Journal of Pediatric Ophthalmology & Strabismus最新文献

{"title":"Traumatic Unilateral Internuclear Ophthalmoplegia in a 5-Year-Old Child.","authors":"Malcolm M Kates, Morghan Sahawneh, Robert Tauscher","doi":"10.3928/01913913-20240926-02","DOIUrl":"https://doi.org/10.3928/01913913-20240926-02","url":null,"abstract":"<p><p>The authors present the case of a 5-year-old boy who developed a unilateral internuclear ophthalmoplegia (INO) following mild head trauma with supporting magnetic resonance imaging (MRI) findings of damage to the medial longitudinal fasciculus. At 2 months of follow-up, the patient had resolution of diplopia and only minimal residual nystagmus. Although rare in the children, INO can develop following head trauma. Management should include work-up to exclude etiologies beyond trauma (specifically with MRI, which is superior to computed tomography imaging in evaluating INO) followed by observation and, if needed, comanagement of any amblyogenic potential from ocular misalignment. <b>[<i>J Pediatr Ophthalmol Strabismus</i>. 2024;61(6):e75-e77.]</b>.</p>","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":"61 6","pages":"e75-e77"},"PeriodicalIF":1.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683268","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":"Optical Coherence Tomography Angiography Evaluation of Retinal and Choroidal Microvascular Morphological Changes Following Strabismus Surgery.","authors":"Cengiz Gül, Hatice Bilge Araz Erşan, Murat Karapapak, Dilek Güven","doi":"10.3928/01913913-20240508-04","DOIUrl":"10.3928/01913913-20240508-04","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the structural and microvascular changes in the retina and choroid after strabismus surgery.</p><p><strong>Methods: </strong>The study included 44 eyes from 44 patients who underwent strabismus surgery between August 2020 and December 2021. Among these patients, 9 (20%) underwent horizontal one-muscle surgery, 27 (61%) underwent horizontal two-muscle surgery, and 8 (18%) underwent inferior oblique muscle anteriorization surgery. Optical coherence tomography angiography scans were conducted preoperatively and at 1 day, 1 week, 1 month, and 3 months postoperatively.</p><p><strong>Results: </strong>The outer retinal blood flow showed a significant increase at 1 day postoperatively in horizontal two-muscle and inferior oblique muscle anteriorization surgery, whereas no significant difference was observed between periods in horizontal one-muscle surgery (<i>P</i> = .007). Choriocapillaris blood flow exhibited a significant increase at 1 day and 1 month postoperatively compared to the preoperative period (<i>P</i> < .001). Whole image superficial capillary plexus vascular density was significantly lower at 1 day postoperatively than preoperatively and 1 and 3 months postoperatively (<i>P</i> < .001). Whole image deep capillary plexus vascular density was significantly lower at 1 day than at 1 month postoperatively (<i>P</i> = .002).</p><p><strong>Conclusions: </strong>Following strabismus surgery, temporary changes in the hemodynamic microcirculation in the retina and choroid are observed. A transient decrease in retinal artery blood supply may be noticed, possibly attributed to the reduced anterior segment blood supply. <b>[<i>J Pediatr Ophthalmol Strabismus</i>. 2024;61(6):397-403.]</b>.</p>","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":" ","pages":"397-403"},"PeriodicalIF":1.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472099","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":"Virtual Reality With Eye Tracking for Pediatric Ophthalmology: A Systematic Review.","authors":"Anna Nikolaidou, Athanasia Sandali, Eirini Chatzidimitriou, Dimitra Pantelaki, Theodora Gianni, Lampros Lamprogiannis","doi":"10.3928/01913913-20240620-03","DOIUrl":"10.3928/01913913-20240620-03","url":null,"abstract":"<p><p>Virtual reality presents an efficient and engaging approach to ophthalmological diagnosis and treatment in children. This systematic review investigates the current state of eye tracking technology integrated into virtual reality for the spectrum of pediatric ophthalmology. The search encompassed the MEDLINE database via PubMed, without imposing any time restrictions. A total of 20 relevant studies that met our inclusion criteria were incorporated and categorized into the following domains: diagnosis, examination, treatment, and rehabilitation use of virtual reality devices within the realm of pediatric ophthalmology. Strabismus examinations and postoperative monitoring, inherited retinal degeneration examination and visual function testing, therapy of amblyopia, glaucoma visual field