Journal of AaposPub Date : 2024-12-01Epub 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":" ","pages":"104017"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","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}
Journal of AaposPub Date : 2024-12-01Epub Date: 2024-11-15DOI: 10.1016/j.jaapos.2024.104048
Jung-Tzu Chang, Ying-Yi Chen, Ai-Hou Wang
{"title":"Acquired double depressor palsy following bilateral medial thalamus and left midbrain infarction.","authors":"Jung-Tzu Chang, Ying-Yi Chen, Ai-Hou Wang","doi":"10.1016/j.jaapos.2024.104048","DOIUrl":"10.1016/j.jaapos.2024.104048","url":null,"abstract":"<p><p>We present the case of a 57-year-old man with vertical diplopia who was diagnosed with acquired left eye supranuclear double depressor palsy after ischemic stroke, with small infarcts at the bilateral medial posterior thalami, left midbrain, and left occipital lobe. Given the different innervation of the two depressors, intact vestibulo-ocular reflex, and the healthy inferior rectus muscle morphology observed intraoperatively, the lesion likely involved the supranuclear vertical gaze center or its pathway. His strabismus was treated successfully with recession and resection of vertical rectus muscles, resulting in no significant deviation in either the vertical or horizontal directions in primary gaze at 6 months' follow-up.</p>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":" ","pages":"104048"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142644684","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 : 2024-12-01Epub Date: 2024-11-15DOI: 10.1016/j.jaapos.2024.104049
John T Moir, Max J Hyman, Dimitra Skondra, Sarah H Rodriguez
{"title":"Risk factors for severe retinopathy of prematurity stratified by birth weight and gestational age in privately insured infants.","authors":"John T Moir, Max J Hyman, Dimitra Skondra, Sarah H Rodriguez","doi":"10.1016/j.jaapos.2024.104049","DOIUrl":"10.1016/j.jaapos.2024.104049","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate risk factors associated with severe retinopathy of prematurity ROP (sROP) in two separate cohorts of infants.</p><p><strong>Methods: </strong>We performed a retrospective study of the Merative MarketScan Commercial Database between 2003 and 2022. Infants with ROP were stratified into two cohorts: group A (defined as infants with both birth weight [BW] <1000 g and gestational age [GA] <29 weeks) and group B (defined as infants with either BW ≥1000 g or GA ≥29 weeks). Infants with sROP were defined as those who received treatment for ROP. Outpatient and inpatient claims using International Classification of Diseases and Current Procedural Terminology codes were used to identify neonatal comorbidities. Multivariable logistic regression was used to calculate odds ratios (ORs) and 95% confidence intervals (CIs) for sROP requiring treatment with respect to various comorbidities.</p><p><strong>Results: </strong>A total of 425 of 8,789 infants with ROP developed sROP (4.8%). We identified 2,726 infants in group A, of whom 387 (14.2%) required a procedure, and 6,063 in group B, of whom 38 (0.6%) required a procedure. In group A, intraventricular hemorrhage (OR = 1.38; 95% CI, 1.09-1.74) and patent ductus arteriosus ligation (OR = 1.65; 95% CI, 1.25-2.16) were the comorbidities that significantly increased the odds of sROP on multivariable analysis. In group B, infection (OR = 1.96; 95% CI, 1.01-3.80) was the only comorbidity that significantly increased the adjusted odds of sROP.</p><p><strong>Conclusions: </strong>Risk factors for sROP may differ between smaller and larger infants. Infection may serve as an important risk factor for ROP progression amongst larger infants due to its connection with poor postnatal growth.</p>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":" ","pages":"104049"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142644708","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":"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":"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":" ","pages":"104031"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","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}
Journal of AaposPub Date : 2024-12-01Epub Date: 2024-11-13DOI: 10.1016/j.jaapos.2024.104039
William A Henry, Abdallah Dalabih, Adriana Paula Grigorian
