{"title":"Strabismus surgery for patients with acquired nonaccommodative esotropia based on monocular occlusion test.","authors":"Babak Masoomian, Niwar Othman, Arash Mirmohammadsadeghi, Mohammad Reza Akbari, Masoud Khorrami-Nejad, Motahhareh Sadeghi","doi":"10.1016/j.jaapos.2024.104031","DOIUrl":"https://doi.org/10.1016/j.jaapos.2024.104031","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the outcome of surgery based on a monocular occlusion test in patients with acquired nonaccommodative esotropia (ANAET).</p><p><strong>Methods: </strong>Patients with ANAET in which the angle of esodeviation increased by at least 10<sup>Δ</sup> after 1 hour of monocular patching were enrolled prospectively.</p><p><strong>Results: </strong>A monocular occlusion test was performed for 32 patients, of whom 14 patients showed significant change in the angle of esotropia. The mean age was 21.4 (range, 5-50) years, and 8 (57%) were females. The mean spherical equivalent was 0.24 D for right eyes and 0.35 D for left eyes. The mean angle of esotropia before occlusion was 9.9<sup>Δ</sup> ± 6.4<sup>Δ</sup> (range, 2<sup>Δ</sup>-20<sup>Δ</sup>) for distance and 13.8<sup>Δ</sup> ± 6.6<sup>Δ</sup> (range, 4.5<sup>Δ</sup>-25<sup>Δ</sup>) for near. The mean angle of esotropia after monocular occlusion was 22.3<sup>Δ</sup> ± 5.1<sup>Δ</sup> (range, 12<sup>Δ</sup>-30<sup>Δ</sup>) for distance and 24.6<sup>Δ</sup> ± 6.2<sup>Δ</sup> (range, 12<sup>Δ</sup>-32.5<sup>Δ</sup>) for near. Bimedial rectus muscle recession was performed for all the patients according to near esotropia after 1 hour of monocular occlusion. Patients were followed for 12 months. Final mean angle of esodeviation was 1.0<sup>Δ</sup> ± 2.2<sup>Δ</sup> (range, 0<sup>Δ</sup>-6<sup>Δ</sup>) for distance and 3.6<sup>Δ</sup> ± 3.2<sup>Δ</sup> (range, 0<sup>Δ</sup>-10<sup>Δ</sup>) for near. But for a single case, patients achieved alignment <8<sup>Δ</sup> of esodeviation after surgery. There was no report of diplopia or other complications postoperatively.</p><p><strong>Conclusions: </strong>The findings advocate incorporating monocular occlusion into the preoperative assessment to determine the surgical target in ANAET patients.</p>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142591909","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 rare case of infantile acute polymicrobial dacryocystitis due to Serratia marcescens, Haemophilus aphrophilus, and Prevotella intermedia.","authors":"Marina Shenouda, Agni Kakouri, Timothy J McCulley, Ying Chen","doi":"10.1016/j.jaapos.2024.104019","DOIUrl":"https://doi.org/10.1016/j.jaapos.2024.104019","url":null,"abstract":"<p><p>Infantile acute dacryocystitis is an acute inflammation of the lacrimal sac in infants. The most common pathogens are Gram-positive cocci and Gram-negative rods. We report a case of infantile polymicrobial acute dacryocystitis. A 6-week-old girl presented emergently with eye edema, discharge, and fever. Symptoms resolved with nasolacrimal probing and systemic antibiotics. Intraoperative cultures were positive for Serratia marcescens, Haemophilus aphrophilus, and Prevotella intermedia. This case highlights the importance of considering uncommon pathogens in the etiology of infantile dacryocystitis.</p>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479610","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}
Journal of AaposPub Date : 2024-10-14DOI: 10.1016/j.jaapos.2024.104018
Natalia Correa-Venegas, Tiki Ewing, Jane Gardiner, Alfonso Iovieno, Christopher Lyons
{"title":"Clear lens extraction and intraocular lens implantation to correct extreme myopia after retinopathy of prematurity.","authors":"Natalia Correa-Venegas, Tiki Ewing, Jane Gardiner, Alfonso Iovieno, Christopher Lyons","doi":"10.1016/j.jaapos.2024.104018","DOIUrl":"https://doi.org/10.1016/j.jaapos.2024.104018","url":null,"abstract":"","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479611","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}
Journal of AaposPub Date : 2024-10-10DOI: 10.1016/j.jaapos.2024.104017
Khaled G Almasri, Arif O Khan, Nicola G Ghazi
{"title":"Amniotic membrane graft for persistent macular hole following retinal detachment repair in Knobloch syndrome.","authors":"Khaled G Almasri, Arif O Khan, Nicola G Ghazi","doi":"10.1016/j.jaapos.2024.104017","DOIUrl":"10.1016/j.jaapos.2024.104017","url":null,"abstract":"<p><p>We report the case of a 7-year-old girl with Knobloch syndrome who presented with retinal detachment due to a macular hole, which was treated with vitrectomy and silicone oil tamponade. The macular hole persisted, and recurrent silicone oil emulsification required exchanges, with two subsequent vitrectomies. Finally, an amniotic membrane graft was used to seal the macular hole in an effort to avoid silicone oil dependence for retinal attachment. The macular hole was successfully closed, and the retina remained attached 6 months after surgery.