testing, cerebral visual impairment rehabilitation, and neuro-ophthalmic disease examination were included in the final analysis. Pediatric ophthalmology offers a promising landscape for the integration of eye tracking technology within virtual reality, with accelerated, quantifiable, and objective examination and diagnosis, and precise, real-time measurements that are crucial in children. Virtual reality is an engaging experience, easily applied in a pediatric setting and facilitating compliance during examination and adherence to therapy. Although our systematic review provides insights into the current state of research, it is anticipated that further exploration is required for the widespread utilization of eye tracking in virtual reality within pediatric ophthalmology. <b>[<i>J Pediatr Ophthalmol Strabismus</i>. 2024;61(6):381-390.]</b>.</p>","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":" ","pages":"381-390"},"PeriodicalIF":1.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141983736","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":"Reliability of the Mendonça Strabismus Forceps in Locating the Insertion of Extraocular Rectus Muscles in Patients Undergoing Strabismus Surgery.","authors":"Alyne Borges Corrêa, Júlia Dutra Rossetto, Tomás Scalamandré Mendonça","doi":"10.3928/01913913-20240508-08","DOIUrl":"10.3928/01913913-20240508-08","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the reliability of Mendonça strabismus forceps in locating the extraocular rectus muscles in patients undergoing primary strabismus surgery or reoperation. The study also compared the method's efficacy in primary surgeries versus reoperations. The overall goal was to avoid unnecessary surgical exploration, thereby enabling more effective planning and safer surgery.</p><p><strong>Methods: </strong>The study included 41 patients with strabismus undergoing surgical correction. The reliability of the Mendonça strabismus forceps in locating the extraocular rectus muscles was evaluated by comparing preoperative measurements using Mendonça strabismus forceps and Castroviejo forceps to intraoperative measurements made by direct muscle visualization. Differences of 1 mm or less were deemed acceptable.</p><p><strong>Results: </strong>In patients without prior surgery, Mendonça strabismus forceps reliably located all muscles, with measurements consistently within the 1-mm limit. All muscles with previous surgeries were successfully grasped by the forceps, except for one medial rectus muscle with multiple interventions. In reoperations with satisfactory muscle grasp, 88.8% showed coincident measurements. Non-coincidence cases were attributed to anomalous scarring. The method demonstrated simplicity, cost-effectiveness, and no complications in this study.</p><p><strong>Conclusions: </strong>The Mendonça strabismus forceps proved to be a reliable and non-invasive method for locating extraocular rectus muscles insertions without the need for additional imaging. It is a cost-effective, simple, and easily executed method that provides valuable information for surgical decision-making and planning. The method enhances surgical outcomes while reducing risks. <b>[<i>J Pediatr Ophthalmol Strabismus</i>. 2024;61(6):404-409.]</b>.</p>","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":" ","pages":"404-409"},"PeriodicalIF":1.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472016","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":"Levator Resection and Tarsorrhaphy as a Treatment for Bilateral Asymmetric Nystagmus With Oscillopsia.","authors":"Juan Ángel Moreno-Gutiérrez, Ana Flores-Márquez, Encarnación Alijo-Serrano, Susana García-Marcet, Ainsa Ibáñez-García","doi":"10.3928/01913913-20240911-03","DOIUrl":"10.3928/01913913-20240911-03","url":null,"abstract":"<p><p>The authors describe surgical occlusion with levator resection and partial tarsorrhaphy as a treatment for nystagmus with oscillopsia refractory to medical or surgical therapies. This was a case of Bardet-Biedl syndrome with high myopia and acquired sensory pendular nystagmus in both eyes, where a well-known technique was applied to a novel indication. Permanent occlusion of the left eye led to significant improvement in visual acuity and reduced oscillopsia, enhancing the psychological and social functioning. This case highlights the complexity of treating refractory nystagmus with oscillopsia and proposes surgical occlusion as a viable option for improving patient outcomes in severe cases. <b>[<i>J Pediatr Ophthalmol Strabismus</i>. 2024;61(6):e63-e65.]</b>.</p>","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":"61 6","pages":"e63-e65"},"PeriodicalIF":1.