Analysis of the etiology and clinical characteristics of infants with moderate-severe visual impairment
10.3980/j.issn.1672-5123.2022.9.33
- VernacularTitle:婴幼儿中重度视力障碍病因及临床特点分析
- Author:
Ning WEI
1
,
2
;
Guang-Qiang WU
1
,
2
;
Yan-Lu HE
1
,
2
;
Jia-Chen WU
1
,
2
;
Qing-Yun GE
1
,
2
;
Xin-Xuan DOU
1
,
2
;
Qin WANG
1
,
2
;
Mei-Ling TONG
1
,
2
Author Information
1. Nanjing Maternity and Child Health Care Hospital
2. Women's Hospital of Nanjing Medical University, Nanjing 210004, Jiangsu Province, China
- Publication Type:Journal Article
- Keywords:
infants;
visual impairment;
refraction error;
cerebral visual impairment
- From:
International Eye Science
2022;22(9):1583-1586
- CountryChina
- Language:Chinese
-
Abstract:
AIM: To explore the etiology classification and clinical characteristics of infants with moderate-severe visual impairment aged 0-2 years old, and preliminarily formulate a set of process for grass-roots health-care institutions to carry out the screening and management of children visual impairment.METHODS: There were 245 cases of children aged 0-2 years with moderate-severe visual impairment who were admitted to the Children Eye Care Specialist Clinic in Nanjing Maternal and Child Health Hospital from January 2009 to December 2020 were retrospectively analyzed. A complete profile of visual development was established, including age, sex, medical history, vision, eye position and movement, anterior segment examination, fundus examination, refractive examination under cycloplegia with 1% atropine ophthalmic gel, if necessary, some special eye examinations such as fundus photography, eye A/B ultrasound and visual electrophysiology were received.RESULTS: The average visit age of 245 cases of infants was 1.82±0.79 years, including refraction error of 128 cases(52.2%), among them, 100 cases(40.8%)were high refraction error; 79 cases(32.2%)were eye diseases, most of which were congenital cataract(33 cases); and 38 cases(15.5%)were cerebral visual impairment(CVI)(15.5%).CONCLUSION: It is necessary to proceed classified managements according to the etiology and clinical characteristics of infant visual impairment to find early and diagnose and treat multidisciplinary,including drawing up screening plans for remediable eye diseases, carrying out necessary refractive correction and training children to use residual visual function.
