Because of this negligence, the baby is almost blind! The new mother cried heartbreakingly
Because of this negligence, the baby is almost blind! The new mother cried heartbreakingly
Today's topic: How much do you know about pediatric eye diseases?
It should have been a joy for all...... However, in the ophthalmology office,
A 31-year-old novice mother hugged her son and cried heartbreakingly! Because retinopathy of prematurity
My son almost lost his vision in both eyes.
8 weeks after the birth of this premature baby, because the fundus has not been examined,
As a result, fundus lesions are almost at an advanced stage.
And such a situation is not an isolated case, due to the lack of awareness of eye disease diagnosis and treatment,
Similar phenomena happen repeatedly! I don't want my child to lose at the starting line
It shouldn't just be intellectual! Your child's lifelong vision is actually in your hands! Before the age of 6, the critical period of vision for a child's life,
Are you right?01, the first critical period:
Neonates (especially preterm and low birth weight) are concerned about congenital eye diseases:
Retinopathy of prematurity, congenital ptosis
Congenital cataracts, etc.
The neonatal period is a sensitive time for vision development, especially for congenital eye diseases.
With the frequent situation of late marriage and late childbearing and the liberalization of China's two-child policy,
The rapid increase in the number of elderly pregnant women and the advancement of reproductive medicine and other diagnosis and treatment,
Enabling an increasing number of premature or low-birth weight babies to be born and survive.
However, the increase in the number of premature infants has led to an increase in the number of people suffering from congenital eye diseases such as retinopathy.
The "Guidelines for Retinopathy of Prematurity Screening in China" promulgated by China clearly stipulates that
Preterm and low birth weight infants with a birth weight of <2 kg or gestational age of <32 weeks,
and risk factors such as prolonged oxygen use should be from 4-6 weeks after birth or 32 weeks of corrected gestational age,
Perform a fundus exam.
Because retinopathy of prematurity can progress to retinal detachment within a few weeks,
Some of them are rapidly progressive, and even reach the advanced stage in a week or two.
Once the disease is present, only the current stage of vision can be maintained.
Therefore, in order to avoid the deterioration of the lesion and save the baby's vision, early detection and early treatment are particularly crucial.
In addition, if the newborn's eyes are found to be clouded with lenses (i.e., leukopupilism,
Abnormal symptoms such as white pupil area of the eye) or the upper eyelid (i.e., upper eyelid) covering more than 1/2 of the pupil
We all need to be vigilant!02, the second critical period:
Early childhood (1~3 years old) and preschool (3~6 years old) concern 1:
Children with strabismus amblyopia in children have a gradual development and maturity of vision
The critical period of children's visual development is 0~3 years old, and the sensitive period is 0~12 years old.
Binocular vision development matures at 6~8 years old.
Strabismus and amblyopia are diseases closely related to the development of binocular vision.
The prevalence of strabismus is 3%, and the prevalence of amblyopia is 2%~4%.
The harm of strabismus amblyopia is that it not only makes the vision low, but also does not have perfect binocular vision function and accurate three-dimensional sense.
This may limit the choice of certain industries in the future.
During the growth and development of children, the visual system is also in the vigorous stage of growth and development.
The younger the age, the greater the visual plasticity and the better the treatment effect.
Treatment should be started as soon as strabismus is diagnosed, and if treatment is delayed after 6 years of age,
The effect is relatively poor.
So in order to prevent missing the best time for treatment,
Pay attention to the following details of your child's observation:
Note 2:
Abnormal refractive development of the eye, children's vision is gradually developing before the age of 6 years.
The criteria for normal vision differ from those for adults.
By the most accepted standards:
3 years old:
0.5~0.6; 4 years old:
0.8; >5 years:
1.0。
In general, newborns have weak vision and are farsighted in both eyes.
After that, it gradually tends to normal, so the child's age-appropriate refractive state,
We call this the "farsighted reserve".
A 5-year-old child, the examination found that there was no farsightedness, and he saw things clearly,
Does that mean his eyes are healthy? Not really
The physiological refractive power of the eyes of adolescents and children at different times should generally maintain the following standards:
Due to the strong ability of ocular muscle adjustment in adolescents and children,
The rapid development of the eyeball is easily changed by the external environment.
Excessive eye use and poor eye habits can easily lead to a decline in one's own farsightedness reserves.
This is also an early sign of myopia.
Therefore, experts suggest that parents should take their children to professional eye hospitals for 1~2 comprehensive optometry examinations regularly from the age of 3~6.
Including the refractive power, the length of the eye axis, the curvature of the cornea, etc., and establish a refractive development profile.
The critical period of vision development before the age of 6 is completely in the hands of the caregiver.
Parents need to carefully observe and improve their awareness of diagnosis and treatment in order to truly achieve early detection and early treatment.
Save your child's vision and future in time.
Recommended Reading:
Approach to vision care.