Tobin B T Thuma, Rebecca F Silverman, Jasmine H Francis, David H Abramson
{"title":"Capturing Bilateral Retinoblastoma.","authors":"Tobin B T Thuma, Rebecca F Silverman, Jasmine H Francis, David H Abramson","doi":"10.3928/01913913-20240508-07","DOIUrl":"10.3928/01913913-20240508-07","url":null,"abstract":"","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":" ","pages":"76"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141181245","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}
Diana Perez-Garcia, Victor Aguado-Casanova, Patricia Ramiro-Millan, Juan Ibañez-Alperte, Leon Remon
{"title":"Posterior Fixation Suture in the Transposition of the Inferior Oblique Muscle for Traumatic Loss of the Inferior Rectus Muscle.","authors":"Diana Perez-Garcia, Victor Aguado-Casanova, Patricia Ramiro-Millan, Juan Ibañez-Alperte, Leon Remon","doi":"10.3928/01913913-20241210-05","DOIUrl":"10.3928/01913913-20241210-05","url":null,"abstract":"<p><p>A 64-year-old woman suffered a traumatic rupture of the inferior rectus muscle, with the distal segment unrecoverable. An inferior oblique muscle transposition, augmented with a posterior fixation suture, was performed. This modification may have contributed to the surgical outcome. <b>[<i>J Pediatr Ophthalmol Strabismus</i>. 2025;62(1):e14-e17.]</b>.</p>","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":"62 1","pages":"e14-e17"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025613","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 Reliability of YouTube as an Information Resource for Parents About Retinopathy of Prematurity.","authors":"Goksu Alacamli, Konuralp Yakar","doi":"10.3928/01913913-20240911-04","DOIUrl":"10.3928/01913913-20240911-04","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the quality and reliability of YouTube videos about retinopathy of prematurity (ROP) to direct parents of infants with the disease to access more accurate content.</p><p><strong>Methods: </strong>The term \"retinopathy of prematurity\" has been searched on YouTube containing all of the videos between January 2 and February 2, 2024. The first 200 videos were evaluated by two ophthalmologists. Duplicated-split videos, videos shorter than 60 seconds, videos presented in languages other than English or with an incomprehensible accent, and videos unrelated to ROP were excluded. Video uploaders, types, continental origins, durations, and viewer interactions were noted. DISCERN, The <i>Journal of the American Medical Association</i> (JAMA), and the Global Quality Score (GQS) scoring systems were used to evaluate the quality of the videos.</p><p><strong>Results: </strong>The mean quality of all videos was poor in all scoring systems. Academic societies and medical institutes scored highest in video uploaders, followed by physicians; patient experience videos had the lowest quality. Of the video types, the medical education seminars were of the highest quality. Although a strong positive correlation was detected between video duration and video quality, this same strong correlation was not observed between viewer interactions and video quality. There was no significant difference between video origins in terms of video quality.</p><p><strong>Conclusions: </strong>It would be wiser to direct the parents of patients with ROP to watch longer videos uploaded by the academic community, medical institute, or physicians, and to watch the medical training seminars. Also, it might be important to warn them not to take user interactions too seriously. <b>[<i>J Pediatr Ophthalmol Strabismus</i>. 2025;62(1):42-49.]</b>.</p>","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":" ","pages":"42-49"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512107","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":"Orbital Myositis and Strabismus: Clinical Profile, Management, and Predictive Factors for Recurrence.","authors":"Adeline Shona Lasrado, Goura Chattannavar, Saumya Jakati, Ashik Mohamed, Ramesh Kekunnaya","doi":"10.3928/01913913-20240926-04","DOIUrl":"10.3928/01913913-20240926-04","url":null,"abstract":"<p><strong>Purpose: </strong>To study the clinical profile of patients with orbital myositis and their management modalities and predictive factors for recurrence.