{"title":"Pediatric nasolacrimal duct intubation using deep sedation outside the operating room- comparison of three types of stents.","authors":"William A Henry, Abdallah Dalabih, Adriana Paula Grigorian","doi":"10.1016/j.jaapos.2024.104039","DOIUrl":"10.1016/j.jaapos.2024.104039","url":null,"abstract":"<p><strong>Background: </strong>Congenital nasolacrimal duct obstructions that persist after 9 months of age often require surgical intervention through probing and stenting of the tear duct. These procedures typically occur under general anesthesia in an operating room setting. We propose a novel approach using intravenous sedation outside the operating room.</p><p><strong>Methods: </strong>We reviewed the medical records of patients at a tertiary pediatric hospital treated for nasolacrimal duct obstruction from 2018 to 2023 using monocanalicular Monoka, Masterka, and LacriJet nasolacrimal stents. All procedures were performed outside of the operating room under intravenous sedation provided by a specialized sedation team. Symptom resolution, sedation duration and complications were reviewed for each type of stent.</p><p><strong>Results: </strong>A total of 64 patients (81 stents) were included in our analysis. Of the 81 stents used, 32 were Monoka, 15 Masterka, and 34 LacriJet. Symptoms resolved in 86% of the eyes. Sedation side effects were minor and infrequent. Occasionally brief apnea, hypoxia, hypotension or laryngospasm occurred, but in no cases were patients harmed or was hospitalization required. A single factor analysis of variance showed no statistically significant difference between the stents for recurrence or sedation time. The Fisher exact test suggested a higher risk of side effects in the Monoka group.</p><p><strong>Conclusions: </strong>In our pediatric patient cohort, nasolacrimal duct stenting procedures have a high success rate and safety profile when performed under deep sedation outside of the operating room.</p>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":" ","pages":"104039"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631815","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 : 2024-12-01Epub Date: 2024-09-26DOI: 10.1016/j.jaapos.2024.104015
Masoud Rostami, Mohammad Yaser Kiarudi, Samira Hassanzadeh, Mohammad Etezad Razavi, Mahdi Sharifi, Mohammed Ziaei
{"title":"Transient eye closure and ocular preference in patients with intermittent exotropia.","authors":"Masoud Rostami, Mohammad Yaser Kiarudi, Samira Hassanzadeh, Mohammad Etezad Razavi, Mahdi Sharifi, Mohammed Ziaei","doi":"10.1016/j.jaapos.2024.104015","DOIUrl":"10.1016/j.jaapos.2024.104015","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the relationship of sensory and motor ocular dominance to transient eye closure (TEC) under bright light conditions in patients with intermittent exotropia.</p><p><strong>Methods: </strong>Forty patients (age range, 7-40 years) with intermittent exotropia were included in this prospective study. Motor and sensory ocular dominance were evaluated using the hole-in-the-card and Worth 4-Dot tests. Presence of any outward eye deviation or TEC was assessed and recorded in all participants under bright light conditions. Based on the fusion control grade of exodeviation, patients were assigned to good, fair, and poor control groups, and the results were compared.</p><p><strong>Results: </strong>A total of 23 patients (58%) showed TEC under bright light: 18 (45%) in the good control group, 14 (35%) in the fair control group, and 8 (20%) in the poor control group. Eighteen patients (56%) with good and fair control showed TEC in the dominant eye. Five (63%) with poor control closed their nondominant eyes, and in all of them, outward eye deviation was observed before TEC. The angle of deviation at far and near and the degree of near stereopsis were not related to presence of TEC (P = 0.70, P = 0.06, and P = 0.34, resp.).</p><p><strong>Conclusions: </strong>In patients with intermittent exotropia who exhibit TEC under bright light, those with good control tend to close the dominant eye, whereas in the majority of patients with poor control, spontaneous deviation occurs and is then followed by TEC of the nondominant eye.</p>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":" ","pages":"104015"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331573","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 : 2024-12-01Epub Date: 2024-11-13DOI: 10.1016/j.jaapos.2024.104042