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683263","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":"Predictors of No-Show Status: An Analysis of Pediatric Ophthalmology Patients at an Academic Ophthalmology Department in the United States.","authors":"Rucha K Borkhetaria, Zain S Hussain, Vanna Giang, Amanda L Ely","doi":"10.3928/01913913-20240718-02","DOIUrl":"10.3928/01913913-20240718-02","url":null,"abstract":"<p><strong>Purpose: </strong>To identify pediatric patient and appointment characteristics associated with no-show status at a tertiary care pediatric ophthalmology clinic within a U.S. academic ophthalmology department.</p><p><strong>Methods: </strong>A cross-sectional retrospective chart review was performed for all pediatric patients with a scheduled ophthalmology appointment at the Penn State Eye Center between April 1, 2022 and March 31, 2023. A multivariate logistic regression analysis assessed associations between appointment nonattendance and patient characteristics.</p><p><strong>Results: </strong>Of 8,083 scheduled visits, 1,445 (17.9%) were no-shows. Factors associated with no-show status included appointment type (new vs return odds ratio [OR]: 1.43, 95% CI: 1.26 to 1.63, <i>P</i> < .001); lower median household income (< $41,374 vs > $68,957 OR: 1.89, 95% CI: 1.40 to 2.55, <i>P</i> < .001; $41,374 to $68,957 vs > $68,957 OR: 1.27, 95% CI: 1.12 to 1.44, <i>P</i> < .001); non-private insurance (self-pay vs private: OR: 5.65, 95% CI: 3.87 to 8.24, <i>P</i> < .001, Medicaid vs private: OR: 2.17, 95% CI: 2.32 to 3.16, <i>P</i> < .001); commute distance 10 to 30 miles vs < 5 miles (OR: 1.49, 95% CI: 1.11 to 1.99, <i>P</i> = .008); race: unavailable vs White (OR: 2.18, 95% CI: 1.66 to 2.85, <i>P</i> < .001), Black vs White (OR: 1.86, 95% CI:1.53 to 2.27, <i>P</i> < .001), Other vs White (OR: 1.47, 95% CI: 1.27 to 1.70, <i>P</i> < .001); ethnicity: Hispanic vs non-Hispanic (OR: 1.92, 95% CI: 1.62 to 2.27, <i>P</i> < .001); and language preference: Spanish vs English (OR: 1.86, 95% CI: 1.49 to 2.32, <i>P</i> < .001), Nepali vs English (OR: 1.60, 95% CI: 1.06 to 2.43, <i>P</i> = .027), other vs English (OR: 1.83, 95% CI: 1.35 to 2.49, <i>P</i> < .001). Appointment reminders (phone call, <i>P</i> = .013); text message, <i>P</i> < .001; other, <i>P</i> = .013) all resulted in a greater propensity to show, but email communication alone did not (<i>P</i> = .674).</p><p><strong>Conclusions: </strong>Certain patient and appointment characteristics that are linked to a higher rate of no-show status can inform targeted initiatives to improve health care outcomes, resource utilization, and clinical efficiency in the pediatric ophthalmology community. <b>[<i>J Pediatr Ophthalmol Strabismus</i>. 2024;61(6):442-451.]</b>.</p>","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":" ","pages":"442-451"},"PeriodicalIF":1.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141983766","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":"Isolated Idiopathic Inferior Rectus Myositis: Taming a Rare Disease at a Rare Site.","authors":"Shashikant Shetty, Athira Devaraj, Usha Kim, Permulasamy Vijayalakshmi, Sneha Padurangan","doi":"10.3928/01913913-20240911-01","DOIUrl":"https://doi.org/10.3928/01913913-20240911-01","url":null,"abstract":"<p><p>The authors report a case of a 66-year-old man with sudden-onset diplopia and redness in the left eye. The examination revealed left hypotropia with exotropia and limited elevation. Contrast-enhanced computed tomography and histopathology suggested inferior rectus myositis with fibrosis. The patient was treated with steroid pulse therapy, followed by slow tapering. Later, the patient underwent surgical strabismus correction. He remained diplopia-free with an excellent cosmetic outcome and minimal elevation deficit 12 months postoperatively. <b>[<i>J Pediatr Ophthalmol Strabismus</i>. 2024;61(6):e59-e62.]</b>.</p>","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":"61 6","pages":"e59-e62"},"PeriodicalIF":1.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683260","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":"Concurrent Optic Disc Situs Inversus and Prepapillary Vascular Loop.","authors":"Tanvi Gaonker, Aashi Jain, Paromita Dutta","doi":"10.3928/01913913-20240508-01","DOIUrl":"https://doi.org/10.3928/01913913-20240508-01","url":null,"abstract":"","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":"61 6","pages":"452"},"PeriodicalIF":1.