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Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus

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https://www.readbyqxmd.com/read/28939535/reading-difficulties-and-the-pediatric-ophthalmologist
#1
EDITORIAL
Sheryl M Handler, Walter M Fierson
Approximately 20% of children have dyslexia, a language-based reading disability. A variation in language processing in the brain leads to a deficit in phonological (auditory) processing, which leads to problems in learning to read, write, and spell. Myths continue to exist regarding dyslexia and vision, and although eye and vision problems may coexist with dyslexia, they are not more prevalent than in the general population. Rarely vision problems may make reading at near very difficult and may masquerade as a learning problem or attention deficit disorder/attention deficit hyperactivity disorder...
September 19, 2017: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/28935449/long-term-outcomes-of-corneal-cross-linking-for-keratoconus-in-pediatric-patients
#2
Paraskevi G Zotta, Vasilios F Diakonis, George D Kymionis, Michael Grentzelos, Kostas A Moschou
PURPOSE: To report the long-term outcomes of corneal cross-linking (CXL) in pediatric patients with bilateral progressive keratoconus. METHODS: The medical records of consecutive pediatric patients with bilateral progressive keratoconus who underwent CXL at a single institution from June 2007to December 2009 were reviewed. All eyes underwent CXL treatment in accordance with the original Dresden protocol. Pre- and post-operative (at 1 year and >5 years after CXL) examinations included, corneal thickness (CT) at the thinnest point, corneal topographic evaluation (flat, steep meridian keratometry and maximum keratometry), with manifest refraction and corrected distance visual acuity...
September 18, 2017: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/28919543/correlation-of-echographic-and-photographic-assessment-of-optic-nerve-head-cupping-in-children
#3
Mohamed S Sayed, Elizabeth A Dale, Carla J Osigian, Kara M Cavuoto, Wei Shi, Ta C Chang
PURPOSE: To determine the diagnostic value of B-scan echography in optic nerve head (ONH) cupping estimation in children. METHODS: The medical records of pediatric patients who had previously undergone examination under anesthesia and for whom both adequate B-scan echography images and optic nerve head (ONH) photographs and were available were reviewed retrospectively. The cup:disk ratio was estimated with a grading scale of 0-1.0 and rounded to the nearest tenth; degree of cupping was estimated from B-scan echography (small, medium, or large) by 5 masked graders (3 glaucoma specialists and 2 ocular sonographers) on 2 separate occasions...
September 14, 2017: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/28917995/removal-of-a-barbed-fish-hook-from-the-cornea-of-an-8-year-old-boy
#4
Pavlina S Kemp, Ankoor S Shah, Alexandra T Elliott, Michael J Wan
No abstract text is available yet for this article.
September 13, 2017: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/28917994/use-of-the-masterka-for-complex-nasolacrimal-duct-obstruction-in-children
#5
Lama Khatib, Maryam Nazemzadeh, Karen Revere, William R Katowitz, James A Katowitz
BACKGROUND: The Masterka stent has been recommended solely for treatment of simple distal membranous nasolacrimal duct obstruction (NLDO). The purpose of this study was to evaluate the Masterka stent as a primary treatment in complex forms of NLDO, including bony ductal stenosis and proximal and serial membranous obstruction. METHODS: The medical records of patients who underwent treatment for congenital nasolacrimal duct obstruction with the monocanalicular Masterka stent were reviewed retrospectively...
September 13, 2017: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/28917993/nonsedated-handheld-electroretinogram-as-a-screening-test-of-retinal-dysfunction-in-pediatric-patients-with-nystagmus
#6
Sara F Grace, Byron L Lam, William J Feuer, Carla J Osigian, Kara M Cavuoto, Hilda Capo
PURPOSE: To assess the feasibility, sensitivity, and specificity of nonsedated handheld cone flicker electroretinogram (ERG) as a screening tool to detect retinal dysfunction in children with nystagmus. METHODS: Pediatric patients at a tertiary referral center from December 2015 to July 2016 were enrolled and placed into three age-matched groups: normal, nystagmus with a retinal dystrophy, and nystagmus without a retinal dystrophy. Unsedated 30 Hz cone flicker ERG responses were obtained using a handheld device (RETeval) from both eyes of each patient using skin electrode sensors after pupillary dilation...
