Journal of Pediatric Ophthalmology & Strabismus最新文献

Superior Rectus Recession With Y-splitting for Correction of Dissociated Vertical Deviation: A Prospective Study. 上直肌衰退与y分裂校正游离垂直偏差：一项前瞻性研究。

IF 0.9 4区医学

Journal of Pediatric Ophthalmology & Strabismus Pub Date : 2025-09-26 DOI: 10.3928/01913913-20250805-01

Rehab R Kassem, Sara Saied, Hala Elhilali

{"title":"Superior Rectus Recession With Y-splitting for Correction of Dissociated Vertical Deviation: A Prospective Study.","authors":"Rehab R Kassem, Sara Saied, Hala Elhilali","doi":"10.3928/01913913-20250805-01","DOIUrl":"https://doi.org/10.3928/01913913-20250805-01","url":null,"abstract":"Purpose: To evaluate the effect of recession with Y-splitting of the superior rectus muscle (SR) on correction of dissociated vertical deviation (DVD).Methods: Twelve consecutive patients with manifest DVD greater than 10 prism diopters (PD) received 7-mm SR recession with Y-splitting, with concurrent treatment of any horizontal deviation. Preoperative and postoperative evaluation of ductions and versions, ocular deviation and pattern was done. A successful outcome was considered as 0 to 6 prism diopters (PD) of vertical and 0 to 10 PD of horizontal deviation.Results: Surgery was performed on 19 SR muscles of 12 patients. Successful correction of DVD was achieved in all operated eyes (100%) after a mean follow-up of 6.9 ± 4.05 months. DVD became manifest in the fellow eye in 2 of 5 patients following unilateral surgery. Hypotropia (that became occasional after amblyopia therapy) was seen in one eye after unilateral surgery. Mild SR underaction was seen in 2 eyes and marked underaction in 1 eye postoperatively. Y-pattern was documented in 2 cases, V-pattern in 1 case, and X-pattern in 1 case postoperatively.Conclusions: SR recession with Y-splitting could be a promising option for correction of DVD. Bilateral surgery is advocated even if unilaterally manifest. Further studies on larger series of patients are recommended to consolidate these preliminary results.","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":" ","pages":"1-10"},"PeriodicalIF":0.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Horizontal Gaze Palsy and Progressive Scoliosis: Clinical Profile and Review of Literature. 水平凝视麻痹和进行性脊柱侧凸：临床概况和文献回顾。

IF 0.9 4区医学

Journal of Pediatric Ophthalmology & Strabismus Pub Date : 2025-09-26 DOI: 10.3928/01913913-20250724-04

Manjushree Bhate, Shruthi Bathula, Ravi Varma

{"title":"Horizontal Gaze Palsy and Progressive Scoliosis: Clinical Profile and Review of Literature.","authors":"Manjushree Bhate, Shruthi Bathula, Ravi Varma","doi":"10.3928/01913913-20250724-04","DOIUrl":"https://doi.org/10.3928/01913913-20250724-04","url":null,"abstract":"Purpose: To describe a rare inherited disorder in five patients presenting with horizontal gaze palsy along with characteristic abnormalities on neuroimaging.Methods: A retrospective review was conducted from January 2016 to December 2022 of all patients with the diagnosis of horizontal gaze palsy with progressive scoliosis (HGPPS). Neuroimaging was performed in all patients and genetic testing in those who consented.Results: All five patients had limitation of abduction and adduction in both eyes on attempted horizontal gazes with intact elevation, depression, and convergence. Two patients presented with synergistic convergence. Esotropia requiring strabismus surgery was present in one patient. Magnetic resonance imaging of the brain and orbit in all patients showed brainstem hypoplasia with \"split pons\" sign and a \"butterfly configuration\" of the medulla, which are characteristic of HGPPS. Genetic analysis of 3 patients confirmed the presence of ROBO3 gene mutations. Scoliosis was noted in 2 patients.Conclusions: Early diagnosis and a multidisciplinary approach is important in the management of such cases. Phenotypic variations such as in the cases described may be observed in HGPPS.","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":" ","pages":"1-7"},"PeriodicalIF":0.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluating Text-to-Image Generation in Pediatric Ophthalmology. 评估儿童眼科的文本-图像生成。

IF 0.9 4区医学

Journal of Pediatric Ophthalmology & Strabismus Pub Date : 2025-09-26 DOI: 10.3928/01913913-20250724-03

Sarah Jong, Qais A Dihan, Mohamed M Khodeiry, Ahmad Alzein, Christina Scelfo, Abdelrahman M Elhusseiny

