Journal of Aapos最新文献

{"title":"014 Consent for resident participation in pediatric strabismus surgery","authors":"Stephanie Dotchin, Derek Waldner, Chris Rudnisky, Emi Sanders","doi":"10.1016/j.jaapos.2026.104926","DOIUrl":"10.1016/j.jaapos.2026.104926","url":null,"abstract":"","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":"30 4","pages":"Article 104926"},"PeriodicalIF":1.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148848507","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":"043 Lamotrigine-associated Stevens-Johnson syndrome and toxic epidermal necrolysis in children: a systematic review and meta-analysis of worldwide prevalence","authors":"Abdullah Ahmed, Eshani Ragam, Asmaa Zidan, Mahrukh Chaudhry, Hamza Ibrahim, Mohammadali Ashraf, Hasan Khan, Hajirah Saeed","doi":"10.1016/j.jaapos.2026.104956","DOIUrl":"10.1016/j.jaapos.2026.104956","url":null,"abstract":"","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":"30 4","pages":"Article 104956"},"PeriodicalIF":1.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148848508","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":"Multimedia education improves knowledge and follow-up in retinopathy of prematurity","authors":"Susanna Yau MD,&nbsp;Elizabeth Fernandez Paz MD,&nbsp;Victoria Chen MD,&nbsp;Haleigh McCahon MD,&nbsp;Rachel Steger MD,&nbsp;Kristin Williams RN,&nbsp;Sripriya Sundararajan MD,&nbsp;Janet Alexander MD, MS,&nbsp;Moran R. Levin MD","doi":"10.1016/j.jaapos.2026.104897","DOIUrl":"10.1016/j.jaapos.2026.104897","url":null,"abstract":"<div><h3>Background</h3><div>Written patient education material (PEM) adhering to health literacy standards has been shown to improve parent understanding and clinic follow-up attendance rates in infants with retinopathy of prematurity (ROP). Video education can further improve patient understanding in patients with limited literacy or health literacy. We investigated the efficacy of a multimedia education program to improve parent knowledge of ROP and follow-up attendance.</div></div><div><h3>Methods</h3><div>We created novel multimedia PEM consisting of a video, a handout, and a website (<span><span>ROPeducation.com</span><svg><path></path></svg></span>) in English and Spanish that adhere to national health literacy guidelines. A total of 304 parents of infants at risk for ROP were included in this repeated-measures study. Surveys assessing knowledge of ROP were administered before and after parents viewed our materials. Follow-up attendance was tracked using electronic medical records.</div></div><div><h3>Results</h3><div>Participants demonstrated significant increases in knowledge scores after receiving multimedia PEM (94.3% vs 62.3% [<em>P</em> &lt; 0.001]). Parents who received multimedia PEM had higher post-education knowledge scores than those receiving the standard AAPOS handout (94.3% vs 83.7% [<em>P</em> = 0.005]). Follow-up attendance significantly improved in the multimedia PEM group compared with baseline attendance (91.5% vs 68.2% [<em>P</em> = 0.01]). The odds of follow-up attendance were also increased as a function of family income (<em>P</em> = 0.01). In whole-dataset adjusted analysis, only income remained significantly associated with follow-up attendance (adjusted OR = 1.29 [95% CI, 1.04, 1.53]); however, a significant association (<em>P</em> = 0.047) of multimedia PEM with follow-up persisted in the higher-income stratum of patients even after adjustment for income.</div></div><div><h3>Conclusions</h3><div>Multimedia PEM adhering to health literacy standards significantly improves ROP knowledge compared with that preceding receipt of PEM. Among higher-income families, the video, handout, and website created for this study improved follow-up attendance rates in infants with ROP even after adjustment for income.</div></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":"30 4","pages":"Article 104897"},"PeriodicalIF":1.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425941","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}

{"title":"A nationwide retrospective study of toy-related ocular injuries in children presenting to emergency departments in the United States","authors":"Helia Ashourizadeh MD,&nbsp;Nicole Grinspan BS,&nbsp;Edward S. Lu MD,&nbsp;Grayson W. Armstrong MD, MPH","doi":"10.1016/j.jaapos.2026.104893","DOIUrl":"10.1016/j.jaapos.2026.104893","url":null,"abstract":"<div><h3>Background</h3><div>Toy-related ocular injuries are a significant cause of preventable eye trauma in children. This study examined the epidemiologic trends and risk factors associated with toy-related eye injuries in US children.</div></div><div><h3>Methods</h3><div>Data from the National Electronic Injury Surveillance System (NEISS) were analyzed for pediatric toy-related ocular injuries (code 77: eyeball) between 2003 and 2022. Descriptive statistics and multivariable logistic regression were used to identify risk factors and trends.