September 13, 2017: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/28917992/securing-extraocular-muscles-in-strabismus-surgery-biomechanical-analysis-of-knot-tying-technique
#7
Steven E Brooks
BACKGROUND: The safe and precise reattachment of extraocular muscles requires a technical approach that minimizes any opportunity for the muscle to slip intraoperatively or postoperatively while minimizing surgical risk. Biomechanical testing can provide important quantitative information about the tensile properties of different knot configurations that may inform surgical technique. METHODS: A precision digital force gauge was used to assess the tensile strength created by different knot tying techniques and configurations in human sclera using 6-0 polyglactin 910 suture...
September 13, 2017: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/28890077/occlusion-dose-monitoring-in-amblyopia-therapy-status-insights-and-future-directions
#8
REVIEW
Catherine E Stewart, Merrick J Moseley, Pantelis Georgiou, Alistair R Fielder
Occlusion therapy remains the mainstay treatment of amblyopia, but its outcome is not assured or universally excellent. Many factors are known to influence treatment outcome, among which compliance is foremost. The occlusion dose monitor (ODM) removes one variable from the treatment equation, because it records the occlusion actually received by-rather than prescribed for-the child. Improvement observed can thus be quantitatively related to the patching received. This review summarizes the insights the ODM has provided to date particularly in elucidating the dose-response relationship...
September 7, 2017: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/28890076/convergence-insufficiency-symptom-survey-scores-for-required-reading-versus-leisure-reading-in-school-age-children
#9
Tiana Y Clark, Robert A Clark
PURPOSE: To compare Convergence Insufficiency Symptom Survey scores for required reading for school versus scores for leisure reading. METHODS: At a single private practice, we surveyed 100 children with normal binocular vision using modified survey questions specifying either required reading or leisure reading as the near visual activity. Average total symptom scores and subscores for questions about discomfort, fatigue, impaired vision, and cognitive performance were analyzed using t tests; responses to individual questions were analyzed using Mann-Whitney U tests...
September 7, 2017: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/28888968/role-of-botulinum-toxin-a-in-treatment-of-intractable-diplopia
#10
Seyhan B Özkan, Ayşe İpek Akyüz Ünsal
PURPOSE: To evaluate the effect of botulinum toxin A (BTXA) in patients with intractable diplopia related to intracranial problems or long-term interruption of fusion due to cataract or uncorrected aphakia and to identify the group of resistant cases who have no potential to fuse the two images. Methods; The medical records of patients seen by the senior author (SBÖ) at a single institution over a period of 20 years were reviewed retrospectively to identify those who underwent BTXA treatment for intractable diplopia...
September 6, 2017: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/28888967/twenty-five-gauge-sutureless-lensectomy-in-infants-with-congenital-cataract
#11
Marcia Beatriz Tartarella, João Borges Fortes Filho
PURPOSE: To evaluate the incidence of intra- and postoperative complications of transconjunctival 25-gauge (25G) sutureless pars plicata lensectomy. METHODS: The medical records of patients <12 months of age with congenital cataracts who underwent 25G sutureless lensectomy were reviewed retrospectively. Patients were evaluated at postoperative days 1, 7, 15, 30, 60, and 90 and every 3 months thereafter. Visual acuity outcomes and intra- and postoperative complications were described and analyzed...
