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Journal of Pediatric Ophthalmology and Strabismus

Haeng-Jin Lee, Seong-Joon Kim, Young Suk Yu
PURPOSE: To evaluate long-term outcomes of homogenous bilateral rectus recession in patients with the same preoperative angle of deviation in intermittent exotropia and investigate factors associated with surgical outcomes. METHODS: In this retrospective review, patients with the same preoperative angle of deviation who underwent bilateral 6-mm lateral rectus recession between January 2008 and January 2014 were observed for 2 or more years. Patients were classified into two groups based on deviation angle: success (orthophoria or exodeviation < 10 prism diopters [PD]) or recurrence (exodeviation ≥ 10 PD)...
June 18, 2018: Journal of Pediatric Ophthalmology and Strabismus
Jake Gurland, Aldo Vagge, Leonard B Nelson
Proper management of a patient with small to moderate horizontal deviations continues to be challenging for the strabismus surgeon. The use of one-muscle surgery for comitant strabismus has been controversial because of concerns that it may result in a significant number of undercorrections and/or ocular incomitance. Recent literature on unilateral rectus muscle surgery has shown that this surgery is a safe and effective procedure for small and moderate angle horizontal deviations. It has the advantage of limiting surgery to one eye, reducing operative time and possible cost to the family, and leaving other muscles untouched in case repeat surgery is necessary...
June 18, 2018: Journal of Pediatric Ophthalmology and Strabismus
Kamal Mtanes, Michael Mimouni, Shiri Zayit-Soudry
PURPOSE: To describe the clinical findings in patients with laser-induced retinal injury. METHODS: Consecutive patients presenting to a tertiary center between January 2014 and December 2015 following inadvertent ocular exposure to a laser pointer were included. Evaluation included a full ophthalmic examination and spectral-domain optical coherence tomography (SD-OCT). RESULTS: Seven young patients (8 eyes) were identified. Their mean age was 18...
June 18, 2018: Journal of Pediatric Ophthalmology and Strabismus
Mohamed B Hassan, Nancy N Diehl, Brian G Mohney
PURPOSE: To determine whether the immediate postoperative alignment among patients undergoing successful bilateral weakening surgery for esotropia is different in children compared to adults. METHODS: The medical records of all patients undergoing surgery for esotropia by a single surgeon at a major academic referral center between January 1, 2002, and July 1, 2014 (n = 544), were retrospectively reviewed. Exclusion criteria included those with prior strabismus surgery, unilateral surgery, strengthening procedures, vertical or superior oblique surgery, and those wearing hyperopic spectacles for accommodative esotropia...
June 18, 2018: Journal of Pediatric Ophthalmology and Strabismus
Sunali Goyal, Paul H Phillips, Mallikarjuna Rettiganti, Jeffrey M Gossett, R Scott Lowery
PURPOSE: To study the effect of cycloplegia on astigmatism measurements in pediatric patients with amblyopia. METHODS: This was a prospective comparative clinical study. Participants 4 to 17 years old were recruited from the patient population at the Arkansas Children's Hospital eye clinic after informed consent was obtained. Autorefractor measurements were used to obtain values of refractive error in amblyopic and non-amblyopic patients before and after cycloplegia...
June 18, 2018: Journal of Pediatric Ophthalmology and Strabismus
Kortany McCauley, Anupama Chundu, Helen Song, Robin High, Donny Suh
PURPOSE: To develop a simple prognostic model using postnatal weight gain, birth weight, and gestational age to identify infants at risk for developing severe retinopathy of prematurity (ROP). METHODS: Medical records from two tertiary referral centers with the diagnosis code "Retinopathy of Prematurity" were evaluated. Those with a birth weight of 1,500 g or less, gestational age of 30 weeks or younger, and unstable clinical courses were included. Multivariate regression analysis was applied to transform three independent variables into a growth rate algorithm...
June 18, 2018: Journal of Pediatric Ophthalmology and Strabismus
Usha K Raina, Shantanu Kumar Gupta, Anika Gupta, Apurva Goray, Varun Saini
PURPOSE: To study the effect of cycloplegia on optical biometry parameters in pediatric eyes using the Lenstar LS 900 (Haag-Streit, Koeniz, Switzerland). METHODS: In this observational and comparative study, 56 normal eyes and 20 cataractous eyes in children between 5 and 15 years of age were included. Measurements were taken before and after cycloplegia using 2% homatropine drops. Parameters studied were axial length, central corneal thickness, keratometry, anterior chamber depth, and lens thickness...
