{"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":"28 5","pages":"Article 103989"},"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}
Journal of AaposPub Date : 2024-10-01DOI: 10.1016/j.jaapos.2024.104016
Omar Solyman MD, FRCS , Abdelrahman M. Elhusseiny MD, MSc , Richard C. Allen MD, PhD
{"title":"The use of trypan blue to enhance intraoperative visualization during congenital lacrimal fistulectomy","authors":"Omar Solyman MD, FRCS , Abdelrahman M. Elhusseiny MD, MSc , Richard C. Allen MD, PhD","doi":"10.1016/j.jaapos.2024.104016","DOIUrl":"10.1016/j.jaapos.2024.104016","url":null,"abstract":"<div><div>We describe the use of trypan blue stain to enhance visualization of the tract of the fistula during congenital lacrimal fistulectomy in a 9-year-old boy. This video demonstrates the surgical technique and the intraoperative finding of deep branching of the fistula in this case. We discuss alternative methods of improving delineation of the fistula’s path during congenital lacrimal fistulectomy.</div></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":"28 5","pages":"Article 104016"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142376267","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.2024.104012
Ece Ozdemir Zeydanli MD, FRCS(Ed) , Ahmet Yucel Ucgul MD, FRCS(Ed) , H. Tuba Atalay MD, FEBO , M. Elizabeth Hartnett MD, FASRS , Ehab El Rayes MD, FASRS , Huban Atilla MD, FEBO , Sengul Ozdek MD, FASRS
{"title":"Overlapping clinical features of persistent fetal vasculature and combined hamartoma of the retina and retinal pigment epithelium","authors":"Ece Ozdemir Zeydanli MD, FRCS(Ed) , Ahmet Yucel Ucgul MD, FRCS(Ed) , H. Tuba Atalay MD, FEBO , M. Elizabeth Hartnett MD, FASRS , Ehab El Rayes MD, FASRS , Huban Atilla MD, FEBO , Sengul Ozdek MD, FASRS","doi":"10.1016/j.jaapos.2024.104012","DOIUrl":"10.1016/j.jaapos.2024.104012","url":null,"abstract":"<div><h3>Purpose</h3><div>To investigate cases exhibiting overlapping features of persistent fetal vasculature (PFV) and combined hamartoma of the retina and retinal pigment epithelium (CHRRPE) and to explore potential associations between these developmental ocular anomalies.</div></div><div><h3>Methods</h3><div>This retrospective, descriptive case series included 9 eyes of 8 patients aged 0-7 years with shared clinical features of PFV and CHRRPE. Diagnoses were established through clinical examination and intraoperative findings.</div></div><div><h3>Results</h3><div>All eyes exhibited elevated pigmented retinal thickening, increased vascular tortuosity, and preretinal fibrotic/gliotic changes or epiretinal membranes. Macular involvement was observed in 56% of cases; peripapillary involvement, in 44%. Four eyes showed hyaloid stalklike fibrotic remnants extending from the lesion to the posterior lens surface, suggestive of PFV component; the other 5 harbored isolated CHRRPE. One patient presented with PFV in one eye and CHRPPE in the other.</div></div><div><h3>Conclusions</h3><div>This study reveals significant clinical overlap between PFV and CHRRPE, with some cases displaying features typically associated with the other condition. The presence of both diagnoses in the same patient further suggests a potential association between these entities. Further research, including molecular studies, is needed to explore this potential connection and deepen our understanding of ocular development.</div></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":"28 5","pages":"Article 104012"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299944","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.2024.103998
Anas Yasin MD , Steve Mathew , Joseph Maes , Terri Love MD , Angela Beavers MD , Sandra Allbery MD , Andria M. Powers MD , Paul Rychwalski MD , Samiksha Fouzdar Jain MD
