Journal of Pediatric Ophthalmology & Strabismus最新文献_第2页

Challenges and Complications in the Management of Systemic Diseases in Congenital Cataract Surgery. 先天性白内障手术中系统性疾病处理的挑战和并发症。

IF 0.9 4区医学

Journal of Pediatric Ophthalmology & Strabismus Pub Date : 2025-09-01 Epub Date: 2025-04-24 DOI: 10.3928/01913913-20251008-01

Semih Çakmak, Tuğçe Özdemir, Basri Akdoğan, Nihan Aksu Ceylan, Emre Altinkurt

{"title":"Challenges and Complications in the Management of Systemic Diseases in Congenital Cataract Surgery.","authors":"Semih Çakmak, Tuğçe Özdemir, Basri Akdoğan, Nihan Aksu Ceylan, Emre Altinkurt","doi":"10.3928/01913913-20251008-01","DOIUrl":"10.3928/01913913-20251008-01","url":null,"abstract":"Purpose: To examine the effects of accompanying systemic diseases on surgery preparation and follow-up in congenital and infantile cataract cases.Methods: The files of patients aged 0 to 12 months presenting to one clinic between January 2010 and January 2024 and scheduled for cataract surgery were retrospectively scanned. The patients' demographic data, gestational age, age at admission and surgery, accompanying systemic diseases, and systemic complications that developed before, during, and after surgery were recorded.Results: A total of 142 patients (75 girls, 67 boys) were included in the study. The average follow-up period was 30.6 ± 33.9 months (range: 2 to 159 months). Unilateral cataract surgery was performed in 45 (31.7%) patients and bilateral cataract surgery was performed in 97 (68.3%) patients. The average number of gestational age was 37.2 ± 3.4 week (range: 23 to 41 weeks). The average age at presentation was 4.22 ± 3.20 months (range: 1 to 12 months). Systemic pathology was present before surgery in 40 patients (28.2%). Neuromuscular system diseases were the most common accompanying systemic pathology (15 patients), followed by genetic diseases (13 patients). Eleven (7.7%) patients had facial anomalies, and 21 (14.8%) were at risk of malignant hyperthermia during anesthesia. Eighteen (12.7%) were defined as having difficult intubation, and 46 patients (32.4%) required postoperative pediatric intensive care. One patient died due to pneumonia during surgery preparations, and 4 patients died due to systemic complications unrelated to the surgery during the follow-up period.Conclusions: Congenital cataract cases require a multi-disciplinary approach to surgical planning that considers systemic comorbidities, anesthesia management, and postoperative follow-up.","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":" ","pages":"340-347"},"PeriodicalIF":0.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047920","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

Clinical Report of Epidemiological Trends in Child Abuse-Related Ocular Injuries (Ages 0 to 3 Years). 儿童虐待相关眼部损伤（0 ~ 3岁）流行病学趋势临床报告

IF 0.9 4区医学

Journal of Pediatric Ophthalmology & Strabismus Pub Date : 2025-09-01 DOI: 10.3928/01913913-20250724-08

Siri Uppuluri, Aditya Uppuluri, Marco A Zarbin, Neelakshi Bhagat

引用次数: 0

Analyzing Trends in the Pediatric Ophthalmology Workforce From 2016 to 2024. 2016 - 2024年儿科眼科劳动力趋势分析

IF 0.9 4区医学

Journal of Pediatric Ophthalmology & Strabismus Pub Date : 2025-09-01 DOI: 10.3928/01913913-20250619-05

