国际眼科纵览

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中国新生儿眼病筛查的现状和进展

刘丽丽 赵军阳   

  1. 100045 首都医科大学附属北京儿童医院眼科 儿科学国家重点学科
  • 收稿日期:2015-09-10 出版日期:2016-02-22 发布日期:2016-03-07
  • 通讯作者: 赵军阳,Email:zhaojunyang@163.com E-mail:zhaojunyang@163.com

Status and progress of neonatal eye disease screening in China

LIU Li-li, ZHAO Jun-yang   

  1. Department of Ophthalmology, National Key Discipline of Pediatrics, Beijing Children Hospital, Capital Medical University,  Beijing 100045, China
  • Received:2015-09-10 Online:2016-02-22 Published:2016-03-07
  • Contact: ZHAO Jun-yang, Email: zhaojunyang@163.com E-mail:zhaojunyang@163.com

摘要:

为了最大限度减少儿童以避免盲和视力损害,对儿童眼病的早期干预成为目前儿童保健和社会关注的问题,新生儿眼病筛查越来越受到眼科医生的重视。我国最早的儿童眼病筛查开始于2005年,筛查对象逐渐由高危儿及早产儿扩展到部分地区内所有新生儿,检查的方法由最早的光刺激、眼前节联合红光反射检查逐渐扩展到前节联合间接检眼镜下的视网膜检查,至某些地区目前开展的数字化眼底成像系统。视网膜照相成为新生儿眼病筛查的新的重要工具并有较高的阳性检出率。但目前新生儿眼病筛查中发现的可以治疗的和治疗后可脱盲的眼病比例仍缺乏相关数据。新生儿眼病筛查需要规范和科学的方法和程序,以便有效地消灭儿童可预防盲。

Abstract:

In order to minimize avoidable blindness and visual impairment, early intervention for children's eyes became very importent. Eye disease screening for newborn need to be attentioned by doctors. The earliest eye disease screening for children in China began in 2005. The screening objects gradually changed from high-risk  and premature babies to all the newborn; the check methods developed from the light stimulating,   anterior segment and red reflex examination gradually extended to the anterior segment combined with the retinal disease screening under indirect ophthalmoscope, to  carring out the wide-area digital fundus retinal photographic imaging system inspection, which considered as a new important tool of neonatal eye disease screening and reported higher positive detection rate. But at the moment,  relevant data of how many eye diseases can be treated in eye disease screening for a newborn are lack. The screening for newborn requires rules, standards, and scientific methods and procedures, committed to the effective preventing of blindness of children in China.