</div></div><div><h3>Results</h3><div>An estimated 131,094 toy-related ocular injuries occurred in children presenting to US EDs from 2003 to 2022. The annual incidence rate of 8.9 per 100,000 remained statistically stable during the study period. Common diagnoses included contusions/abrasions (56.4%), “Others/Not Stated” diagnoses (27.1%), and dermatological/conjunctival injuries (5.3%). Free-text review showed that the “Others/Not Stated” diagnoses included injury, pain, hyphema, subconjunctival hemorrhage, iritis, trauma, and chemical exposure. Vision-threatening conditions, including blunt eye trauma, ruptured globe, vision disturbance, retinal detachment, and commotio retinae, were uncommon. Toy guns with projectiles (9.2%), balls (4.4%), and nonprojectile toy weapons (3.3%) were frequently implicated. In multivariable analysis, younger age and male sex were associated with higher odds of injury, whereas Black or African American race (vs White race) was associated with lower odds. Injuries occurring outside the home and those requiring hospital admission were less likely to be toy-related.</div></div><div><h3>Conclusions</h3><div>Despite efforts to improve toy safety, the relatively constant number of toy-related ocular injuries and the higher prevalence of certain types of toys associated with these injuries highlight the need for increased education and awareness.</div></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":"30 4","pages":"Article 104893"},"PeriodicalIF":1.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425995","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":"Real-world effectiveness of a binocular, dual-mechanism therapy in severe amblyopia: analysis from the PUPiL Registry","authors":"Courtney L. Kraus MD,&nbsp;Alyssa A. Godfrey MSc,&nbsp;Eric D. Gaier MD, PhD,&nbsp;Fatema F. Ghasia MD,&nbsp;Shelley Hancock MBA,&nbsp;Euna Koo MD,&nbsp;Alexandra Williamson OD,&nbsp;Whitney Stuard Sambhariya MD, PhD,&nbsp;Maanasa Indaram MD","doi":"10.1016/j.jaapos.2026.104901","DOIUrl":"10.1016/j.jaapos.2026.104901","url":null,"abstract":"<div><h3>Background</h3><div>Occlusion therapy for severe amblyopia is challenging because of low visual function of the unoccluded eye and lengthy duration of daily therapy, which may then be hindered by low adherence. This study evaluates real-world effectiveness of a binocular digital treatment in patients with severe amblyopia.</div></div><div><h3>Methods</h3><div>The records of children &lt;18 years with best-corrected visual acuity (BCVA) of 20/100 or worse in their amblyopic eye who were prescribed Luminopia in the PUPiL Registry were retrospectively analyzed. The treatment utilizes contrast reduction and dichoptic masking overlayed on patient-selected programming. Primary outcome was BCVA improvement from baseline to last follow-up. Secondary outcomes included associations between BCVA improvement and total treatment hours, prior amblyopia treatment, age, and amblyopia type. Statistical analyses included correlation, <em>t</em> tests, and regression analyses.</div></div><div><h3>Results</h3><div>In 57 children with severe amblyopia (mean age, 7.1 ± 2.6 years), mean BCVA improved 1.8 lines (95% CI, 1.0-2.6), with average treatment of 166 hours over 11.8 months. Of the 57 patients, 26 (46%) achieved ≥2-line gains. Treatment-naive patients showed greater improvement (n = 7; 4.4 lines [95% CI, 2.1-6.7]) versus previously treated patients (n = 50; 1.5 lines [95% CI, 0.6-2.3; <em>P</em> = 0.0183]). Worse baseline BCVA (Spearman <em>r</em> = 0.33, <em>P</em> = 0.013) and greater treatment hours (Spearman <em>r</em> = 0.51, <em>P</em> &lt; 0.001), but not age or amblyopia type, were associated with greater BCVA improvement.</div></div><div><h3>Conclusions</h3><div>Luminopia demonstrated significant improvements in Registry patients with severe amblyopia, particularly in treatment-naive patients, supporting its use as a viable treatment option that may address key limitations of traditional approaches.</div></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":"30 4","pages":"Article 104901"},"PeriodicalIF":1.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148450464","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}