Iniya K Adhan, Ryan M Sussberg, Leonard B Nelson, Karen E Lee, Laurel Lam

{"title":"Analyzing Trends in the Pediatric Ophthalmology Workforce From 2016 to 2024.","authors":"Iniya K Adhan, Ryan M Sussberg, Leonard B Nelson, Karen E Lee, Laurel Lam","doi":"10.3928/01913913-20250619-05","DOIUrl":"https://doi.org/10.3928/01913913-20250619-05","url":null,"abstract":"Purpose: To analyze current trends in pediatric ophthalmology and strabismus (PO&S) fellowship match and the current workforce issues that affect pediatric ophthalmology.Methods: PO&S fellowship match data for 2016 to 2024 fellowship match cycles were obtained via the Association of University Professors of Ophthalmology and the San Francisco Match. The American Association for Pediatric Ophthalmology and Strabismus (AAPOS) was used to obtain total pediatric ophthalmology membership to estimate the number of practicing pediatric ophthalmologists within the United States from 2016 to 2024.Results: The number of applicants who matched into PO&S fellowships was significantly lower compared to other specialties such as retina, cornea, and glaucoma. The increase in fellowship spots in PO&S (+10.2%) was also significantly lower than the increases seen in retina and glaucoma. The PO&S match rate remained lower than the other subspecialities every year from 2016 to 2024. The number of international medical graduates matching into PO&S fellowships increased compared to U.S. medical graduates from 2016 to 2024. A similar trend was seen within AAPOS membership, where the U.S. membership has remained steady and international membership has significantly grown (+47.1%) since 2016.Conclusions: Workforce trends within pediatric ophthalmology show a continued decline in interest among U.S. medical graduates to pursue PO&S fellowships. As experienced pediatric ophthalmologists retire and interest remains lower, the provider gap widens and decreases accessibility to pediatric eye care. Efforts in addressing the disparity between the demand for pediatric ophthalmologists and the limited supply for PO&S-trained fellows need to be at the forefront.","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":"62 5","pages":"321-325"},"PeriodicalIF":0.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151581","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

Improving Medicaid Reimbursement for Pediatric Ophthalmology. 改善儿童眼科医疗补助报销。

IF 0.9 4区医学

Journal of Pediatric Ophthalmology & Strabismus Pub Date : 2025-09-01 DOI: 10.3928/01913913-20250813-01

Dawn N Duss, Nils Mungan, Sharon L Taylor, Leonard B Nelson

引用次数: 0

Evaluating Surgical Success in Congenital Nasolacrimal Duct Obstruction: A Comprehensive Analysis of Demographic Influences and Outcomes. 评估先天性鼻泪管阻塞的手术成功率：人口统计学影响和结果的综合分析。

IF 0.9 4区医学

Journal of Pediatric Ophthalmology & Strabismus Pub Date : 2025-09-01 Epub Date: 2025-03-26 DOI: 10.3928/01913913-20250227-05

Yusuf B Akbaş, Gamze Öztürk Karabulut, Inanç Tuncel, Şenay Aşık Nacaroğlu, Kübra Şerefoğlu Çabuk, Korhan Fazıl, Berkay Ö Karaca

{"title":"Evaluating Surgical Success in Congenital Nasolacrimal Duct Obstruction: A Comprehensive Analysis of Demographic Influences and Outcomes.","authors":"Yusuf B Akbaş, Gamze Öztürk Karabulut, Inanç Tuncel, Şenay Aşık Nacaroğlu, Kübra Şerefoğlu Çabuk, Korhan Fazıl, Berkay Ö Karaca","doi":"10.3928/01913913-20250227-05","DOIUrl":"10.3928/01913913-20250227-05","url":null,"abstract":"Purpose: To evaluate the surgical outcomes of congenital nasolacrimal duct obstruction (CNLDO) in pediatric patients, focusing on the impact of demographic characteristics and the age at surgery on success rates.Methods: This retrospective study analyzed a cohort of pediatric patients diagnosed as having CNLDO and undergoing surgical intervention at a tertiary care center between 2011 and 2022. Data on patient demographics, age at diagnosis, age at surgery, surgical technique used, perioperative findings, postoperative complications, and follow-up results were collected from medical records. Success was defined as the resolution of symptoms without the need for further surgical intervention.Results: A total of 588 patients were included in the study. The median age at diagnosis was 7 months, whereas the median age at surgery was 23 months. Surgical success was achieved in 92.2% of cases. A significant correlation was observed between the age at surgery and the success rate. Those surgeries performed earlier demonstrated a higher success rate compared to those performed later. The presence of systemic disease, Rosenmüller's valve stenosis, postoperative dacryocystitis, and tube dislocation was significantly higher in the restenosis group.Conclusions: Early surgical intervention for CNLDO yields higher success rates, underscoring the importance of timely diagnosis and management. This study highlights the efficacy of surgical treatment for CNLDO in pediatric patients, with minimal risk of complications. Future research should focus on long-term outcomes and the development of standardized guidelines for the management of CNLDO to further improve patient care.","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":" ","pages":"332-339"},"PeriodicalIF":0.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711944","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

Randomized Controlled Trial Comparing the Efficacy of Mydrin-P Microdrops Over Standard Dose Mydrin-P for Pupil Dilation in Retinopathy of Prematurity Examination. Mydrin-P微滴剂与标准剂量Mydrin-P治疗早产儿视网膜病变瞳孔扩张疗效比较的随机对照试验。

IF 0.9 4区医学

Journal of Pediatric Ophthalmology & Strabismus Pub Date : 2025-09-01 Epub Date: 2025-05-27 DOI: 10.3928/01913913-20250424-02

