Journal of Aapos最新文献

{"title":"Small-angle vertical strabismus treatment in the elderly","authors":"Harry Mason MBBS ,&nbsp;Caroline Kilduff MBBS ,&nbsp;Saurabh Jain MBBS, FRCOphth","doi":"10.1016/j.jaapos.2025.104177","DOIUrl":"10.1016/j.jaapos.2025.104177","url":null,"abstract":"<div><h3>SUMMARY</h3><div>Small vertical fusion amplitudes complicate the management of small-angle vertical strabismus in the elderly, and innovative procedures have the potential to facilitate effective treatment options in these patients. To identify and evaluate alternative procedures for the treatment of small-angle vertical strabismus in the elderly, we conducted a comprehensive literature search in PubMed and Google Scholar. Here, we identify and evaluate new surgical techniques that target small-angle vertical strabismus, including graded partial tenotomy, partial tendon recession, minitenotomy, and miniplication. All procedures have shown promise in offering alternatives to standard recession surgery, although patient selection appears to be paramount in optimizing outcomes. Further study is required to validate their efficacy and evaluate long-term outcomes.</div></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":"29 2","pages":"Article 104177"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617250","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":"Circumferential gonioscopy-assisted transluminal trabeculotomy as first-line treatment for primary congenital glaucoma","authors":"Shikha Gupta MD,&nbsp;Arnav Panigrahi MD,&nbsp;Shakha MD,&nbsp;Swetank Sinha MBBS,&nbsp;Viney Gupta MD","doi":"10.1016/j.jaapos.2025.104121","DOIUrl":"10.1016/j.jaapos.2025.104121","url":null,"abstract":"<div><div>Gonioscopy-assisted transluminal trabeculotomy (GATT), especially suture-GATT, has been gaining acceptance widely among pediatric glaucoma surgeons because of its ability to lower intraocular pressure while treating the whole of the trabecular meshwork in a single session and its cost-effectiveness. To date, its use in congenital glaucoma patients has been discussed less in the literature, with some studies based on heterogenous populations. We report our preliminary results of suture-GATT performed in 40 eyes of a homogenous cohort of 25 primary congenital glaucoma patients.</div></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":"29 2","pages":"Article 104121"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374827","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":"More than double","authors":"Eric D. Gaier MD, PhD","doi":"10.1016/j.jaapos.2025.104161","DOIUrl":"10.1016/j.jaapos.2025.104161","url":null,"abstract":"","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":"29 2","pages":"Article 104161"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574538","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":"Comparative analysis of clinical features following inferior oblique recession surgery for unilateral congenital superior oblique palsy","authors":"Eunseok Kang MD,&nbsp;Suk-Gyu Ha MD, PhD","doi":"10.1016/j.jaapos.2025.104169","DOIUrl":"10.1016/j.jaapos.2025.104169","url":null,"abstract":"<div><h3>Purpose</h3><div>To assess changes in three clinical features (hypertropia in primary gaze, head tilt, and fundus extorsion) following inferior oblique recessions in patients with unilateral congenital superior oblique palsy (SOP).</div></div><div><h3>Methods</h3><div>We retrospectively reviewed medical records of patients with unilateral congenital SOP who underwent inferior oblique recession at our center between 2020 and 2023. Patients were excluded if they had amblyopia, hypertropia &gt;20^Δ in primary gaze, bilateral SOP, acquired SOP due to head trauma, neurological causes, or cerebrovascular diseases, or a history of previous strabismus surgery. The pre- and postoperative measurements of hypertropia in primary gaze, head tilt, and fundus extorsion were analyzed, and postoperative improvement was calculated as the percentage reduction from the preoperative value. Correlations between outcomes with regard to the amount of postoperative improvement were analyzed.</div></div><div><h3>Results</h3><div>A total of 81 patients were included. Mean preoperative hypertropia was 11.6^Δ, head tilt was 15.1°, and fundus extorsion was 11.0°. The postoperative follow-up period was 15.4 months. The average amount of postoperative improvement was 77% for hypertropia, 58% for head tilt, and 75% for fundus extorsion. Improvements in hypertropia and fundus extorsion were significantly correlated (<em>R</em>^<em>2</em> = 0.403, <em>P</em> &lt; 0.001); however, improvements in hypertropia and head tilt (<em>R</em>^<em>2</em> = 0.0011, <em>P</em> = 0.36) and head tilt and extorsion (<em>R</em>^<em>2</em> = 2.190, <em>P</em> = 0.967) were not significantly correlated.</div></div><div><h3>Conclusions</h3><div>Hypertropia in primary gaze and fundus extorsion improved more than head tilt, and the improvements were significantly correlated.