眼（53.06%）、家族性渗出性玻璃体视网膜病变(FEVR)132眼（16.84%）和永存胎儿血管症(PFV)90眼（11.48%）；在眼前节异常为主的50眼中，先天性白内障28眼（56.00%）。结论 RetCamⅡ在婴儿眼病筛查中具有重要的诊断价值，可以早期发现各种眼病，尤其是先天性和遗传性眼底疾病。

关键词: 广角数码视网膜成像系统, 婴儿, 眼病筛查

Abstract:

Objective To investigate the application of RetCam Ⅱ examination in the screening of infantile eye diseases. Methods The clinical data of infants aged less that 1 year undergoing fundus examinations by RetCam Ⅱ between January 2012 and June 2012 were collected, and the birth history (birth weight and gestational age), adjusted gestational age, gender and family history of diseases were recorded. Results A total of 903 infants (1 806 eyes) received RetCam Ⅱ examination, and there were abnormal findings in 890 eyes (49.28%). There were 50 eyes with abnormal anterior segment, 784 eyes with abnormal posterior segment, 26 diseased eyes combined with systematic disease, 26 eyes with phthisis bulbi and 4 eyes with trauma. Among the 784 eyes with abnormal posterior segment, there were 416 eyes (53.06%) with retinopathy of prematurity, 132 eyes (16.84%) with familial exudative vitreoretinopathy and 90 eyes (11.48%) with persistent fetal vasculature. Among the 50 eyes with abnormal anterior segment, those with congenital cataract accounted for 56.00% (28 eyes). Conclusion RetCam Ⅱ plays an important role in the early screening of infantile eye diseases, especially for congenital and hereditary fundus diseases.

Key words: wide-field digital retinal imaging, infants, eye diseases screening