</p>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142407165","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":"Long-term follow-up of ocular involvement in hereditary mucoepithelial dysplasia","authors":"Sepehr Feizi MD, MSc , Mohammadreza Tahavvori MD , Seyed-Bagher Hosseini MD , Goldis Espandar MD , Peyman Mohammadi Torbati MD , Hamed Esfandiari MD","doi":"10.1016/j.jaapos.2024.103997","DOIUrl":"10.1016/j.jaapos.2024.103997","url":null,"abstract":"<div><div>An 11-month-old boy with nonscarring alopecia was referred for ophthalmic evaluation because of photophobia from the age of 4 months. Whole-exome sequencing identified a heterozygous mutation in the <em>SREBF1</em> gene, confirming the diagnosis of hereditary mucoepithelial dysplasia. Ocular examination revealed meibomian gland dysfunction and superficial corneal vascularization and opacity. Impression cytology of the sclerocorneal limbus revealed atypical epithelial cells. The patient received treatment for meibomian gland dysfunction, dry eye, and ocular surface inflammation. With appropriate management and close follow-up over 7 years, corneal opacity improved greatly.</div></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299933","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}
Journal of AaposPub Date : 2024-10-01DOI: 10.1016/j.jaapos.2024.104002
Sharmila Segar MD , Amanda Ismail MD , Riya Shah BS , Chaesik Kim BSEE , Aditi Kappagantu BS , John Roarty MD
{"title":"Long-term outcomes of Ahmed glaucoma drainage device capsulectomies in pediatric glaucoma patients","authors":"Sharmila Segar MD , Amanda Ismail MD , Riya Shah BS , Chaesik Kim BSEE , Aditi Kappagantu BS , John Roarty MD","doi":"10.1016/j.jaapos.2024.104002","DOIUrl":"10.1016/j.jaapos.2024.104002","url":null,"abstract":"<div><h3>Purpose</h3><div>To investigate the long-term outcomes associated with Ahmed glaucoma device capsulectomy in pediatric patients at a single institution over a period of nearly 10 years, from 2011 to 2021.</div></div><div><h3>Methods</h3><div>We retrospectively reviewed the medical records of pediatric glaucoma patients with FP-7 Ahmed glaucoma device capsulectomies performed by three surgeons. Surgical success was defined as post-capsulectomy IOP of <21 mm Hg at most recent follow-up without need for additional procedures, regardless of topical medications.</div></div><div><h3>Results</h3><div>A total of 22 capsulectomies of 22 eyes of 18 patients aged 1-17 years were reviewed. Median post-capsulectomy follow-up was 5.8 years. Etiologies of glaucoma were primary congenital glaucoma (50%), anterior segment dysgenesis (32%), Sturge-Weber syndrome (14%), and angle recession (5%). Pre-capsulectomy IOP was 30 ± 6.2 mm Hg, with first postoperative IOP of 15 ± 8.0 mm Hg. Surgical success was achieved with 5 capsulectomies (23%), with follow-up of 1.5-5.9 years. Post-capsulectomy complications included short-term hypotony in 1 eye (5%) and macular edema in 1 eye (5%). Eleven of 22 eyes (50%) had at least one repeat placement of Ahmed glaucoma device, with median time to repeat surgery of 80 months.</div></div><div><h3>Conclusions</h3><div>In pediatric glaucoma patients with glaucoma drainage device encapsulation, capsulectomy likely does not prevent additional surgery in most children over the long term, but may serve as a temporizing measure before other interventions.</div></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299942","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}
Journal of AaposPub Date : 2024-10-01DOI: 10.1016/j.jaapos.2024.104010
Yulia Haraguchi BA , Zeina Salem MD , Noor Ghali MS , Arianne Zeng BS , Faruk H. Örge MD
{"title":"The effect of age on congenital nasolacrimal duct obstruction probing and stent intubation outcomes in pediatric Down syndrome patients","authors":"Yulia Haraguchi BA , Zeina Salem MD , Noor Ghali MS , Arianne Zeng BS , Faruk H. Örge MD","doi":"10.1016/j.jaapos.2024.104010","DOIUrl":"10.1016/j.jaapos.2024.104010","url":null,"abstract":"<div><h3>Purpose</h3><div>To examine the effect of age at time of congenital nasolacrimal duct obstruction (CNLDO) intervention on symptom resolution and reoperation rates in patients with Down syndrome (DS).</div></div><div><h3>Methods</h3><div>The medical records of patients with DS and CNLDO between 2012 and 2021 were reviewed retrospectively. Age at the time of first stent placement was utilized to categorize patients into age groups <3 and >3 years of age. Epiphora resolution at last office visit and restenting rate were used as outcome measures.