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683258","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":"Effectiveness of Dichoptic Therapy for Treating Mild to Moderate Amblyopia in a Tertiary Eye Care Center in South India.","authors":"Sandra Ganesh, Rebecca Claire Lusobya, Jeyshree Balasubramanian, Jogitha, Kalpana Narendran, Mohammed Sithiq Uduman, John Mukisa","doi":"10.3928/01913913-20240521-03","DOIUrl":"10.3928/01913913-20240521-03","url":null,"abstract":"<p><strong>Purpose: </strong>To contribute evidence about the effectiveness of dichoptic therapy in patients with mild to moderate amblyopia.</p><p><strong>Methods: </strong>A retrospective study was conducted in patients enrolled for dichoptic therapy on the Bynocs AmblyGo platform (Kanohi Eye Pvt Ltd) from January to August 2023. Data collected included logarithm of the minimum angle of resolution best corrected visual acuity, anterior and posterior segment examination, fixation pattern, dynamic and cycloplegic refraction, orthoptic evaluation, and number of dichoptic therapy sessions. Visual acuity, binocularity, and stereopsis before and after therapy were analyzed.</p><p><strong>Results: </strong>Of 59 patients (median age: 11 years, range: 5 to 30 years) enrolled, 34 (57.6%) had anisometropic amblyopia, 12 (20.3%) had ametropic amblyopia, 10 (17.0%) had strabismic amblyopia, and 3 (5.1%) had deprivation amblyopia. All 6 (10.2%) and 15 (22.4%) patients who had no binocular single vision for near and distance before therapy, respectively, attained normal binocular single vision on completion, except one who suppressed at distance. Twenty-one (75.0%) had improved near stereopsis, and 21 (60.0%) had improved distance stereopsis. Of 74 eyes treated, 61 (82.4%) had improved visual acuity and 73 (98.6%) improved in at least one tested parameter. A majority of these eyes had residual amblyopia after occlusion therapy.</p><p><strong>Conclusions: </strong>Dichoptic therapy improves visual acuity, binocularity, and stereoacuity in patients with amblyopia, including those older than 8 years, especially in partial deprivation, ametropic, and anisometropic amblyopia. <b>[<i>J Pediatr Ophthalmol Strabismus</i>. 2024;61(6):416-424.]</b>.</p>","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":" ","pages":"416-424"},"PeriodicalIF":1.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472096","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":"A Cohort Study to Evaluate the Evolution of the Optic Nerve Head Parameters and Inner Retinal Thickness During Childhood.","authors":"Rita Gama, Rute Sousa da Costa, Sylvia Gaspar, Joana Chambel Santos, Daniela Cândido da Costa","doi":"10.3928/01913913-20240521-01","DOIUrl":"10.3928/01913913-20240521-01","url":null,"abstract":"<p><strong>Purpose: </strong>To compare children's stereometric optic disc parameters and inner retinal thickness measured by optical coherence tomography (OCT) in two different moments in life in the same children and to establish a correlation between the optic nerve head (ONH) area and the difference of these parameters in the two observations.</p><p><strong>Methods: </strong>In this observational cohort, children were evaluated on two occasions: at 6.7 ± 1.6 and 13.2 ± 0.7 years of age. Cup volume, neuroretinal rim (NRR) area, average cup-to-disc ratio, peripapillary retinal nerve fiber layer (pRNFL), and ganglion cell inner plexiform layer (GCIPL) were measured by the Cirrus HD-OCT (Carl Zeiss Meditec AG).</p><p><strong>Results: </strong>A total of 175 children were included, 89 boys (50.9%) and 86 girls (49.1%). There was a significant decrease of the NRR area (<i>P</i> < .001) and increase of the cup volume (<i>P</i> < .001) on the second observation. The pRNFL thickness and GCIPL thickness also decreased (<i>P</i> < .001 and <i>P</i> = .002, respectively). There was a positive correlation between the ONH area and the difference of the cup volume (<i>P</i> = .047; <i>r</i> = 0.102) and a negative correlation with the difference of the NRR area (<i>P</i> < .001; <i>r</i> = 0.237).</p><p><strong>Conclusions: </strong>During childhood, there is an increase of the cup volume, a decrease of the NRR area, and a decrease of inner retinal layer thickness (more significant in the superior and inferior quadrants) measured by OCT. This study demonstrates that in children with large discs the enlargement of the cup and decrease of the NRR is more evident. Considering these changes, the physiological enlargement of the cup in a child with a large disc can be misinterpreted as the development of a glaucomatous lesion. <b>[<i>J Pediatr Ophthalmol Strabismus</i>. 2024;61(6):410-415.]</b>.</p>","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":" ","pages":"410-415"},"PeriodicalIF":1.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472095","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}