某大学三级医院儿童眼科会诊的评价

A. G. Taslipinar Uzel, Özlem Özcanli Çay, M. Uzel
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摘要

目的:探讨从儿科转诊到眼科就诊的患者群体特征,并确定其发生率。材料与方法:对经儿科门诊到Balıkesir大学眼科就诊的患者进行回顾性评价。患者分为无症状组和眼部症状组。记录了就诊原因和眼部检查结果。结果:116例患者的平均年龄为8.04±4.11岁。在纳入研究的患者中,75例(64.7%)排除41例(35.3%)为眼部症状组。排除组中有41例(54.7%)患者因头痛申请检查眼底和视盘。头痛患者中有7例(17.1%)出现乳头水肿。在眼部症状组中,11例(26.8%)因眼部外伤就诊,11例(26.8%)因红眼就诊,7例(17.1%)因眶前蜂窝织炎就诊。在4例(57.1%)求诊的间隔前/眶蜂窝织炎患者中检出间隔前蜂窝织炎。在10例(91%)因外伤就诊的患者中发现眼部病变。结膜炎9例(81.8%)就诊时伴有红眼。结论:在儿童年龄组中,由于排除,以眼科会诊为主。最常见的原因是由于头痛而检查眼底。在早期诊断和治疗方面,儿科年龄组通过由儿科医生进行眼睛和视力检查来咨询眼科医生是至关重要的。
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Evaluation of pediatric ophthalmic consultations in a tertiary care university hospital
Aim: To characterize the patient groups referred to the ophthalmology clinic from the pediatrics clinic and to determine the frequency of the findings. Material and Method: The patients consulted to Balıkesir University Eye Clinic by the Pediatrics Clinic were evaluated retrospectively. Patients were divided into rule-out and ocular symptom groups. Reasons for consultation and ocular findings were recorded. Results: The mean age of 116 patients included in the study was 8.04±4.11 years. Of the patients included in the study, 75 (64.7%) rule-out 41 (35.3%) were in the ocular symptom group. 41 (54.7%) patients in the rule-out group were those who applied for headaches and requested an examination of the fundus and optic disc. Papilledema was detected in 7 (17.1%) patients with headache. Of the patients in the ocular symptom group, 11 (26.8%) were consulted for ocular trauma, 11 (26.8%) for red eye, and 7 (17.1%) for preseptal/orbital cellulitis. Preseptal cellulitis was detected in 4 (57.1%) patients consulted for preseptal/orbital cellulitis. Ocular findings were detected in 10 (91%) patients consulted for trauma. Conjunctivitis was detected in 9 (81.8%) patients who were consulted with red eyes. Conclusion: In the pediatric age group, ophthalmic consultation is mainly performed due to rule-out. The most common reason is the examination of the fundus of the eye due to headache. It is crucial for pediatric age groups to consult an ophthalmologist by performing an eye and vision examination by a pediatrician in terms of early diagnosis and treatment.
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