</div></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":"29 2","pages":"Article 104169"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587902","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":"Practices of a United States school-based vision program in referring children to community eye care","authors":"Christina M. Ambrosino BS ,&nbsp;Xinxing Guo MD, PhD ,&nbsp;Andrew Nguyen MD ,&nbsp;Medha Kallem BS ,&nbsp;Xi Dai MD ,&nbsp;Nicholas Kourgialis MA ,&nbsp;Michael X. Repka MD, MBA ,&nbsp;David S. Friedman MD, PhD ,&nbsp;Megan E. Collins MD, MPH","doi":"10.1016/j.jaapos.2025.104164","DOIUrl":"10.1016/j.jaapos.2025.104164","url":null,"abstract":"<div><h3>Background</h3><div>School-based vision programs (SBVPs) can increase children’s access to eye care services, yet some children have needs beyond the scope of SBVPs and require referral to community providers. We describe the referral practices of a large United States SBVP.</div></div><div><h3>Methods</h3><div>A retrospective, cross-sectional analysis was conducted using data from pre-Kindergarten through grade 12 students (5-22 years of age) who underwent an SBVP eye examination after a failed vision screening. Data on student demographics, refractive error, and school-level indicators of socioeconomic disadvantage were extracted. The proportion of students referred to community eye care was assessed. Mixed-effects logistic regression models were implemented to understand associations between referral status and student-or school-level characteristics.</div></div><div><h3>Results</h3><div>Of 97,107 students, 72,814 (75.0%) received eyeglasses and 13,884 (14.3%) were referred to community providers. Referrals were more common among younger students and those with greater school-level indicators of socioeconomic disadvantage. Compared with students with emmetropia, students with high hyperopia (OR = 7.21; 95% CI, 5.77-9.01) and high myopia (OR =3.70; 95% CI, 3.36-4.05) were more likely to be referred. Frequent referral reasons included refractive error (42.1%), amblyopia suspect (26.6%), and uncorrectable vision (26.1%). Nonreferred students were more likely to receive eyeglasses prescriptions (85.9% vs 9.4%).</div></div><div><h3>Conclusions</h3><div>SBVPs can address most uncorrected refractive error within the school setting, but a substantial proportion of students need further evaluation. Young students and those with high refractive error are more likely to require referral. SBVPs may benefit from developing resources and community networks to support students’ referral completion.</div></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":"29 2","pages":"Article 104164"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587938","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":"Retinal findings in pediatric idiopathic intracranial hypertension","authors":"Michael T. Curley MD ,&nbsp;Gena Heidary MD, PhD ,&nbsp;Eric D. Gaier MD, PhD ,&nbsp;Ryan Gise MD","doi":"10.1016/j.jaapos.2025.104179","DOIUrl":"10.1016/j.jaapos.2025.104179","url":null,"abstract":"<div><h3>Background</h3><div>Pediatric and adult idiopathic intracranial hypertension (IIH) have distinct clinical features. Retinal manifestations associated with adult IIH are well known and can limit visual function; however, data detailing these manifestations in pediatric IIH are sparse. The purpose of this study was to identify the range and effects of retinal manifestations in pediatric IIH focusing on associated visual and structural outcomes.</div></div><div><h3>Methods</h3><div>The medical records of IIH patients from an academic children’s hospital between 1998 and 2022 were reviewed retrospectively. Patients meeting diagnostic criteria for IIH without other concomitant retinal disease of alternate etiology were included. We evaluated demographics, visual function, and structural correlates longitudinally, and discernible retinal pathology based on fundus photography and optical coherence tomography was recorded.</div></div><div><h3>Results</h3><div>Of the 253 patients with IIH, 24 (9.5%) had retinal manifestations, including 20 (7.9%) with retinal folds, 15 (5.9%) with macular exudates, 11 (4.3%) with subretinal fluid and 1 (0.4%) with a choroidal neovascular membrane. Baseline (<em>P</em> &lt; 0.001) and final (<em>P</em> = 0.013) visual acuities were significantly lower in patients with retinal findings than those without. Eight patients (33.3%) had persistent retinal damage after the resolution of optic nerve edema. The presence of optic nerve atrophy after treatment was significantly higher in patients with retinal findings than those without (<em>P</em> &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>In our study cohort, retinal pathology was seen in a minority of pediatric IIH patients and persisted in many cases following resolution of papilledema. Retinal pathology in pediatric IIH was associated with worse visual function and outcomes and likely reflects worse disease severity. The extent to which retinal disease in IIH might contribute to vision loss remains unclear.