</p><p><strong>Methods: </strong>The records of all consecutive patients diagnosed as having orbital myositis from 2010 to 2022 were reviewed. Patient demographics, presenting complaints, visual function, primary gaze deviation, and extraocular muscle involved were studied in the clinical profile. The radiological modalities and their management along with the recovery status and need for surgical intervention were documented.</p><p><strong>Results: </strong>Fifty-two patients (55 eyes) (69% women) were diagnosed as having orbital myositis with a mean age of 36 ± 16 years presenting with periocular pain (55%) followed by diplopia (49%). Disease was unilateral in 94%. Sixty percent had ocular misalignment in primary gaze. The medial rectus was the most involved muscle (58%), with abduction limitation in 73%. Computed tomography (42%), magnetic resonance imaging (42%), and combined imaging (16%) were used in localizing the disease. Muscle biopsy was done in 38% of patients. Systemic immunomodulators were required in 16%. Strabismus surgery was planned in 15% of patients and done in 11%. Recurrence was noted in 43%. Abrupt cessation of steroids was a significant risk factor in recurrence of the disease (<i>P</i> = .046). Recovery was partial in 44% of patients and complete in 47%.</p><p><strong>Conclusions: </strong>Systemic steroids with slow taper has satisfactory outcomes in orbital myositis. Patients refractory to treatment ideally should undergo biopsy and begin taking steroid-sparing agents. Once the disease is in remission, residual disease can be surgically treated for better functional outcome. <b>[<i>J Pediatr Ophthalmol Strabismus</i>. 2025;62(1):57-66.]</b>.</p>","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":" ","pages":"57-66"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512106","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}
Ryung S Lee, Richard F Sofoluke, Saif A Alryalat, Osama A Deyabat, Edward Kuwera, Andrew G Lee
{"title":"Delayed Sensory Exotropia With Retained Metallic Intraorbital Foreign Body.","authors":"Ryung S Lee, Richard F Sofoluke, Saif A Alryalat, Osama A Deyabat, Edward Kuwera, Andrew G Lee","doi":"10.3928/01913913-20241104-02","DOIUrl":"10.3928/01913913-20241104-02","url":null,"abstract":"<p><p>This report describes the longest case of a retained metallic intraorbital foreign body with no complications and development of delayed sensory exotropia following traumatic sclopetaria in childhood. A 9-year-old girl suffered a BB gun injury to the left eye, leading to chorioretinitis sclopetaria and loss of vision. The visual acuity was 20/800 with a relative afferent pupillary defect and choroidal rupture with subretinal hemorrhage that evolved to sclopetaria over time. Computed tomography of the orbit demonstrated the BB foreign body. A sensory exotropia of 30 prism diopters developed over time. Sclopetaria is an uncommon sequela of tangential but high velocity, non-penetrating, projectile injury to the globe. The force is sufficient to rupture the retina and choroid but not enough to rupture the globe. Most of the literature has focused on the initial management and visual outcomes for sclopetaria, not on the late sequelae, including ocular motility and alignment. Clinicians should take additional precautions in the surgical management of delayed sensory exotropia. <b>[<i>J Pediatr Ophthalmol Strabismus</i>. 2025;62(1):e4-e7.]</b>.</p>","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":"62 1","pages":"e4-e7"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025608","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}
Nancy Arias-González, Giselle DeOliveira, Audina M Berrocal
{"title":"Full Exudative Retinal Detachment as a Cause of Leukocoria in a 22-Month-Old Boy.","authors":"Nancy Arias-González, Giselle DeOliveira, Audina M Berrocal","doi":"10.3928/01913913-20241105-01","DOIUrl":"https://doi.org/10.3928/01913913-20241105-01","url":null,"abstract":"","PeriodicalId":50095,"journal":{"name":"Journal of Pediatric Ophthalmology & Strabismus","volume":" ","pages":"1"},"PeriodicalIF":1.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773954","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}
Malcolm M Kates, Morghan Sahawneh, Robert Tauscher
{"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}
Cengiz Gül, Hatice Bilge Araz Erşan, Murat Karapapak, Dilek Güven
{"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}