飞行员眼底病变四例并文献复习
Four cases of pilots with retinal diseases and literature review
宋玫侠 1王丽 2王颖 3廉武星 3李上1
作者信息
- 1. 450007郑州,解放军第一五三中心医院眼科
- 2. 710002 西安,空军建国公园干休所
- 3. 450007郑州,解放军第一五三中心医院空勤科
- 折叠
摘要
目的 探讨飞行员眼底病变的发病特点、临床诊治以及医学鉴定原则,提出应对措施.方法 回顾性分析2009年6月至2014年7月解放军第一五三医院空勤科收治的4例(5眼)飞行员眼底疾病患者的资料. 结果 ①4例(5眼)飞行员眼底疾病主要包括3类:中心性浆液性脉络膜视网膜病变2例、视网膜分支静脉阻塞1例、糖尿病视网膜病变1例(2眼).②除糖尿病性视网膜病变患者1例(2眼)外,其余患者均有眼部不适,如视力下降、视物变形及视物模糊等.通过眼底检查、视野、相干光断层扫描和眼底血管造影等结果确诊后,住院给予药物治疗.③4例(5眼)飞行员眼底疾病患者中,2例中心性浆液性脉络膜视网膜病变飞行员经治疗、地面观察3个月后飞行合格;其余2例(3眼)视网膜分支静脉阻塞及糖尿病视网膜病变治愈后飞行合格. 结论 飞行人员眼底疾病应根据治疗效果、视功能检查结果进行医学鉴定.中心性浆液性脉络膜视网膜病变治愈后需经地面观察1～3月,无复发且不影响视功能者为飞行合格;视网膜分支静脉阻塞及糖尿病视网膜病变治愈后,不遗留视功能障碍者为飞行合格.
Abstract
Objective To investigate the invasion characteristics of retinal diseases,consultation experiences as well as medical assessment for pilots,and put forward the corresponding countermeasures.Methods Medical records of 4 retinal disease cases,which were diagnosed by Department of Aviation in the 153th Hospital of PLA from June 2009 to July 2014.Results ①Four male pilots (5 eyes) were diagnosed as three sorts of retinal diseases:2 cases of central serous chorioretinopathy,1 case of branch retinal vein occlusion,1 case (2 eyes) of diabetic retinopathy.② Except 1 pilot (2 eyes) with diabetic retinopathy,the rest pilots complained discomfort of eyes,such as decreased vision,blurred vision and visual distortion.They were hospitalized and drug treated as the retinal diseases were diagnosed by the examinations of fundus,visual field and optical coherence tomography and fundus fluorescein angiography.③In above 4 cases (5 eyes),2 were central serous chorioretinopathy and pilots were qualified after the treatment and 3 months medical observation.The other 2 cases (3 eyes) were branch retinal vein occlusion and diabetic retinopathy.They were qualified as they recovered.Conclusions The medical assessment of retinal disease should be done in accordance with the results of treatment and visual function test.After the cure of central serous chorioretinopathy,1-3 months medical observation is suggested and the qualification would be issued if no recurrence and disturbed visual function were observed.The cured pilot who is free from branch retinal vein occlusion and diabetic retinopathy and with normal visual function would be qualified for flying.
关键词
眼底/视网膜静脉阻塞/糖尿病视网膜病变/合格鉴定/中心性浆液性脉络膜视网膜病变Key words
Fundus oculi/Retinal vein occlusion/Diabetic retinopathy/Eligibility determination/Central serous chorioretinopathy引用本文复制引用
出版年
2015
NETL
NSTL
维普
万方数据