May 29, 2018: Journal of Pediatric Ophthalmology and Strabismus
S Grace Prakalapakorn, Sharon F Freedman, Amy K Hutchinson, Piyada Saehout, Mine Cetinkaya-Rundel, David K Wallace, Kittisak Kulvichit
PURPOSE: To evaluate an alternative retinopathy of prematurity (ROP) screening system that identifies infants meriting examination by an ophthalmologist in a middle-income country. METHODS: The authors hypothesized that grading posterior pole images for the presence of pre-plus or plus disease has high sensitivity to identify infants with type 1 ROP that requires treatment. Part 1 of the study evaluated the feasibility of having a non-ophthalmologist health care worker obtain retinal images of prematurely born infants using a non-contact retinal camera (Pictor; Volk Optical, Inc...
May 29, 2018: Journal of Pediatric Ophthalmology and Strabismus
Daniel L Adams, Brittany C Rapone, John R Economides, Jonathan C Horton
PURPOSE: To assess the outcome of free tenotomy of the medial rectus muscle in post-natal monkeys. METHODS: The medial rectus muscle was disinserted in both eyes of 6 macaques at age 4 weeks to induce an alternating exotropia. After the impact on the visual cortex and superior colliculus was investigated, the animals were examined post-mortem to assess the anatomy of the medial rectus muscles. RESULTS: After tenotomy, the monkeys eventually recovered partial adduction...
May 29, 2018: Journal of Pediatric Ophthalmology and Strabismus
Anna G Escuder, Milan P Ranka, Kathy Lee, Julie N Nam, Mark A Steele
PURPOSE: To evaluate the clinical outcomes of bilateral superior oblique posterior 7/8th tenectomy with inferior rectus recession on improving chin-up head positioning in patients with horizontal nystagmus. METHODS: Medical records were reviewed from 2007 to 2017 for patients with nystagmus and chin-up positioning of 15° or more who underwent combined bilateral superior oblique posterior 7/8th tenectomy with an inferior rectus recession of at least 5 mm. RESULTS: Thirteen patients (9 males and 4 females) were included, with an average age of 7...
May 29, 2018: Journal of Pediatric Ophthalmology and Strabismus
Kuddusi Teberik, Mehmet Tahir Eski, Murat Kaya, Handan Ankarall
PURPOSE: To compare the results obtained from three non-cycloplegic handheld photorefractometers with cycloplegic autorefractometry (Topcon KR-8100; Topcon Corporation, Tokyo, Japan) measurement in children. METHODS: The refractive status of 238 eyes in 119 healthy children was assessed. The values acquired using photorefraction with the non-cycloplegic PlusoptiX A12 (Plusoptix GmbH, Nuremberg, Germany), Retinomax K-plus 3 (Righton, Tokyo, Japan), and Spot Vision Screener (Welch Allyn, Skaneateles Falls, NY) devices were compared with those obtained from the cycloplegic Topcon KR-8100...
May 29, 2018: Journal of Pediatric Ophthalmology and Strabismus
Brandon K McCafferty, Ann M Holleschau, John E Connett, C Gail Summers
PURPOSE: To evaluate change in best corrected visual acuity (BCVA) during the second decade of life and the effects of albinism type and extraocular muscle surgery on BCVA in children with albinism. METHODS: In this retrospective longitudinal study, 41 patients with albinism with clinic visits recording binocular BCVA at least once between the ages of 10 and 13 years (visit A) and again between the ages of 17 and 20 years (visit B) were included. Type of albinism, age at each visit, and interval eye muscle surgeries were recorded for each patient...
May 29, 2018: Journal of Pediatric Ophthalmology and Strabismus
Dongmei Qi, Lixia Gao, Jing Xie, Tao Yu
PURPOSE: To investigate the efficacy of a modified surgical procedure for esotropia fixus with high myopia. METHODS: Thirteen patients (15 eyes) with esotropia fixus and high myopia who underwent the Jensen procedure for superior and lateral rectus muscles at Southwest Hospital between February 2014 and December 2015 were retrospectively analyzed. Intraoperatively, the superior rectus and lateral rectus muscles were separated up to 12 to 14 mm posterior to their respective insertion...