{"title":"Evaluating Text-to-Image Generation in Pediatric Ophthalmology.","authors":"Sarah Jong, Qais A Dihan, Mohamed M Khodeiry, Ahmad Alzein, Christina Scelfo, Abdelrahman M Elhusseiny","doi":"10.3928/01913913-20250724-03","DOIUrl":"https://doi.org/10.3928/01913913-20250724-03","url":null,"abstract":"Purpose: To evaluate the quality and accuracy of artificial intelligence (AI)-generated images depicting pediatric ophthalmology pathologies compared to human-illustrated images, and assess the readability, quality, and accuracy of accompanying AI-generated textual information.Methods: This cross-sectional comparative study analyzed outputs from DALL·E 3 (OpenAI) and Gemini Advanced (Google). Nine pediatric ophthalmology pathologies were sourced from the American Association for Pediatric Ophthalmology and Strabismus (AAPOS) \"Most Common Searches.\" Two prompts were used: Prompt A asked large language models (LLMs), \"What is [insert pathology]?\" Prompt B requested text-to-image generators (TTIs) to create images of the pathologies. Textual responses were evaluated for quality using published criteria (helpfulness, truthfulness, harmlessness; score 1 to 15, ≥ 12: high quality) and readability using Simple Measure of Gobbledygook (SMOG) and Flesch-Kincaid Grade Level (≤ 6th-grade level: readable). Images were assessed for anatomical accuracy, pathological accuracy, artifacts, and color (score 1 to 15, ≥ 12: high quality). Human-illustrated images served as controls.Results: DALL·E 3 images were of poor quality (median: 7; range: 3 to 15) and significantly worse than human-illustrated controls (median: 15; range: 9 to 15; P < .001). Pathological accuracy was also poor (median: 1). Textual information from ChatGPT-4o and Gemini Advanced was high quality (median: 15) but difficult to read (Chat-GPT-4o: SMOG: 8.2, FKGL: 8.9; Gemini Advanced: SMOG: 8.5, FKGL: 9.3).Conclusions: Text-to-image generators are poor at generating images of common pediatric ophthalmology pathologies. They can serve as adequate supplemental tools for generating high-quality accurate textual information, but care must be taken to tailor generated text to be readable by users.","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":" ","pages":"1-7"},"PeriodicalIF":0.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Comparative Analysis of the Economic and Workforce Issues in Pediatric Ophthalmology in Italy and the United States Post-Pandemic. 大流行后意大利和美国儿童眼科的经济和劳动力问题的比较分析。

IF 0.9 4区医学

Journal of Pediatric Ophthalmology & Strabismus Pub Date : 2025-09-01 DOI: 10.3928/01913913-20250619-04

Laurel Lam, Leonard B Nelson, Aldo Vagge, Paolo Nucci, Andrea Lembo, Jake A Sussberg, Karen E Lee

{"title":"A Comparative Analysis of the Economic and Workforce Issues in Pediatric Ophthalmology in Italy and the United States Post-Pandemic.","authors":"Laurel Lam, Leonard B Nelson, Aldo Vagge, Paolo Nucci, Andrea Lembo, Jake A Sussberg, Karen E Lee","doi":"10.3928/01913913-20250619-04","DOIUrl":"https://doi.org/10.3928/01913913-20250619-04","url":null,"abstract":"Purpose: To present a comparative analysis of the economic and workforce issues impacting access to pediatric ophthalmology care in Italy and the United States in the post-pandemic era.Methods: Data collection for this cross-sectional study occurred between August 2023 and July 2024, using publicly available workforce and demographic data to calculate supply-demand (provider-patient) ratios. Additionally, qualitative data were obtained through a structured questionnaire distributed to fellowship-trained pediatric ophthalmologists in Italy.Results: The provider-patient ratio was 1:69,700 in the United States and approximately 1:445,000 in Italy, reflecting significant workforce shortages in both countries, with a greater deficit observed in Italy. Contributing factors in Italy include the absence of a formal fellowship training program, inadequate reimbursement, and a reduction in critical resources and facilities. In the United States, similar challenges have been exacerbated by the coronavirus disease 2019 (COVID-19) pandemic, resulting in reduced practice viability, limited surgical training, and declining interest in the sub-specialty among trainees.Conclusions: Although health care infrastructures differ between Italy and the United States, the long-standing crisis in Italy may serve as a cautionary model for the potential trajectory of pediatric ophthalmology in the United States should current trends persist. Without strategic interventions to improve workforce retention and training, both countries remain at risk for erosion of access to timely and equitable pediatric ophthalmic care.","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":"62 5","pages":"326-331"},"PeriodicalIF":0.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Intracameral and Intravitreal Chemotherapy Combined With Intra-arterial Chemotherapy for a Recurrent Retinoblastoma With Anterior Chamber and Vitreous Seeding. 腔内及玻璃体内联合动脉化疗治疗复发性视网膜母细胞瘤伴前房及玻璃体植入。