</div></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":"29 2","pages":"Article 104179"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634930","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":"Etiologies underlying pediatric papilledema at a tertiary care children’s hospital","authors":"Andrew F. Fischer MD ,&nbsp;George Muntean MD ,&nbsp;Valérie Biousse MD ,&nbsp;Nancy J. Newman MD ,&nbsp;Jason H. Peragallo MD","doi":"10.1016/j.jaapos.2025.104158","DOIUrl":"10.1016/j.jaapos.2025.104158","url":null,"abstract":"<div><h3>Background</h3><div>Pediatric papilledema is a common reason for ophthalmology evaluation in high acuity emergency department and inpatient settings. This study describes the frequency of consultation, causative diagnoses, and presenting characteristics of papilledema at a tertiary care children’s hospital.</div></div><div><h3>Methods</h3><div>All consecutive patients seen in pediatric ophthalmology consultation or diagnosed with papilledema at a large children’s hospital between January 1, 2021, and August 18, 2023, were retrospectively reviewed. Patients with papilledema (disk edema from elevated intracranial pressure) were identified and included in the analysis. Clinical characteristics of their presentations and the diagnoses underlying their elevated intracranial pressures were obtained. Age stratification into three groups for additional analysis was performed.</div></div><div><h3>Results</h3><div>A total of 71 patients were identified with papilledema. Mean patient age was 13 ± 5.2 years (range, 0-20 years), and 68% of patients were girls. The overall rate of papilledema diagnosis among all unique patient consultations was 3.7%. Papilledema was caused by idiopathic intracranial hypertension (IIH) in 36 cases (51%), and 35 cases (49%) were due to secondary causes of IHH with serious vision- and life-threatening implications. IIH was most common in children &gt;12 years of age, comprising 60% of papilledema cases in the age group.</div></div><div><h3>Conclusions</h3><div>Pediatric papilledema is associated with a wide range of extremely serious underlying conditions that require a comprehensive, multidisciplinary evaluation in an emergency setting.</div></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":"29 2","pages":"Article 104158"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568737","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":"Pediatric isolated oculomotor nerve palsy induced by peduncular atypical teratoid/rhabdoid tumor: case report and literature review","authors":"Tung Thanh Hoang MD, MOphth ,&nbsp;Thuong Duc Ho MD, PhD ,&nbsp;Prem S Subramanian MD, PhD","doi":"10.1016/j.jaapos.2025.104173","DOIUrl":"10.1016/j.jaapos.2025.104173","url":null,"abstract":"<div><div>Central nervous system atypical teratoid/rhabdoid tumor (ATRT) is a rare and highly aggressive malignancy. We present the case of a 4-year-old girl with ATRT whose initial clinical sign was acute isolated oculomotor nerve palsy. While initial imaging was interpreted as normal, repeat cerebral magnetic resonance imaging with contrast indicated a compressive lesion in the left side of interpeduncular cistern. The patient underwent a craniotomy for tumor removal but expired before the first planned chemotherapy course.</div></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":"29 2","pages":"Article 104173"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588008","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":"Information for Readers","authors":"","doi":"10.1016/S1091-8531(25)00086-2","DOIUrl":"10.1016/S1091-8531(25)00086-2","url":null,"abstract":"","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":"29 2","pages":"Article 104188"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143820272","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":"Acquired torticollis due to an ocular surface foreign body","authors":"Yapei Zhang MD ,&nbsp;Marguerite C. Weinert MD ,&nbsp;Andrew J. Schneier MD ,&nbsp;Lisa H. Merck MD, MPH ,&nbsp;David G. Hunter MD, PhD ,&nbsp;Eric D. Gaier MD, PhD","doi":"10.1016/j.jaapos.2024.104097","DOIUrl":"10.1016/j.jaapos.2024.104097","url":null,"abstract":"<div><div>Ocular torticollis is traditionally attributed to eye misalignment, nystagmus, ptosis, or refractive error. We present 3 pediatric cases of acquired torticollis caused by a foreign body beneath the upper eyelid. The head posturing presumably developed to minimize contact of the foreign body with the corneal surface and mitigate ocular discomfort. Torticollis resolved in all cases after removal of the foreign bodies. These cases demonstrate that acquired torticollis in a child can be a clinical sign of an ocular surface foreign body.</div></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":"29 2","pages":"Article 104097"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923833","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}