Amblyopia in childhood eyelid ptosis.

Amblyopia in childhood eyelid ptosis.
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DOI:
10.1016/j.ajo.2012.12.015
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发表时间:
2013-06
影响因子:
4.2
通讯作者:
Mohney BG
Mohney BG
中科院分区:
医学1区
文献类型:
--
作者:
Griepentrog GJ;Diehl N;Mohney BG

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报告40年来在明确定义的人群中诊断为上睑下垂的儿童中弱视的患病率和病因。回顾性、基于人群的队列研究。我们回顾性分析了1965年1月1日至2004年12月31日明尼苏达州奥姆斯特德县107例被诊断为儿童期上睑下垂的弱视患者(< 19岁)的患病率和病因。在107例儿童上睑下垂患者中,16例(14.9%)被诊断为弱视。96例先天性上睑下垂患者中有14例(14.6%)表现为弱视。81例单纯性先天性上睑下垂患者中有12例(14.8%)合并弱视,其中7例(8.6%)为单纯性上睑阻塞视轴所致。其余5例患者中,3例患者的弱视原因是由于明显的屈光不正,2例患者为斜视。在这个基于人群的队列中,弱视发生在1/7诊断为上睑下垂的儿童中。大约一半的弱视患者,或不到10%的所有患者,完全是由于眼睑阻塞视轴。
To report the prevalence and causes of amblyopia among children with ptosis diagnosed in a well-defined population over a 40-year period. Retrospective, population-based cohort study. We retrospectively reviewed the charts of one hundred and seven patients (< 19 years) for the prevalence and causes of amblyopia who were diagnosed with childhood ptosis as residents of Olmsted County, Minnesota, from January 1, 1965, through December 31, 2004. Amblyopia was diagnosed in 16 (14.9%) of the 107 patients with childhood ptosis. Fourteen (14.6%) of 96 patients diagnosed with a congenital form of ptosis demonstrated amblyopia. Twelve (14.8%) of the 81 patients diagnosed with simple congenital ptosis had amblyopia, 7 (8.6%) of which were due solely to eyelid occlusion of the visual axis. The causes of amblyopia in the remaining 5 patients were due to significant refractive error in 3 patients and strabismus in 2 patients. Amblyopia occurred in 1 in 7 children diagnosed with ptosis in this population-based cohort. Approximately half of those with amblyopia, or less than 10% of all patients, were due solely to eyelid occlusion of the visual axis.
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期刊: The British journal of ophthalmology
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作者:
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