IF 0.9 4区医学

Journal of Pediatric Ophthalmology & Strabismus Pub Date : 2025-09-01 DOI: 10.3928/01913913-20250701-06

Xiaona Sun, Fei Leng, Ran Du, Li Li, Chengyue Zhang

引用次数: 0

Botulinum Toxin A Versus Bilateral Medial Rectus Recession for Partially Accommodative Esotropia: A Systematic Review and Meta-analysis. A型肉毒杆菌毒素与双侧内直肌收缩治疗部分调节性内斜视：一项系统综述和荟萃分析。

IF 0.9 4区医学

Journal of Pediatric Ophthalmology & Strabismus Pub Date : 2025-09-01 Epub Date: 2025-03-26 DOI: 10.3928/01913913-20250227-08

Sara Hira, Claudia Avilés Covarrubias, Andres Bravo-Gonzalez, Carlos Eduardo de Menezes E Souza Filho, Mariana Tosato Zinher

{"title":"Botulinum Toxin A Versus Bilateral Medial Rectus Recession for Partially Accommodative Esotropia: A Systematic Review and Meta-analysis.","authors":"Sara Hira, Claudia Avilés Covarrubias, Andres Bravo-Gonzalez, Carlos Eduardo de Menezes E Souza Filho, Mariana Tosato Zinher","doi":"10.3928/01913913-20250227-08","DOIUrl":"10.3928/01913913-20250227-08","url":null,"abstract":"Purpose: To perform a systematic review and meta-analysis comparing the efficacy of botulinum toxin A (BTX-A) and bilateral medial rectus recession (BMR) surgery for partially accommodative esotropia (PAET).Methods: PubMed, EMBASE, and the Cochrane database were searched on May 29, 2024 for studies comparing BTX-A and BMR in patients with PAET, reporting at least one outcome of interest. The odds ratio (OR) and 95% CI were used for binary outcomes. Heterogeneity was assessed using I2 statistics. The analysis was performed using R software version 4.3.2. The Risk of Bias Summary for Non-randomized Studies tool was used to assess the risk of bias.Results: Four observational studies comprising 521 patients were eligible for inclusion. BTX-A and BMR groups had comparable motor success rates (OR: 1.14; 95% CI: 0.27 to 4.81; P = .861; I2 = 88%). However, consecutive exotropia was reported exclusively after BMR only (OR: 0.08; 95% CI: 0.01 to 0.46; P = .004; I2 = 0%). All studies accounted for heterogeneity in the leave-one-out sensitivity analysis. Two studies were judged as moderate risk of bias and two as serious. Assessment of Grading of Recommendations Assessment Development and Evaluation resulted in moderate certainty in the outcome of motor success rates.Conclusions: BTX-A might be a good alternative to BMR in patients with PAET. Randomized controlled trials with larger sample sizes and longer duration of follow-up are needed. Studies should also focus on sensory outcomes in addition to motor outcomes.","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":" ","pages":"314-320"},"PeriodicalIF":0.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Saving Vision in a Child With Light Perception Vision Due to Acute Retinal Necrosis Secondary to Herpes Simplex Virus Encephalitis. 单纯疱疹病毒脑炎继发急性视网膜坏死导致儿童光感视力的挽救。

IF 0.9 4区医学

Journal of Pediatric Ophthalmology & Strabismus Pub Date : 2025-09-01 DOI: 10.3928/01913913-20250801-01