April 27, 2018: Journal of Pediatric Ophthalmology and Strabismus
Mansha Palo, Shweta Gupta, Milind N Naik, Mohammad Javed Ali
PURPOSE: To assess the association of congenital nasolacrimal duct obstruction (CNLDO) with mode of birth (vaginal or cesarean). METHODS: This study was a prospective interventional case series of 200 consecutive cases of CNLDO presenting at a tertiary care center. Data collected include demographics, mode of delivery, elective or emergency cesarean section, primary or secondary cesarean sections, type of CNLDO (simple or complex), management, and outcomes. Statistical significance was set at a P value of less than ...
April 27, 2018: Journal of Pediatric Ophthalmology and Strabismus
Parthopratim Dutta Majumder, Ranju Kharel Sitaula, Jyotirmay Biswas
PURPOSE: To report the clinical profiles, etiologies, treatment modalities, and outcomes for Eales disease in patients younger than age 16 years in India. METHODS: Retrospective review of medical records of patients with Eales disease who had a minimum 5-year follow-up period. RESULT: A total of 25 eyes of 13 patients were included. Of these 13 patients, 12 (94%) had bilateral Eales disease and 11 (84.6%) were men. Mean patient age was 14...
April 27, 2018: Journal of Pediatric Ophthalmology and Strabismus
Charline S Boente, Griffin J Jardine, Tina G Damarjian, Derek T Sprunger, Gavin J Roberts, Daniel E Neely, Kathryn M Haider, David A Plager
PURPOSE: To evaluate the use of immediate postoperative alignment measurements as a predictor of future alignment stability in fixed suture strabismus surgery. METHODS: Forty-seven patients were prospectively evaluated after undergoing horizontal or vertical rectus muscle surgery using a fixed suture technique. Alignment measurements were taken approximately 1 hour, 1 to 3 weeks, and 2 to 3 months postoperatively. A Spearman correlation coefficient was used to compare measurements from the immediate postoperative period to the 2- to 3-month postoperative period...
April 27, 2018: Journal of Pediatric Ophthalmology and Strabismus
Gregg T Lueder, Marlo Galli
PURPOSE: To evaluate a group of infants with this disorder to determine the long-term outcome of surgery and to assess the need for neurologic evaluations. METHODS: This interventional case series reviewed the records of infants who underwent surgery for the treatment of exotropia with onset during the first year of life. The preoperative ophthalmic and systemic findings, treatment, and developmental and ophthalmic outcomes were reviewed. Surgery was considered successful if the horizontal deviation was less than 10 prism diopters (PD)...
April 27, 2018: Journal of Pediatric Ophthalmology and Strabismus
Andrea Molinari, Daniel T Weaver, Todd A Goldblum, David Silbert, Sebastian P Lopez, Noelle Matta
PURPOSE: To demonstrate the benefits of using braided polyester in the management of severe or recurrent ptosis in children and young adults and to compare the efficacy of two surgical techniques. METHODS: Retrospective, non-randomized record review of 30 patients (43 eyelid procedures) affected by congenital or acquired severe ptosis who underwent frontalis suspension with braided polyester from 2008 to 2016. Two surgical techniques were compared: the base-down triangle and the Fox pentagon, both of which were performed using a closed technique...
April 27, 2018: Journal of Pediatric Ophthalmology and Strabismus
Shriji Patel
No abstract text is available yet for this article.
May 1, 2018: Journal of Pediatric Ophthalmology and Strabismus
Amy Ruomei Wu, Samiksha Fouzdar-Jain, Donny W Suh
PURPOSE: To assess the ease of use of the D-EYE digital ophthalmoscope (D-EYE Srl, Padova, Italy) in retinal screening against the conventional direct ophthalmoscope. The digital ophthalmoscope used comprised a smartphone equipped with a D-EYE lens that produces digital retinal images. METHODS: Twenty-five medical students were given 30 minutes of instruction regarding how to use a direct ophthalmoscope and D-EYE digital ophthalmoscope by a pediatric ophthalmologist...
May 1, 2018: Journal of Pediatric Ophthalmology and Strabismus
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