儿童频繁瞬目病因分析

Analysis of reasons for children with frequent eye blink

目的:探讨儿童眼部疾患与频繁瞬目的可能原因。方法:对60例频繁瞬目患儿,通过详细询问病史,进行视力、眼位、结膜、角膜并10g/L阿托品散瞳验光检查,裂隙灯显微镜检查,直接检眼镜检查眼底。结果:60例受检者中,存在屈光不正者为41例,占总数68%,存在结膜炎者为51例(包括屈光不正与视力正常者),其中并发结膜结石者为17例,并发浅层角膜炎者为2例,并发倒睫为13例,其余19例为无并发症的结膜炎,伴有挤眉、努嘴、歪颈等多余动作者4例。结论:儿童频繁瞬目是一个病因较为复杂的眼科常见病,受眼部疾患、生理、药物、环境等多方面因素影响,一定要认真分析原因,详细检查,才不致漏诊或误诊。

AIM： To investigate the eye disorders related to frequent eye blink in children and treatment of the corresponding eye disorders. METHODS： slit-lamp microscope and ophthalmolscope were used to examine 60 children with frequent eye blink, They were asked about history in detail and underwent examinations of vision, position of eye, conjunctiva and cornea, etc. Pupils were dilated to carry out the ophthalmolscopy and retinoscopy if necessary. RESULTS： among 60 children, there were 41 cases （68%） with ametropia, 51 cases with conjunctivitis （including both amtropia and normal vision）, in which 17 cases complicated with conjunctival concretion, 2 cases complicated with superficial keratitis, 13 cases complicated with trichiasis, the remaining cases without any complications. In addition, 4 children had other uncontrolled actions. CONCLUSIONS： frequent eye blink is a common eye disorder caused by multiple factors such as ocular diseases, physiology, medicine, environment and so on.