{"title":"026 Three-year outcomes of gonioscopy-assisted transluminal trabeculotomy in primary congenital glaucoma","authors":"Rokaya Radwan,&nbsp;Reem Aboulhassan,&nbsp;Yasmine El Sayed,&nbsp;Ghada Gawdat,&nbsp;Amanne Esmael,&nbsp;Hala Elhilali","doi":"10.1016/j.jaapos.2026.104938","DOIUrl":"10.1016/j.jaapos.2026.104938","url":null,"abstract":"","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":"30 4","pages":"Article 104938"},"PeriodicalIF":1.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148856061","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(26)00557-4","DOIUrl":"10.1016/S1091-8531(26)00557-4","url":null,"abstract":"","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":"30 4","pages":"Article 105284"},"PeriodicalIF":1.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148856616","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}

{"title":"006 Development of an AI-based smartphone application for automated screening of strabismus","authors":"Havvanur Bayraktar,&nbsp;Nikhil Kumar Tomar,&nbsp;Raad Shakikh,&nbsp;Christian Jarjoura,&nbsp;Raahil Rab,&nbsp;Mutlu Sibel Bagci,&nbsp;Syed Muhammad Anwar,&nbsp;Ulas Bagci,&nbsp;Saad Shaikh","doi":"10.1016/j.jaapos.2026.104918","DOIUrl":"10.1016/j.jaapos.2026.104918","url":null,"abstract":"","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":"30 4","pages":"Article 104918"},"PeriodicalIF":1.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148856620","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":"Optic neuropathy following ligation of anomalous band in Duane retraction syndrome","authors":"Sydney R. Roston MD,&nbsp;Lilly H. Wagner MD,&nbsp;Erick D. Bothun MD","doi":"10.1016/j.jaapos.2026.105277","DOIUrl":"10.1016/j.jaapos.2026.105277","url":null,"abstract":"<div><div>A 7-year-old boy with a history of Duane retraction syndrome was found to have an anomalous orbital band arising from the right lateral rectus muscle. Surgical removal of this band to correct exotropia resulted in postoperative optic neuropathy and hypoesthesia in the distribution of the superior branch of the trigeminal nerve. This case demonstrates a rare complication of orbital surgery in patients with Duane retraction syndrome. It serves as a reminder to evaluate patients with congenital cranial dysinnervation disorders for additional structural defects and consider orbital imaging in patients with atypical pattern restrictive strabismus.</div></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":"30 4","pages":"Article 105277"},"PeriodicalIF":1.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148702651","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":"Assessing visual and refractive outcomes of subretinal fluid detected by handheld swept-source optical coherence tomography in full-term newborns","authors":"Debbie X. Wang BS,&nbsp;Amanda R. Hoyer MD,&nbsp;Claire J. Park BS,&nbsp;Alex T. Legocki MD,&nbsp;John P. Kelly PhD,&nbsp;Tatiana R. Monger BS,&nbsp;Sumner E. Lawson MD,&nbsp;Mennatullah M. Elfwwal MD,&nbsp;Teng Liu PhD,&nbsp;Joshua N. Dang MD,&nbsp;Leona Ding MS,&nbsp;Jason J. Bunk MS,&nbsp;Ruikang K. Wang PhD,&nbsp;Kristina Tarczy-Hornoch MD, DPhil,&nbsp;Michelle T. Cabrera MD","doi":"10.1016/j.jaapos.2026.104891","DOIUrl":"10.1016/j.jaapos.2026.104891","url":null,"abstract":"<div><h3>Background</h3><div>Healthy, full-term newborns frequently present with foveal subretinal fluid (SRF), reported to spontaneously resolve within 1-4 months. The purpose of this study was to evaluate refractive and visual outcomes of SRF.</div></div><div><h3>Methods</h3><div>In this prospective, single-institution study, healthy full-term infants were imaged using handheld swept-source optical coherence tomography between 12-72 hours after birth. OCT macular volumes were graded for SRF and foveal immaturity parameters. Participants returned at 9 months and 5 years for visual acuity and cycloplegic refraction assessments.</div></div><div><h3>Results</h3><div>Of the 96 eyes (50 infants) imaged, 15 eyes (16%) of 10 infants had SRF. Eyes with SRF demonstrated greater central foveal thickness than those without SRF (202 ± 51 mm vs 149 ± 23 mm [<em>P</em> &lt; 0.001]). No significant differences were found in inner or outer fovea/parafovea ratio, foveal or parafoveal choroidal thicknesses, or central neuroretinal thickness (<em>P</em> &gt; 0.09). Mean spherical equivalent refraction was similar between groups at 9 months (1.71 ± 1.05 vs 1.53 ± 1.04 D [<em>P</em> = 0.88]; n = 29 eyes) and 5 years (0.63 ± 0.53 vs 1.79 ± 0.90 [<em>P</em> = 0.20]; n = 35 eyes). Mean logMAR visual acuities were similar between groups at 9 months (0.91 ± 0.36 vs 0.72 ± 0.19 [<em>P</em> = 0.62]) and 5 years (0.09 ± 0.12 vs 0.08 ± 0.10 [<em>P</em> = 0.75]).</div></div><div><h3>Conclusions</h3><div>In this small cohort, SRF in full-term newborns was not associated with foveal immaturity at birth or with negative refractive or visual outcomes up to 5 years. These results suggest that SRF is likely transient and benign.</div></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":"30 4","pages":"Article 104891"},"PeriodicalIF":1.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425979","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}