婴儿眼球震颤综合征68例眼底检查结果分析

Fundus examination results 68 cases of infant nystagmus syndrome

目的探讨婴儿眼球震颤综合征患儿眼底检查的必要性。方法回顾性分析在南京市儿童医院眼科门诊2013年1月至2014年12月期间68例婴儿眼球震颤综合征Retcam3检查结果，总结临床经验。结果68例先天性眼球震颤婴幼儿中斜视患儿7例，其中外斜视4例，内斜3例。经散瞳后Retcam3检查发现眼部异常19例：先天性白内障4例5只眼；眼型白化病3例；原始永存玻璃体增生症3例；家族型渗出性脉络膜视网膜病变2例；脉络膜缺损2例；小眼球2例；视神经萎缩2例；牵牛花综合征1例。结论婴儿眼球震颤综合征患儿常伴有眼底的异常，Retcam3可用于婴幼儿眼病筛查。

Objective To evaluate the necessity of infant nystagmus syndrome with fundus exam- ination. Methods A retrospective analysis of 68 cases of fimdus examination of infant nystagmus syndrome, summarize the clinical experience. Results Of 68 cases infant nystagmus syndrome, strabismus had 7 cases, in which exotropia 4 cases, esotropia 3 cases. Retcam3 examination revealed 19 cases of ocular abnormalities： 4 cases of congenital cataracts; ocular albinism 3 cases; 3 cases of hyperplasia primary vitreous; familial exudative vitreoretinopathy two cases; congenital choroidal coloboma 2 cases; congenital microphthalmia 2 cases; optic atrophy 2 cases and 1 case morning glory syndrome. Conclusions Infantile nystagmus syndrome is often accompanied by retinal abnormalities, Reteam3 can be used for infant eye screening.