Evelyn Lu, Ka Yin Leung, Wilfred Hing Sang Wong, Connie H Y Lai, Khair Jalal

{"title":"Randomized Controlled Trial Comparing the Efficacy of Mydrin-P Microdrops Over Standard Dose Mydrin-P for Pupil Dilation in Retinopathy of Prematurity Examination.","authors":"Evelyn Lu, Ka Yin Leung, Wilfred Hing Sang Wong, Connie H Y Lai, Khair Jalal","doi":"10.3928/01913913-20250424-02","DOIUrl":"10.3928/01913913-20250424-02","url":null,"abstract":"Purpose: To compare the efficacy of a reduced dose of Mydrin-P (0.5% tropicamide and 0.5% phenylephrine hydrochloride) (Santen Pharmaceutical) using micro-drops with standard Mydrin-P eye drops for retinopathy of prematurity (ROP) examinations.Methods: A prospective, randomized controlled, non-inferiority study was conducted in a single neonatal intensive care unit in Hong Kong. Eighteen infants with an estimated gestational age at birth of 32 weeks or less and/or birth weight of 1,500 g or less were recruited and randomized to receive either standard Mydrin-P eye drops or Mydrin-P microdrops (one-third of the standard dose). All patients were subsequently examined by an ophthalmologist for the presence of ROP. Serial pupil diameters and other clinical parameters were also measured after mydriatics were applied.Results: Eighteen infants with 46 eye examinations for ROP were included. All fundus examinations with microdrop instillation led to successful ROP assessments with no statistically significant difference compared to standard eye drops (P = .233). Mean pupil diameter did not differ between the microdrop (5.73 mm) and standard eye drop (5.47 mm) groups at the time of examination. No statistically significant difference in systemic side effects was observed between the two groups.Conclusions: Mydriatic Mydrin-P microdrops demonstrated similar efficacy compared to standard Mydrin-P eye drops and should replace standard Mydrin-P for ROP screening in preterm infants with potentially fewer side effects.","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":" ","pages":"368-376"},"PeriodicalIF":0.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152706","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

Coexistence of Retinopathy of Prematurity With Peripapillary Staphyloma and Optic Nerve Hypoplasia in an Extremely Preterm Infant: Diagnostic and Therapeutic Challenges. 极早产儿视网膜病变与乳突周围葡萄肿和视神经发育不全并存：诊断和治疗的挑战。

IF 0.9 4区医学

Journal of Pediatric Ophthalmology & Strabismus Pub Date : 2025-09-01 DOI: 10.3928/01913913-20250701-05

Silvina Muedra Torregrosa, Laura Torrejón Rodríguez, Alejandro Pinilla González, Honorio Barranco González, Ana Gimeno Navarro, Marta Aguar Carrascosa

{"title":"Coexistence of Retinopathy of Prematurity With Peripapillary Staphyloma and Optic Nerve Hypoplasia in an Extremely Preterm Infant: Diagnostic and Therapeutic Challenges.","authors":"Silvina Muedra Torregrosa, Laura Torrejón Rodríguez, Alejandro Pinilla González, Honorio Barranco González, Ana Gimeno Navarro, Marta Aguar Carrascosa","doi":"10.3928/01913913-20250701-05","DOIUrl":"https://doi.org/10.3928/01913913-20250701-05","url":null,"abstract":"The authors present the case of a premature female infant born at 23 weeks + 6 days with retinopathy of prematurity, alongside two rare congenital ocular abnormalities: right peripapillary staphyloma and left optic nerve hypoplasia. Despite receiving anti-vascular endothelial growth factor treatment, the disease showed progressive worsening, necessitating additional laser therapy. Genetic testing identified a 1q21.1 microdeletion, a rare autosomal dominant alteration known to cause a spectrum of phenotypic manifestations, including ocular anomalies. However, its association with peripapillary staphyloma has not been previously reported. This case highlights the complex interplay between retinopathy of prematurity, congenital optic nerve anomalies, and potential underlying genetic factors, underscoring the need for further investigation to enhance management strategies and improve long-term visual outcomes in preterm infants. Early diagnosis and timely intervention remain crucial to prevent severe visual impairment, particularly in cases with coexisting congenital and vascular retinal anomalies.","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":"62 5","pages":"e58-e61"},"PeriodicalIF":0.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151614","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

Shaping OCT Norms in Children: The Impact of Age, Refraction, Gender, and Ethnicity. 塑造儿童OCT规范：年龄、折射、性别和种族的影响。

