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https://www.readbyqxmd.com/read/27890547/a-delphi-study-to-develop-practical-diagnostic-guidelines-for-visual-stress-pattern-related-visual-stress
#1
Bruce J W Evans, Peter M Allen, Arnold J Wilkins
PURPOSE: Visual stress (VS) is characterised by symptoms of visual perceptual distortions and eyestrain when viewing text, symptoms that are alleviated by individually prescribed coloured filters. A recent review supports the existence of VS and its treatment, but noted that controversy remains, in part due to inconsistencies in the diagnosis of the condition. The present paper reviews the diagnostic criteria for VS in the literature and reports a Delphi analysis of the criteria currently used in clinical practice...
November 24, 2016: Journal of Optometry
https://www.readbyqxmd.com/read/27799583/accuracy-and-efficiency-of-orthoptists-in-comprehensive-pediatric-eye-examinations
#2
Jane Scheetz, Konstandina Koklanis, Maureen Long, Meg E Morris
INTRODUCTION AND PURPOSE: To investigate the level of agreement between orthoptists and medical practitioners in the comprehensive eye examination of children seen in an orthoptist-led triage clinic. PATIENTS AND METHODS: Patient records over a 6-month period were retrospectively reviewed. Those with a presenting complaint related to vision or ocular motility were triaged into the orthoptist-led clinic and included in the study. Patients who did not meet the triage protocol and those who were not assessed by a medical practitioner at a subsequent appointment were excluded from analysis...
January 2016: American Orthoptic Journal
https://www.readbyqxmd.com/read/27676750/programmed-amputation-on-a-teenager-what-kind-of-preparation-for-what-outcome
#3
Marion Prigent, Sylvain Brochard, Mathias Thepaut, Christian Lefèvre, Dominique Le Nen, Thierry Cornic, Marie-Thérèse Cariou, Catherine Le Rouzic, Phlippe Le Moine, Christelle Pons, Laetitia Houx
OBJECTIVE: Traumatic lower limb amputation is rare in pediatric population, and surgeons always try limb salvage. But rarely, later amputation occurred when the traumatic limb is painful. It is a difficult and irreversible decision needed a multidisciplinary approach. We report how we managed a programmed trans-tibial amputation on 13-years-old boy, 20 months after a foot trauma. OBSERVATIONS: Our patient is an adolescent victim of a left foot crash. The first checkup showed a degloving injury, dislocation of the interphalangeal joints and of all toes...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27486016/implementation-of-an-educational-cartoon-the-patchbook-and-other-compliance-enhancing-measures-by-orthoptists-in-occlusion-treatment-of-amblyopia
#4
A M Tjiam, W L Asjes-Tydeman, G Holtslag, E Vukovic, M M Sinoo, S E Loudon, J Passchier, H J de Koning, H J Simonsz
PURPOSE: This implementation study evaluated orthoptists' use of an educational cartoon ("the Patchbook") and other measures to improve compliance with occlusion therapy for amblyopia. METHODS: Participating orthoptists provided standard orthoptic care for one year, adding the Patchbook in the second year. They attended courses on compliance and intercultural communication by communication skills training. Many other compliance-enhancing measures were initiated...
September 2016: Strabismus
https://www.readbyqxmd.com/read/27465389/are-all-children-with-visual-impairment-known-to-the-eye-clinic
#5
Rachel F Pilling, Louise Outhwaite
INTRODUCTION: There is a growing body of evidence that children with special needs are more likely to have visual problems, be that visual impairment, visual processing problems or refractive error. While there is widespread provision of vision screening in mainstream schools, patchy provision exists in special schools. The aim of the study was to determine the unmet need and undiagnosed visual problems of children attending primary special schools in Bradford, England. METHODS: Children attending special schools who were not currently under the care of the hospital eye service were identified...
July 27, 2016: British Journal of Ophthalmology
https://www.readbyqxmd.com/read/27220683/assessment-of-the-density-of-suppression-to-identify-risk-of-intractable-diplopia-in-the-united-kingdom
#6
David Newsham, Anna R O'Connor
BACKGROUND/AIMS: Occlusion used to treat amblyopia towards the end of the developmental component of the critical period gives a risk of inducing intractable diplopia. In the United Kingdom, the density of suppression is assessed via the Sbisa/Bagolini filter bar, but there is very little research evidence to guide clinical practice or interpretation of the tests used. The aims of this study were to determine current practice and estimate the incidence of intractable diplopia following amblyopia treatment...
