新生儿缺氧缺血性脑病后期眼科观察

目的观察新生儿缺氧缺血性脑病眼部变化对病情预后及视功能的影响.方法对 6 例新生儿期后新生儿缺氧缺血性脑病在序贯性治疗过程中进行定期眼科检查追光注视、瞳孔对光反射、眼底镜检查,追踪观察6月以上.结果注视力、眼底视乳头色泽有改变好转4例,1例1眼早产儿视网膜增殖病变眼球萎缩.1例双眼视神经萎缩.发现3眼有屈光不正,近视眼底改变.结论新生儿缺氧缺血性脑病新生儿期后药物治疗和眼科观察治疗对改善视功能和减轻残疾程度均具有重要临床意义.

Ophthalmologic Observation on Infants with Hypoxic Ischemic Encephalopathy (HIE)

Objective: To evaluate the influence on the prognosis and the visual function with the observation on the symptoms of the eyes with HIE. Methods: In the course of consecutive therapy to the six infants with HIE, the periodic ophthalmologic exam was carried out included whether the infants could watch and follow the light, pupil reflex to the light and ophthalmoscopy for over six months. Results: Fixation to the subject and color of the optic disk had been progressed in four cases, one case with proliferative retinopathy of prematurity became atrophy of the eyeball, and one case became two eye optic nerve atrophy. Three cases with ametropia of myopia fundus. Conclusion: Consecutive therapy with ophthalmologic observation on infants with HIE might be of great value in clinic for the functional progress and for relieve of disability.