Journal of Pediatric Ophthalmology & Strabismus最新文献

{"title":"A Growing Conjunctival Mass in a Young Adult.","authors":"Michelle Ho, Lisa R Koenig, Jasmine H Francis","doi":"10.3928/01913913-20260723-01","DOIUrl":"https://doi.org/10.3928/01913913-20260723-01","url":null,"abstract":"","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":" ","pages":"1"},"PeriodicalIF":1.4,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148809466","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}

{"title":"Factors Influencing Pre-residency Commitment to Pediatric Ophthalmology.","authors":"Elizabeth L Turner, Ryan M Sussberg, Leonard B Nelson","doi":"10.3928/01913913-20260709-01","DOIUrl":"https://doi.org/10.3928/01913913-20260709-01","url":null,"abstract":"<p><strong>Purpose: </strong>To characterize the timing of pre-residency commitment to pediatric ophthalmology and to examine the factors influencing that decision.</p><p><strong>Methods: </strong>A cross-sectional, anonymous survey was distributed electronically to pediatric ophthalmologists and fellows who committed to the subspecialty prior to residency. The four-item questionnaire assessed timing of commitment, the single most influential factor in subspecialty selection, career plan certainty, and educational debt burden. Associations were evaluated using Pearson's chi-square tests with effect size quantified by Cramér's V.</p><p><strong>Results: </strong>A total of 116 responses were received; 108 (93.1%) were included in the primary analysis. Commitment most commonly occurred during medical school year (MS)3 to MS4 (76, 70.4%), followed by MS1 to MS2 (18, 16.7%) and college or earlier (14, 13.0%). Timing was significantly associated with the most influential factor (chi-square = 32.64, <i>P</i> < .001; Cramér's V = 0.39). Earlier decisions were linked to personal or family experience, whereas later decisions were associated with mentorship, clinical exposure, and alignment with specialty lifestyle. Timing was also associated with career plan certainty (chi-square = 9.67, <i>P</i> = .046). Educational debt burden was not associated with timing (chi-square = 5.50, <i>P</i> = .978), although 71.3% reported debt less than $150,000.</p><p><strong>Conclusions: </strong>Pre-residency commitment to pediatric ophthalmology most often occurs during the clinical years of medical school and reflects stage-specific influences. Earlier decisions are associated with personal exposure, whereas mentorship and structured clinical experiences are linked to later commitment. Expanding early, accessible exposure and mentorship opportunities may represent a strategy to strengthen the future pediatric ophthalmology workforce.</p>","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":" ","pages":"1-5"},"PeriodicalIF":1.4,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148809461","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}

{"title":"Clinical Characteristics and Risk Factors of Pediatric Thyroid Eye Disease.","authors":"Ritu R Sampige, Dylan B McBee, Lucy I Mudie, Michael T Yen, Katherine J Williams","doi":"10.3928/01913913-20260713-01","DOIUrl":"https://doi.org/10.3928/01913913-20260713-01","url":null,"abstract":"<p><strong>Purpose: </strong>To characterize the natural history and clinical characteristics of thyroid eye disease (TED) in a pediatric population and identify risk factors contributing to disease onset and severity.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted among children diagnosed as having TED between 2013 and 2023 presenting to Texas Children's Hospital. Patient demographics, ocular examination findings, disease progression, and management were recorded across encounters. Descriptive statistical analyses, Mann-Whitney <i>U</i> test, and chi-square test were performed.</p><p><strong>Results: </strong>Seventy-eight patients met the inclusion criteria. The mean age of children at the time of TED diagnosis was 11.1 ± 3.8 years. Most children with TED were female (78.2%), White (66.7%), non-Hispanic or Latino/a (59.0%), and hyperthyroid (85.5%), and had a family history of autoimmune disease (57.1%). Patients had their initial ophthalmology visit 0.9 years after the onset of thyroid disease symptoms on average. A higher Clinical Activity Score (CAS) was recorded in patients with autoimmune comorbidities (<i>P</i> < .05).</p><p><strong>Conclusions: </strong>Children with an autoimmune comorbidity are more likely to present with more severe TED. Trends in CAS values across time are heterogenous in the pediatric sample, with the most common trend of decreasing CAS across encounters, although with limitations in the availability of documented CAS values. Children with TED typically follow a non-progressive clinical course without requiring surgical intervention but may face greater delays in receiving timely ophthalmic care for their symptoms.</p>","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":" ","pages":"1-8"},"PeriodicalIF":1.4,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148809392","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}

