特纳综合征患者眼部疾病的发生

R. Brunnerova, J. Lebl
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引用次数: 2

摘要

特纳综合征是最常见的染色体畸变之一。它是由一条X染色体缺失或异常引起的,或者是染色体镶嵌现象。它通常与某些眼部疾病的更频繁发生有关。在我们的研究中,81名5至23岁的特纳综合征女孩和妇女接受了检查。眼部疾病的发生及其与核型的关系是我们关注的重点。以近视发生率最高,其次为远视、外眦赘肉、色觉不足、弱视、斜视和上睑下垂。色觉缺陷的发生率高于普通人群,但存在性别差异。斜视和上睑下垂的发生率高于一般人群。屈光不正的总范围略高于一般人群,但根据核型有不同的分布。远视在45x染色体核型中更为常见,占28%,而在染色体镶嵌型中,远视仅占18%。近视的比例则相反,染色体嵌合体占31%,X染色体核型占26%。总的来说,在比较45、X染色体核型和染色体嵌合体的个体眼缺陷发生率时,记录了类似的结果。这些结果还借助统计学进行了评估。
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The occurrence of ocular diseases in patients with Turner syndrome
Turner syndrome is among the most common chromosomal aberrations. It is caused by a missing or anomaly of one X chromosome, alternatively a chromosomal mosaicism. It is often connected with a more frequent occurrence of some ocular diseases. In our study 81 girls and women with Turner syndrome from the age of 5 to 23 years old were examined. The occurrence of ocular diseases and their possible connection with karyotype was the main focus of our attention. Myopia had the highest incidence in these girls, further there were hyperopia, epicanthus, colour vision deficiency, amblyopia, strabismus and ptosis. The occurrence of colour vision deficiency was higher than in the general population where it differs in sexes. The occurrence of strabismus and ptosis was higher than in the general population. The total range of refractive errors was slightly higher than in the general population, with a different distribution according to karyotype. Hyperopia was recorded more often at the 45,X karyotype, namely 28 %, while for chromosomal mosaicism it was only in 18%. For myopia the ratio was reversed — chromosomal mosaicism in 31% and in 45,X karyotype in 26 %.In total, while comparing individual eye defects incidence in 45,X karyotype and chromosomal mosaicism, similar findings were recorded. These results were also assessed with the help of statistics.
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来源期刊
Central European Journal of Medicine
Central European Journal of Medicine 医学-医学:内科
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