摘要本文报道了l例足月分娩的单侧先天性小眼球(congenital microphthalmia,CM)病例.对该例患儿出生后第2天进行体格检查发现,患儿左眼较少睁开,左侧眼窝较右侧略凹陷,角膜暴露不完全,对光反射不能引出;之后完善眼科会诊、眼部超声和眼眶CT,进一步发现患儿左侧眼球容积变小,眼轴变短,伴有晶状体、玻璃体和视网膜病变,因此确诊为CM.提示对于新生儿需进行详细体格检查,尤其眼部情况,认真触摸检查,观察有无分泌物、眼眶和眼睑情况、眼球是否隐没等.同时,还应结合必要的医学影像检查,以便及早发现和诊断.

abstractsHere,we reported a case of term infant with unilateral congenital microphthalmia (CM).Physical examination conducted on 2 d after birth showed that the left eye was barely open and the eye socket was deeper than the right.Meanwhile,the cornea of the left eye was not completely exposed and the light reflex could not be elicited.Ophthalmology consultation,ultrasound and CT scan were conducted,and CM was finally diagnosed since the infant was found to have a small eyeball and shortened axial length,accompanying by pathological changes in the lens,vitreous body and retina.This case suggested that detailed physical examination should be carried out,especially for the eyes,including orbit and eyelid,presence or absence of secretion or concealed eyeball,together with medical imaging techniques technology,to ensure an early detection and diagnosis of CM in neonates.