{"title":"Use of Dichoptic Therapy for Deprivation Amblyopia: A Single Institution Study.","authors":"Whitney Stuard Sambhariya, Courtney L Kraus","doi":"10.3928/01913913-20260626-01","DOIUrl":"https://doi.org/10.3928/01913913-20260626-01","url":null,"abstract":"<p><strong>Purpose: </strong>To report the treatment of deprivation amblyopia with Luminopia (Luminopia, Inc), a digital therapeutic device using dichoptic viewing that received U.S. Food and Drug Administration approval for the treatment of anisometropic amblyopia in children 4 to 12 years of age.</p><p><strong>Methods: </strong>Twenty-two pediatric patients prescribed the Luminopia device for deprivation amblyopia following childhood cataract or glaucoma surgery or congenital corneal opacity with at least 3 months of follow-up were identified. Best corrected visual acuity (BCVA) was compared to pretreatment at each follow-up visit. Total prescribed hours, usage, adherence, and completion of supplemental amblyopia treatment were analyzed.</p><p><strong>Results: </strong>Fifty-five percent of patients were boys, and the average age was 6.45 ± 3.0 years (mild to moderate amblyopia: 7.0 ± 3.1 years; severe amblyopia: 6.0 ± 3.0 years). At the 3-month follow-up visit, in the mild to moderate amblyopia cohort, 5 of the 8 patients (62.5%) showed at least one line of improvement in their BCVA in the amblyopic eye. One patient (12.5%) had the same BCVA, and 2 (25%) had decreased BCVA. In contrast, in the severe amblyopic cohort, 6 patients (50%) had improved, 5 (42%) had stable BCVA, and 1 (8%) had decreased BCVA.</p><p><strong>Conclusions: </strong>Use of a dichoptic digital therapeutic device in the treatment and management of amblyopia holds exciting potential in deprivation amblyopia. Those with mild to moderate amblyopia appear to achieve greater visual acuity improvement compared to those with severe amblyopia, although a percentage of patients with severe amblyopia did show modest improvement.</p>","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":" ","pages":"1-8"},"PeriodicalIF":1.4,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148809377","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}

{"title":"Eyelid Transplant-Associated Thrombotic Microangiopathy in a Patient With Retinoblastoma.","authors":"Connor Evangelisto, Yu-Bai Chou, Carol L Shields","doi":"10.3928/01913913-20260603-01","DOIUrl":"https://doi.org/10.3928/01913913-20260603-01","url":null,"abstract":"","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":" ","pages":"1"},"PeriodicalIF":1.4,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671050","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}

{"title":"Persistent Fetal Vasculature With Elongated Ciliary Process: Surgical Impact on Outcomes.","authors":"Massimiliano Serafino, Rupal H Trivedi, Paolo Nucci, Luigi Massa, Giuseppe Rao, Roberto Caputo, Tommaso Rossi, Maurizio Postorino, M Edward Wilson","doi":"10.3928/01913913-20260625-01","DOIUrl":"https://doi.org/10.3928/01913913-20260625-01","url":null,"abstract":"<p><strong>Purpose: </strong>To explore the results and reoperation frequencies in infants with a cataract associated with persistent fetal vasculature (PFV) characterized by elongated ciliary processes, analyze the outcomes of surgery, and determine whether it is essential to remove fibrosis and make cuts around the ciliary processes.</p><p><strong>Methods: </strong>The criteria for selection included having cataract surgery in one eye before reaching 7 months of age and having elongated ciliary processes along with an anterior persistent fetal vasculature. Patients with involvement of the retina or a follow-up period of less than 6 months were not considered. All individuals received lensectomy, posterior capsulectomy, and vitrectomy as part of their treatment.</p><p><strong>Results: </strong>The research involved 21 eyes from 21 individuals with an average age of 6.3 weeks at the time of surgery and an average monitoring period of 18.9 months. All patients had their eyes aphakic after surgery. Opacification of the visual axis was observed in 6 eyes (28%). Only 1 of the 21 patients achieved a visual acuity better than 20/200. Five of 21 eyes had an incomplete removal of the retrolental membrane without circumferential cuts around the ciliary processes.</p><p><strong>Conclusions: </strong>Eyes treated for PFV that have elongated ciliary processes frequently require additional surgery. Complete or near-complete removal of the retrolental membrane, along with circumferential cuts around the ciliary processes, can lower the risk of recurrent fibrosis and the need for additional surgery to clear the visual axis.</p>","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":" ","pages":"1-6"},"PeriodicalIF":1.4,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671056","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}

{"title":"Choroidal Melanoma and Facial Rhabdomyosarcoma in a Young Patient With Li Fraumeni Syndrome.","authors":"Carol L Shields, Kalpita Das, Sara E Lally","doi":"10.3928/01913913-20260603-02","DOIUrl":"https://doi.org/10.3928/01913913-20260603-02","url":null,"abstract":"","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":" ","pages":"1"},"PeriodicalIF":1.4,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671054","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}