June 2016: Strabismus
https://www.readbyqxmd.com/read/27116488/eyeglasses-for-children-a-survey-of-daily-practice
#7
C E Hagander, G Traber, K Landau, G P Jaggi
BACKGROUND: Glasses for children are recommended and prescribed by different groups of professionals. We set out to compare the prescription practices of ophthalmologists, orthoptists and optometrists/opticians in Switzerland. METHODS: Online questionnaire on the prescription and recommendation of glasses in fictitious cases of children of different ages, refractive values and symptoms. The questionnaire was sent out to members of the Swiss Ophthalmological Society, Swiss Orthoptics and Schweizerischer Berufsverband für Augenoptik und Optometrie...
April 2016: Klinische Monatsblätter Für Augenheilkunde
https://www.readbyqxmd.com/read/27071364/-the-revised-dutch-college-of-general-practitioners-nhg-practice-guideline-on-visual-symptoms
#8
Wietze E Eizenga, Geert H Blom, Tjerk Wiersma
The 2001 NHG practice guideline on 'Refraction disorders' was revised for the second time in October 2015. The title has been changed to 'Visual symptoms', since besides refraction disorders other conditions such as glaucoma, macular degeneration, cataract and acute eye symptoms are also covered. The ophthalmologist is the specialist to whom GPs refer patients most often. Apart from the GP, ophthalmologist and youth health care physician, various other allied health professions are involved in eye healthcare...
2016: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/26775634/treatment-of-exophthalmos-and-strabismus-surgery-in-thyroid-associated-orbitopathy
#9
A Imburgia, G Elia, F Franco, P Perri, E Franco, M Galiè, L C Clauser
Endocrine orbitopathy (EO) can have important consequences, such as exophthalmos and restrictive strabismus. A retrospective study was performed of 35 patients with EO who underwent orbital decompression surgery and restrictive strabismus correction. Two surgical techniques for orbital decompression were analyzed: fat decompression by Olivari technique and three-wall bony expansion with fat decompression. Strabismus surgery was performed using adjustable or non-adjustable sutures under topical anaesthesia. Patients were divided into two groups according to the type of intra-orbital decompression performed, and the postoperative values resulting from the different fat decompression techniques were recorded...
June 2016: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/26692717/outcomes-of-asymmetric-primary-inferior-oblique-muscle-overaction-managed-by-bilateral-myectomy-and-tucking-of-proximal-muscle-end-a-cohort-study
#10
Jai Kelkar, Abha Kanade, Supriya Agashe, Aditya Kelkar, Rajiv Khandekar
BACKGROUND: We present the outcomes of bilateral myectomy and tucking of the proximal end of the muscle for the treatment of asymmetric primary inferior oblique (IO) overaction. METHODS: This was a one-armed prospective cohort study. An ophthalmologist and orthoptist evaluated cases of primary IO muscle overaction presenting between January 2010 and December 2013. All eyes underwent bilateral myectomy and tucking of the proximal end of the IO muscle. Data were collected on ocular motility, the angle of deviation, postoperative complications, and status of hypertropia at 6 months postoperatively...
October 2015: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/26691031/establishing-a-surgical-outreach-program-in-the-developing-world-pediatric-strabismus-surgery-in-guatemala-city-guatemala
#11
Lauren C Ditta, Lilia Ana Pereiras, Emily T Graves, Chantel Devould, Ebony Murchison, Ligia Figueroa, Natalie C Kerr
PURPOSE: To report our experince in establishing a sustainable pediatric surgical outreach mission to an underserved population in Guatemala for treatment of strabismic disorders. METHODS: A pediatric ophthalmic surgical outreach mission was established. Children were evaluated for surgical intervention by 3 pediatric ophthalmologists and 2 orthoptists. Surgical care was provided at the Moore Pediatric Surgery Center, Guatemala City, over 4 days. Postoperative care was facilitated by Guatemalan physicians during the second year...
December 2015: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/26685033/support-for-infants-and-young-people-with-sight-loss-a-qualitative-study-of-sight-impairment-certification-and-referral-to-education-and-social-care-services
#12
Tammy Boyce, Annegret Dahlmann-Noor, Richard Bowman, Sue Keil
OBJECTIVES: To examine the experience of infants, children and their parents, the role of ophthalmologists and other health, social care and education professionals in the certification and registration processes and examine the relationship between certification and referrals and pathways to support. DESIGN: Qualitative study. SETTING: Telephone interviews with health and, social care professionals, qualified teachers of children and young people with vision impairment (QTVIs) and parents of infants/children in England...