September 6, 2017: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/28887006/a-3-month-safety-and-efficacy-study-of-travoprost-0-004-ophthalmic-solution-compared-with-timolol-in-pediatric-patients-with-glaucoma-or-ocular-hypertension
#12
El Roy Dixon, Theresa Landry, Subha Venkataraman, Nancy Gustafson, Craig Salem, Yasmin Bradfield, Leyla Ali Aljasim, Robert Feldman
PURPOSE: To evaluate efficacy and safety of travoprost in pediatric patients with ocular hypertension or glaucoma and demonstrate its noninferiority to timolol. METHODS: Patients aged 2 months to <18 years with glaucoma or ocular hypertension were randomized to receive travoprost (0.004%) or timolol eye drops (0.25% for patients aged 2 months to <3 years and 0.5% for patients ≥3 years old) for 3 months in this double-masked, parallel-group study. Intraocular pressure (IOP) was measured and patients were evaluated at 2 weeks, 6 weeks, and 3 months after treatment...
September 5, 2017: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/28882501/overview-of-reading-development-and-assessments-for-the-pediatric-ophthalmologist
#13
REVIEW
Megan E Collins, Lucy I Mudie, Amanda J Inns, Michael X Repka
Reading difficulties are common in the pediatric population, and large socioeconomic disparities exist. In the United States 46% of white children achieved expected reading proficiency by the end of fourth grade, while only 21% of Hispanic and 18% of African American children were reading at the expected level. Reading is an involved cognitive process with many subskills; likewise, development of reading proficiency is a complex and continuous process. Failure to achieve reading proficiency or even early difficulty with reading can affect a child's academic performance for years to come...
September 4, 2017: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/28882500/convergence-insufficiency-relationship-to-reading-and-academic-performance
#14
Paul H Phillips
Patients with convergence insufficiency (CI) are often symptomatic during activities that require near fixation, such as reading. Indeed, CI has been associated with reading impairment and poor academic performance. However, these associations do not prove a causal relationship between these conditions. The current evidence regarding the relationship between CI and its treatment, reading ability, and academic performance is discussed.
September 4, 2017: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/28870796/forceps-trauma-in-a-newborn-presenting-as-iris-heterochromia
#15
Sarah M Simpson, Gary Yau, Kanwal K Nischal, Yi Ning J Strube
No abstract text is available yet for this article.
September 1, 2017: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/28870795/securing-extraocular-muscles-in-strabismus-surgery-biomechanical-analysis-of-muscle-imbrication
#16
Steven E Brooks
An experimental study was performed to quantitatively evaluate the tensile strength of extraocular muscle imbrication as it relates to the positioning of the imbricating suture. The study was conducted in a controlled fashion using fresh ex vivo pig eyes with extraocular muscles attached and a precision digital force gauge. The study provides clinically translatable data to inform surgical technique regarding secure muscle imbrication. Results suggest that imbrications performed 0.5 mm or less from the cut muscle edge or 0...
September 1, 2017: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/28870794/amblyopia-and-slow-reading
#17
Eileen E Birch, Krista R Kelly
No abstract text is available yet for this article.
September 1, 2017: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/28870793/rare-association-of-optic-disk-pits-with-myelinated-retinal-nerves-a-case-report
#18
Divya Harshwardhan Jain, Kavitha Kalavani Natarajan
No abstract text is available yet for this article.
September 1, 2017: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/28867399/neuro-oculo-cutaneous-cavernous-hemangiomas-a-ccm1-mutation-associated-phakomatosis
#19
Mary T Labowsky, Scott D Walter, Marie T McDonald, Prithvi Mruthyunjaya
No abstract text is available yet for this article.
August 31, 2017: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/28867398/visual-and-ocular-motor-outcomes-in-children-with-posterior-fossa-tumors
#20
Crandall E Peeler, Jane C Edmond, Jeffrey Hollander, Jamie K Alexander, David Zurakowski, Nicole J Ullrich, Peter E Manley, Gena Heidary
PURPOSE: To describe the clinical characteristics and visual and ocular motor outcomes of a large cohort of pediatric patients treated for tumors of the posterior cranial fossa. METHODS: The medical records of all patients with posterior fossa tumors evaluated by the ophthalmology services at two large tertiary care academic hospitals between 2005 and 2011 were reviewed retrospectively. Data abstracted for each study patient included demographic information, presenting signs and symptoms, pathologic diagnosis, and results of the most recent ophthalmology examination...
August 31, 2017: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
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