{"title":"Ridge-Adjacent Laser With Imaging and Dexamethasone for Treatment of Retinopathy of Prematurity.","authors":"Hanna Maria Öhnell, Sandra Nobaek, Sten Andréasson, Lotta Gränse","doi":"10.3928/01913913-20260601-01","DOIUrl":"https://doi.org/10.3928/01913913-20260601-01","url":null,"abstract":"<p><strong>Purpose: </strong>To describe a less invasive laser therapy for retinopathy of prematurity, referred to as ridge-adjacent laser treatment (RALT), and its outcome regarding the need for re-treatment.</p><p><strong>Methods: </strong>This was a retrospective observational review of medical records of all infants treated with RALT as a primary intervention for retinopathy of prematurity between June 2016 and June 2021 at a tertiary care center in Sweden. The intervention consisted of RALT with intraoperative wide-field imaging, and most patients also received postoperative dexamethasone eye drops. The primary outcomes measured were the number of laser spots applied, re-treatment rates, and the maximum stage of retinopathy of prematurity observed.</p><p><strong>Results: </strong>Sixty-one eyes of 31 infants were treated with RALT. The median follow-up time was 24 weeks (range: 17 to 45 weeks) after birth. The mean number of laser spots administered was 859 ± 280. Re-treatment was required in 3% of the eyes (6% of the infants). After excluding infants with aggressive retinopathy of prematurity the re-treatment rate for the eyes was 2% (4% of the infants). Seven of the 61 eyes were diagnosed as having aggressive retinopathy of prematurity. In three of these eyes, the retinopathy progressed to a maximum stage greater than 3 following RALT treatment.</p><p><strong>Conclusions: </strong>Treatment of retinopathy of prematurity using the RALT technique, in conjunction with intraoperative wide-field imaging and, in most infants, postoperative dexamethasone eye drops, was associated with a low number of laser spots and a low re-treatment rate. All eyes that did not have aggressive retinopathy of prematurity regressed after the RALT treatment. Further longitudinal studies are required to assess the long-term structural and functional outcomes.</p>","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":" ","pages":"1-6"},"PeriodicalIF":1.4,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671066","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}

{"title":"The <i>Journal of Pediatric Ophthalmology & Strabismus</i> Achieves Its Highest Impact Factor in 5 Years.","authors":"Rudolph S Wagner","doi":"10.3928/01913913-20260630-01","DOIUrl":"https://doi.org/10.3928/01913913-20260630-01","url":null,"abstract":"","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":"63 4","pages":"232"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551211","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}

{"title":"The Prevalence of Refractive Errors Among Children With Cured Retinoblastoma.","authors":"Hani A Anwar, Momen M Hamdi, Sameh H Abdel Rahman, Nada A Abd El Aziz, Noha S Mohamed","doi":"10.3928/01913913-20251007-01","DOIUrl":"10.3928/01913913-20251007-01","url":null,"abstract":"<p><strong>Purpose: </strong>To study the prevalence of refractive errors among children with cured retinoblastoma in the context of clinical variables.</p><p><strong>Methods: </strong>A cross-sectional study was conducted in the Ophthalmology Department at Ain Shams University Hospital from September 2023 to April 2024. Cycloplegic refraction and fundus photography were performed for children with cured retinoblastoma coming to the ocular oncology clinic for follow-up.</p><p><strong>Results: </strong>Refractive errors were studied in 49 children with cured retinoblastoma, aged 3.8 to 18 years. Refractive astigmatism was the most common error affecting 44.1% of retinoblastoma eyes (95% CI: 27% to 62%) followed by hypermetropia in 26.4%, (95% CI: 11% to 42%). Anisometropia of 1.00 diopter or greater existed in 53.8% of children with retinoblastoma (95% CI: 26% to 91%). Amblyopia due to uncorrected refractive errors existed in 28.6% of children (95% CI: 15% to 42%). A significant positive association existed between the amount of refractive astigmatism and the number of tumors per eye (<i>r</i> = 0.583; <i>P</i> < .001), the number of quadrants affected by the disease (<i>r</i> = 0.472; <i>P</i> = .005), the number of systemic chemotherapy sessions (<i>r</i> = 0.401; <i>P</i> = .028), the number of laser sessions (<i>r</i> = 0.489, <i>P</i> = .004), and the number of globe salvage modalities (<i>r</i> = 0.46 and <i>P</i> = .006). A significant negative association existed between the amount of refractive astigmatism and the posterior tumor margin to disc distance (<i>r</i> = -0.412; <i>P</i> = .015).</p><p><strong>Conclusions: </strong>Refractive errors are common among children with retinoblastoma, with astigmatism being the most common. Uncorrected refractive errors constitute a risk factor for amblyopia in children with cured retinoblastoma. Diffuse multifocal disease, tumors nearer to the disc, longer chemotherapy duration, and more intensified local treatment are associated with higher refractive astigmatism.</p>","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":" ","pages":"269-280"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145656129","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}