Zainab Zehra, Muhammad Amn Zia, Sorath Noorani Siddiqui, Christopher S von Bartheld, Maleeha Azam, Raheel Qamar
{"title":"Increase in blood derived mitochondrial DNA copy number in strabismus patients.","authors":"Zainab Zehra, Muhammad Amn Zia, Sorath Noorani Siddiqui, Christopher S von Bartheld, Maleeha Azam, Raheel Qamar","doi":"10.1016/j.jaapos.2024.104042","DOIUrl":"10.1016/j.jaapos.2024.104042","url":null,"abstract":"<p><strong>Background: </strong>Abnormalities in mitochondrial energy homeostasis can lead to various disorders, including ocular motility aberrations. Previous studies have suggested the involvement of mitochondrial aberrations in strabismus etiology. We compared the blood-derived mitochondrial DNA (mtDNA) copy number from comitant strabismus patients with that from age-matched controls, and also compared expression of mitochondrial biogenesis genes in a separate set of extraocular muscle samples from strabismic and control subjects.</p><p><strong>Methods: </strong>Blood samples from 93 strabismic (39 esotropic, 54 exotropic) and 93 control subjects were analyzed for mtDNA copy number through quantitative polymerase chain reaction. We also examined the expression of 6 genes involved in mitochondrial biogenesis in cDNA obtained from extraocular muscles of a separate group of 26 strabismus patients and 4 healthy controls.</p><p><strong>Results: </strong>The mtDNA content was significantly higher in strabismus patients as compared to the control group, both overall (fold change, 1.39; Z = -2.43 [P = 0.01]) and in strabismus subgroups (esotropia: fold change,1.42; Z = 2.59 [P = 0.0096]; exotropia: fold change, 1.41, Z = 3.35 [P = 0.00078]). No significant difference was observed in the expression of the examined biogenesis genes between strabismus and control groups.</p><p><strong>Conclusions: </strong>Our results suggest an association between mtDNA copy number and strabismus; however, further studies are required to elucidate the significance of altered mtDNA in strabismus and its possible significance with regard to the etiology of strabismus.</p>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":" ","pages":"104042"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631814","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 : 2024-12-01Epub Date: 2024-11-14DOI: 10.1016/j.jaapos.2024.104043
Abdelrahman M Anter, Seyyedehfatemeh Ghalibafan, Louis Z Cai, Connie M Wu, Elena Bitrian, Nicolas A Yannuzzi
{"title":"Elevated intraocular pressure in a child with Stickler syndrome after scleral buckle surgery for retinal detachment.","authors":"Abdelrahman M Anter, Seyyedehfatemeh Ghalibafan, Louis Z Cai, Connie M Wu, Elena Bitrian, Nicolas A Yannuzzi","doi":"10.1016/j.jaapos.2024.104043","DOIUrl":"10.1016/j.jaapos.2024.104043","url":null,"abstract":"<p><p>Stickler syndrome, a rare connective tissue disorder, presents with a broad spectrum of ocular manifestations, including myopia, vitreoretinal degeneration, glaucoma, and retinal detachment. While extensive data exists on the treatment outcomes of retinal detachment repair in Stickler syndrome, the potential risks associated with acute postoperative intraocular pressure elevation remain underexplored. We report the case of a 10-year-old boy with Stickler syndrome who underwent scleral buckling surgery and subsequently experienced ocular hypertension.</p>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":" ","pages":"104043"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640181","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 : 2024-12-01Epub Date: 2024-11-14DOI: 10.1016/j.jaapos.2024.104038
Monica Manrique, Michael Pham, Sudeepta Basu, Jonathan Murnick, Md Sohel Rana, Taeun Chang, Christabel Chan, Emile Vieta-Ferrer, Catherine Sano, Catherine Limperopoulos, Marijean Miller