</div></div><div><h3>Results</h3><div>A total of 49 patients with DS and CLNDO were identified between 2012 and 2021; of these, 17 had received surgical stent placement with appropriate follow-up. Epiphora resolution (<em>X</em><sup><em>2</em></sup><sub><em>1</em></sub> <em>=</em> 0.78, <em>P</em> = 0.33), restenting rate (<em>X</em><sup><em>2</em></sup><sub><em>1</em></sub> = 2.84, <em>P</em> = 0.09), cumulative stent duration (<em>P</em> = 0.33) and number of stent placement operations (<em>P</em> = 0.98) were not significantly different between the age groups. There was no significant difference between stent duration <1 year or >1 year with regard to epiphora resolution (<em>X</em><sup><em>2</em></sup><sub><em>1</em></sub> = 0.91, <em>P</em> = 0.34).</div></div><div><h3>Conclusions</h3><div>Success of stent placement and reoperation rates among patients with DS and CNLDO were not associated with age and duration of stent intubation. Intervention at later ages may still be beneficial for symptom resolution in patients with DS.</div></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299949","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":"Risk factors for suprachoroidal hemorrhage associated with glaucoma surgery in children: a case–control study","authors":"Rakan Algorinees MD , Abdulrahman Alhomoud MD , Ashwaq Al-Abeeri MD , Abdulrahman Al-Gaeed BSc , Priscilla Gikandi MPH , Rizwan Malik MD, PhD","doi":"10.1016/j.jaapos.2024.103973","DOIUrl":"10.1016/j.jaapos.2024.103973","url":null,"abstract":"<div><h3>Purpose</h3><div>To assess the risk factors for suprachoroidal hemorrhage (SCH) following glaucoma surgery in pediatric patients at a tertiary eye center.</div></div><div><h3>Methods</h3><div>The medical records of 326 patients (326 eyes) who underwent glaucoma surgery between January 2014, and September 2017 were reviewed retrospectively. Seventeen cases with SCH were compared with 309 controls who underwent uneventful glaucoma surgery during the same period. We documented age, sex, baseline intraocular pressure, glaucoma diagnosis, previous surgery, preoperative axial length, pachymetry, lens status and type of glaucoma surgery performed (whether combined with cataract or other glaucoma procedure or being standalone).</div></div><div><h3>Results</h3><div>Of the 17 cases of SCH, only a single case occurred intraoperatively; the remainder occurred in the early postoperative period. The most frequent diagnosis was primary congenital glaucoma (PCG), accounting for 10 patients (59%) in cases and 247 (80%) in controls, followed by glaucoma associated with nonacquired ocular anomalies, which accounted for 3 cases (18%) and 22 controls (7%). Aphakia and combined surgeries (in the univariate analysis) were found to be possible risk factors for the development of SCH, with none achieving significance in the multivariable analysis.</div></div><div><h3>Conclusions</h3><div>In our study cohort, combined surgeries as well aphakia were possible risk factors for SCH.</div></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789742","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":"Giant molluscum contagiosum with preseptal cellulitis","authors":"Amitouj S. Sidhu BMed, MD , Josefina Herrera MD , Shereen Aiyub MD, MMed , Nicole S. Graf FRCPA , Trent Sandercoe PhD, FRANZCO , Krishna Tumuluri FRANZCO","doi":"10.1016/j.jaapos.2024.103989","DOIUrl":"10.1016/j.jaapos.2024.103989","url":null,"abstract":"<div><div>Molluscum contagiosum (MC) is a benign cutaneous viral infection commonly affecting children, sexually active adults, immunocompromised individuals, and patients on immunosuppressive therapy. Giant periorbital MC lesions with preseptal cellulitis are rare. We present 2 such pediatric cases. Case 1 was a 9-month-old boy with an enlarging left upper eyelid mass and preseptal cellulitis. MC was confirmed on histopathology, and surgical excision was curative. Case 2 was an 18-month-old girl with a right lower eyelid ulcerating mass and preseptal cellulitis. She was managed with antibiotics and surgical excision.</div></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001202","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":"Unilateral pigmented posterior lenticonus with retinochoroidal coloboma: a case report","authors":"Hennaav Kaur Dhillon MS, Abinaya Valliappan MS, FICO, Sumita Agarkar MS, DNB","doi":"10.1016/j.jaapos.2024.103995","DOIUrl":"10.1016/j.jaapos.2024.103995","url":null,"abstract":"<div><div>Posterior lenticonus is a rare congenital anomaly of the crystalline lens characterized by the conical herniation of the posterior lenticular surface with or without cortex herniation into the anterior vitreous. It is usually unilateral and axial; bilateral cases are usually familial and have syndromic associations. The irregular lenticular surface produces high myopia and irregular astigmatism producing optical distortion and hence deprivation amblyopia. We report a case of a 13-year-old girl with a unilateral pigmented posterior lenticonus associated with a retinochoridal coloboma with deprivation amblyopia.</div></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299950","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}