2015: BMJ Open
https://www.readbyqxmd.com/read/26644488/procedures-for-the-evaluation-of-the-visual-system-by-pediatricians
#13
Sean P Donahue, Cynthia N Baker
Vision screening is crucial for the detection of visual and systemic disorders. It should begin in the newborn nursery and continue throughout childhood. This clinical report provides details regarding methods for pediatricians to use for screening.
January 2016: Pediatrics
https://www.readbyqxmd.com/read/26644485/visual-system-assessment-in-infants-children-and-young-adults-by-pediatricians
#14
(no author information available yet)
Appropriate visual assessments help identify children who may benefit from early interventions to correct or improve vision. Examination of the eyes and visual system should begin in the nursery and continue throughout both childhood and adolescence during routine well-child visits in the medical home. Newborn infants should be examined using inspection and red reflex testing to detect structural ocular abnormalities, such as cataract, corneal opacity, and ptosis. Instrument-based screening, if available, should be first attempted between 12 months and 3 years of age and at annual well-child visits until acuity can be tested directly...
January 2016: Pediatrics
https://www.readbyqxmd.com/read/26564927/sensorimotor-characteristics-of-neuro-ophthalmology-and-oculo-plastics-patients
#15
Alex Christoff
BACKGROUND AND PURPOSE: Certified orthoptists are routinely required, as a standard component of outpatient care, to examine and identify the cause of double vision described by neuro-ophthalmology and oculo-plastics patients. Peer-reviewed articles in the strabismus literature describing the significance of this role of the orthoptists, especially in more complex cases of strabismus, do exist, but are outdated. The importance of creating a differential diagnosis in the understanding of the disease process is a well-recognized component of medical education and modern medicine...
2015: American Orthoptic Journal
https://www.readbyqxmd.com/read/26564926/prism-management-in-patients-with-neurodegenerative-disease
#16
Rikki Gilligan
Patients with motility problems due to neurodegenerative disease such as Parkinson's and its variations often present challenging cases for the orthoptist. A few "tricks of the trade" will be presented on how to make a Parkinson's patient's daily life a little easier.
2015: American Orthoptic Journal
https://www.readbyqxmd.com/read/26564921/torsional-diplopia
#17
REVIEW
Aaron M Miller
BACKGROUND AND PURPOSE: Torsional diplopia can result in failure of fusion in an individual without a measureable strabismus. When presented with a patient with complaints of binocular diplopia, physicians and orthoptists should consider cyclovertical muscle dysfunction when the source of the complaint is not readily apparent. METHODS: A thorough review of the literature combined with the author's own personal experience in treating adult patients with strabismus was used to evaluate the different potential causes of torsional diplopia...
2015: American Orthoptic Journal
https://www.readbyqxmd.com/read/26564920/in-honor-of-the-75th-anniversary-of-the-american-association-of-certified-orthoptists
#18
(no author information available yet)
No abstract text is available yet for this article.
2015: American Orthoptic Journal
https://www.readbyqxmd.com/read/26564919/pediatric-ophthalmology-practice-efficiency-utilization-of-orthoptists-as-partners-in-the-pediatric-eye-care-team
#19
Aaron M Miller
BACKGROUND AND PURPOSE: The profession of orthoptics has been present for over 100 years and was created as a partnership with pediatric ophthalmology in an effort to provide better strabismus care to children. Orthoptists are known to improve practice efficiency, but to date, no quantitative data has been presented in the literature to support this claim. Proper utilization of an orthoptist is critical to improving practice efficiency and revenue. METHODS: Over a 6-month period, the financial impact to a pediatric ophthalmology practice by the addition of a second certified orthoptist (C...
2015: American Orthoptic Journal
https://www.readbyqxmd.com/read/26564918/a-history-of-orthoptics-in-the-united-states-part-i-if-you-build-it-they-will-come
#20
Kyle Arnoldi, Barbara Schneekloth
The year 2015 marks the 75th anniversary of the American Association of Certified Orthoptists (AACO), the second oldest orthoptic professional organization in the world. Since its inception, October 7, 1940, approximately 90% of all certified orthoptists (C.O.) have consistently maintained membership in their professional society. Approximately 80% of AACO members attend AACO-sponsored scientific meetings at least once annually. And 17-20% of members are actively involved in AACO leadership, management, and activities...
2015: American Orthoptic Journal
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