IF 0.9 4区医学

Journal of Pediatric Ophthalmology & Strabismus Pub Date : 2025-09-01 Epub Date: 2025-05-27 DOI: 10.3928/01913913-20250312-01

Ilias Haffane, Antonella Boschi, Demet Yüksel, Coralie Hemptinne

{"title":"Shaping OCT Norms in Children: The Impact of Age, Refraction, Gender, and Ethnicity.","authors":"Ilias Haffane, Antonella Boschi, Demet Yüksel, Coralie Hemptinne","doi":"10.3928/01913913-20250312-01","DOIUrl":"10.3928/01913913-20250312-01","url":null,"abstract":"Purpose: To establish a normative database of optical coherence tomography (OCT) parameters in children and examine the effects of spherical refraction, age, gender, and ethnicity on these measurements.Methods: OCT measurements were performed using spectral-domain OCT (HD-OCT Cirrus 6000) on children aged 3 to 17.9 years. A total of 274 eyes from 137 children were included. Mean age was 10.41 ± 3.79 years and mean spherical equivalent refraction was +0.23 ± 2.79 diopters. Optic nerve and macular parameters were assessed, and a normative database was established distinguishing between children younger and older than 10 years. Only participants without any ophthalmological pathology with an OCT scan quality signal of 7 or above were included.Results: The study provides a normative database for optic nerve head parameters, retinal nerve fiber layer (RNFL), ganglion cell layer (GCL), and macular thicknesses in a normal pediatric population. Age showed a significant negative correlation with rim area and the temporal quadrant of RNFL thickness and a positive correlation with central macular thickness. Refraction demonstrated a significant positive correlation with rim area, RNFL, GCL, and macular thicknesses. Ethnicity was correlated with disk area, cup-to-disk ratios, cup volume, and RNFL thickness, and central macular thickness was significantly thicker in boys.Conclusions: This study provides reference normative data for Cirrus OCT measurements in normal children. These were significantly influenced by age, refraction, gender, and ethnicity. The tendency of diminution in spherical equivalent with age likely led to a thinning of RNFL, GCL, and macular thicknesses, whereas reorganization of the foveal zone during childhood possibly explained the increase in central macular thickness with age.","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":" ","pages":"356-367"},"PeriodicalIF":0.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152707","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

Synergistic Convergence in Horizontal Gaze Palsy With Progressive Scoliosis: A Case Report. 水平凝视性麻痹伴进行性脊柱侧凸的协同收敛：1例报告。

IF 0.9 4区医学

Journal of Pediatric Ophthalmology & Strabismus Pub Date : 2025-09-01 DOI: 10.3928/01913913-20250724-06

Hala Elhilali, Tarek Saad Shoala, Habeba Mostafa Ahmed, Christina S Farag

{"title":"Synergistic Convergence in Horizontal Gaze Palsy With Progressive Scoliosis: A Case Report.","authors":"Hala Elhilali, Tarek Saad Shoala, Habeba Mostafa Ahmed, Christina S Farag","doi":"10.3928/01913913-20250724-06","DOIUrl":"10.3928/01913913-20250724-06","url":null,"abstract":"This interventional case report documents the underlying genetic mutation, secondary muscle changes, and the result of surgical intervention in a patient presenting with synergistic convergence and esotropia. A 16-year-old patient underwent full ophthalmic examination, radiological imaging, and genetic testing. Diagnosis of horizontal gaze palsy with progressive scoliosis was confirmed, suggesting central miswiring as a cause of the synergistic convergence. Whole exome sequencing gene test revealed homozygous ROBO3 gene mutation (p.Leu888Arg) at a mutational hot spot with a GERP score of 4.88. Several computational analyses predicted the variant to be damaging. Bilateral medial rectus recessions of 7 and 8 mm were performed. Both medial rectus muscles were found tight, but not atrophic. Orthotropia and temporary resolution of synergistic convergence were documented. This case study reports a new mutation in the ROBO3 gene, and it is one of the few cases of central synergistic convergence that underwent surgical intervention and documenting secondary muscle changes.","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":"62 5","pages":"e62-e68"},"PeriodicalIF":0.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151718","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

The Status of Pediatric Ophthalmology in 2025 and Future Implications. 2025年儿童眼科的现状及未来的意义。

IF 0.9 4区医学

Journal of Pediatric Ophthalmology & Strabismus Pub Date : 2025-09-01 DOI: 10.3928/01913913-20250829-01

Leonard B Nelson

引用次数: 0