{"title":"Term infant brain MRI after ROP treatment by anti-VEGF injection versus laser therapy.","authors":"Monica Manrique, Michael Pham, Sudeepta Basu, Jonathan Murnick, Md Sohel Rana, Taeun Chang, Christabel Chan, Emile Vieta-Ferrer, Catherine Sano, Catherine Limperopoulos, Marijean Miller","doi":"10.1016/j.jaapos.2024.104038","DOIUrl":"10.1016/j.jaapos.2024.104038","url":null,"abstract":"<p><strong>Background: </strong>Intravitreal injection of anti-vascular endothelial growth factor (anti-VEGF) agents is used to treat posterior type 1 retinopathy of prematurity (ROP). Recent reports indicate that anti-VEGF therapy may be associated with white matter brain injury, according to animal studies, and neurodevelopmental impairments in children born preterm. We investigated whether type 1 ROP treated with bevacizumab is associated with structural brain injury on infant term magnetic resonance images (MRIs) in very low birth weight infants compared with those treated with laser ablation.</p><p><strong>Methods: </strong>We retrospectively reviewed the medical records of very low birth weight infants from 2006 to 2021 with type 1 ROP who had been treated with laser or anti-VEGF therapy. Intravitreal bevacizumab injection was used for type 1 ROP in zone 1 or very posterior zone 2 or when laser treatment was not feasible. A pediatric neuroradiologist reviewed brain MRIs at term equivalent age (36-46 weeks' postmenstrual age) and classified infants for severity (no/mild vs moderate/severe) of overall brain and white matter injury using the validated Kidokoro scoring system.</p><p><strong>Results: </strong>Fifty-two infants met inclusion criteria: 35 (67%) treated with laser and 17 (33%) with bevacizumab. Moderate-to-severe brain injury scores were not statistically different between bevacizumab and laser treatment groups in either continuous or binary adjusted analyses, for either the overall score or the white matter subscore.</p><p><strong>Conclusions: </strong>Severity of structural injury on term brain MRI (total and white matter) did not differ between infants with type 1 ROP treated with anti-VEGF agent (bevacizumab) and those treated with laser ablation.</p>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":" ","pages":"104038"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142644731","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 : 2024-12-01Epub Date: 2024-11-14DOI: 10.1016/j.jaapos.2024.104044
Afua O Asare, Brian C Stagg, Carole Stipelman, Heather T Keenan, Melissa Watt, Guilherme Del Fiol, Marielle P Young, Justin D Smith
{"title":"Access to vision care for children from immigrant and nonimmigrant households: evidence from the National Survey of Children's Health 2018-2019.","authors":"Afua O Asare, Brian C Stagg, Carole Stipelman, Heather T Keenan, Melissa Watt, Guilherme Del Fiol, Marielle P Young, Justin D Smith","doi":"10.1016/j.jaapos.2024.104044","DOIUrl":"10.1016/j.jaapos.2024.104044","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate whether immigrant generation is associated with caregiver-reported receipt of vision testing.</p><p><strong>Methods: </strong>Nationally representative data from the 2018-2019 National Survey of Children's Health was used. The primary exposure was immigrant generation, with first generation defined as child and all reported parents born outside the United States; second generation, as child born in the United States but at least one parent born outside the United States; and third generation, as all parents in the household born in the United States. The main outcome was caregiver-reported vision testing during the previous 12 months. Odds ratios adjusted for sociodemographic characteristics and 95% confidence intervals were computed based on immigrant generation.</p><p><strong>Results: </strong>The sample included 49,442 US children 3-17 years of age. The proportion of children who had vision testing in any setting was lower for first- (60.3%) than third-generation children (74.6%; aOR = 0.54; 95% CI, 0.41-0.71). This association remained after excluding children without health coverage. For Hispanic children, both first- (aOR = 0.58; 95% CI, 0.36-0.94) and second-generation children (aOR = 0.73; 95% CI, 0.55-0.96) had lower odds of a vision test in any setting compared with third-generation Hispanic children.</p><p><strong>Conclusions: </strong>First-generation children had lower odds of vision testing than third-generation children, even when adjusting for sociodemographic characteristics, especially in Hispanic households.</p>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":" ","pages":"104044"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11645187/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142644672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}