Ngan-Ha Nguyen, Peter McCluskey, Minh-Phu Nguyen

{"title":"Saving Vision in a Child With Light Perception Vision Due to Acute Retinal Necrosis Secondary to Herpes Simplex Virus Encephalitis.","authors":"Ngan-Ha Nguyen, Peter McCluskey, Minh-Phu Nguyen","doi":"10.3928/01913913-20250801-01","DOIUrl":"https://doi.org/10.3928/01913913-20250801-01","url":null,"abstract":"Herpes simplex virus (HSV) can affect both the central nervous system and the eye, most notably as herpes simplex encephalitis and the less common but vision-threatening acute retinal necrosis (ARN). The authors report a 13-year-old boy who developed ARN shortly after confirmed herpes simplex encephalitis despite appropriate systemic antiviral therapy. He presented with light perception vision, vitritis, retinal necrosis, and retinal detachment in the left eye, with HSV-1 detected by polymerase chain reaction from vitreous fluid. Intravitreal antiviral therapy was promptly administered, followed by early pars plana vitrectomy with silicone oil tamponade and 360-degree peripheral retinal laser, resulting in retinal reattachment and improvement of visual acuity to 20/200. After subsequent cataract extraction and silicone oil removal, visual acuity further improved to 20/80. This case emphasizes the importance of close ophthalmic monitoring in patients recovering from herpes simplex encephalitis, because ocular disease may develop rapidly even under systemic antivirals. It also underscores that early combined medical and surgical intervention can preserve meaningful vision in pediatric ARN complicated by retinal detachment. Such reports contribute to the limited literature linking herpes simplex encephalitis and ARN in children and highlight the potential for favorable outcomes with timely management.","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":"62 5","pages":"e69-e73"},"PeriodicalIF":0.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Full Exudative Retinal Detachment as a Cause of Leukocoria in a 22-Month-Old Boy. 完全性渗出性视网膜脱离是22个月大男孩白斑的病因。

IF 0.9 4区医学

Journal of Pediatric Ophthalmology & Strabismus Pub Date : 2025-09-01 Epub Date: 2024-12-02 DOI: 10.3928/01913913-20241105-01

Nancy Arias-González, Giselle DeOliveira, Audina M Berrocal

引用次数: 0

Three-Muscle Surgery for Large- and Medium-Angle Intermittent Exotropia. 三肌手术治疗大、中角度间歇性外斜视。

IF 0.9 4区医学

Journal of Pediatric Ophthalmology & Strabismus Pub Date : 2025-09-01 Epub Date: 2025-04-24 DOI: 10.3928/01913913-20250312-03

Yuval Cohen, Leah Attal, Aviv Vidan, Yehuda Greenberger, Yair Morad, Otzem Chassid

{"title":"Three-Muscle Surgery for Large- and Medium-Angle Intermittent Exotropia.","authors":"Yuval Cohen, Leah Attal, Aviv Vidan, Yehuda Greenberger, Yair Morad, Otzem Chassid","doi":"10.3928/01913913-20250312-03","DOIUrl":"10.3928/01913913-20250312-03","url":null,"abstract":"Purpose: To examine the success rate and the dose-response ratio of three-muscle compared to two-muscle surgery for the treatment of medium- and large-angle (20 to 45 prism diopters [PD]) intermittent exotropia.Methods: Medical records of patients who underwent strabismus surgery for treatment of intermittent exotropia were reviewed. Patients with exodeviation of 20 to 45 PD who underwent either bilateral lateral rectus recession (BLRc; two-muscle group) or BLR recession and unilateral medial rectus resection (BLRc+UMR; three-muscle group) were selected. Preoperative and postoperative deviation and amount of recessed and resected muscles were assessed. Successful surgery was defined as postoperative deviation of 10 PD or less of orthophoria at the last visit. Dose-response ratio was analyzed.Results: Forty-four patients were included. The mean age of patients at surgery was 11.85 ± 10.82 years (range: 4 to 54 years) and was comparable in both groups. The mean far preoperative deviation was lower for the two-muscle than the three-muscle group, and measured 29.7 ± 5.9 and 34.4 ± 7.1 PD, respectively (P = .019). At the last follow-up, successful motor outcomes for both distance and near were achieved in 70.5% and 84.6% in the two-muscle and three-muscle group, respectively. At the last follow-up, mean dose-response ratio was significantly higher for the three-muscle group (1.82 ± 0.58 and 2.72 ± 0.72 PD/mm for the two-muscle and three-muscle group, respectively; P < .0001). Overcorrections were similar in both groups.Conclusions: Primary repair surgery of intermittent exotropia with three-muscle surgery is an effective method of resolving 20 to 45 PD with excellent outcomes and a low risk of overcorrection.","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":" ","pages":"348-355"},"PeriodicalIF":0.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Erratum for "One-Year Results of 0.01% and 0.05% Atropine Eye Drops in Childhood Myopia Progression". “0.01%和0.05%阿托品滴眼液治疗儿童近视进展的一年结果”的勘误。

IF 0.9 4区医学

Journal of Pediatric Ophthalmology & Strabismus Pub Date : 2025-09-01 DOI: 10.3928/01913913-20250722-01

引用次数: 0