{"title":"Performance of orbital rapid magnetic resonance imaging (rMRI) as a primary tool for evaluation of suspected pediatric orbital cellulitis","authors":"Anas Yasin MD , Steve Mathew , Joseph Maes , Terri Love MD , Angela Beavers MD , Sandra Allbery MD , Andria M. Powers MD , Paul Rychwalski MD , Samiksha Fouzdar Jain MD","doi":"10.1016/j.jaapos.2024.103998","DOIUrl":"10.1016/j.jaapos.2024.103998","url":null,"abstract":"<div><div>In 2021, rapid magnetic resonance imaging (rMRI) became a primary imaging tool for suspected pediatric orbital cellulitis at our institution. We retrospectively reviewed the medical records of patients who underwent rMRI to evaluate the effectiveness of the protocol. A total of 31 patients were included (median age, 5.07 years). Of the 30 diagnostic scans, 11 (37%) showed preseptal cellulitis, and 19 (63%) showed orbital cellulitis. In 5 cases, orbital contrast-enhanced computed tomography (CT) was additionally ordered; rMRI and CT scan findings were similar in all 5 cases. Overall, we observed 93% (28/30) concordance of rMRI with the final clinical diagnosis.</div></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":"28 5","pages":"Article 103998"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299946","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":"28 5","pages":"Article 103995"},"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}
{"title":"Validation of the eye screening tool GoCheck Kids for the detection of amblyopia risk factors in toddlers in Flanders","authors":"Hanne Otto MSc , Maaike Deschoemaeker MD , Bart Van Overmeire PhD, MD , Ingele Casteels PhD, MD , Catherine Cassiman PhD, MD","doi":"10.1016/j.jaapos.2024.104008","DOIUrl":"10.1016/j.jaapos.2024.104008","url":null,"abstract":"<div><h3>Purpose</h3><div>To assess the validity of the GoCheck Kids photoscreening application (Gobiquity Mobile Health, Scottdale, AZ) on iPhone, which was used (2018-2022) as standard of care by Child and Family (Kind en Gezin) to detect amblyopia risk factors in children 12-30 months of age.</div></div><div><h3>Methods</h3><div>Between August 2021 and May 2022, 453 children 11-16 months of age underwent a confirmatory ophthalmic examination within 2 months of GoCheck Kids photoscreening at Child and Family, Flanders, Belgium. Additionally, manual review was performed by specialists of GoCheck Kids. Diagnostic metrics were assessed using the 2013 criteria of the American Association for Pediatric Ophthalmology and Strabismus as reference.</div></div><div><h3>Results</h3><div>Specificity was similar for automatic screening with or without manual review: 90.0% (95% CI, 87.6%-92.3%) and 90.3% (95% CI, 88.0%-92.7%), respectively. Sensitivity was estimated at 52.0% (95% CI, 35.6%-68.4%) for automatic grading and 56.0% (95% CI, 39.7%-72.3%) after manual review. Positive predictive values for automatic screening and manual review were, respectively, 23.2% (95% CI, 13.9-32.5) and 25.5% (95% CI, 15.8-35.1). Negative predictive values for automatic screening and manual review were, respectively, 97.0% (95% CI, 95.6-98.4) and 97.2 (95% CI, 95.8-98.6).</div></div><div><h3>Conclusions</h3><div>In our study cohort of children around 12 months of age, the GoCheck Kids application had a specificity of 90% for the targeted amblyopia risk factors, with sensitivity just over 50%.</div></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":"28 5","pages":"Article 104008"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299951","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.2024.103993
Adam Jacobson MD , Brenda L. Bohnsack MD, PhD
{"title":"Visual and surgical outcomes of childhood glaucoma following cataract surgery","authors":"Adam Jacobson MD , Brenda L. Bohnsack MD, PhD","doi":"10.1016/j.jaapos.2024.103993","DOIUrl":"10.1016/j.jaapos.2024.103993","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate frequency of surgery and post-treatment outcomes in glaucoma following cataract surgery (GFCS).</div></div><div><h3>Methods</h3><div>The medical records of patients with GFCS were reviewed retrospectively. Lensectomy and glaucoma surgery details and final examination findings were collected. Inclusion criteria included history of lensectomy at <1 year of age, diagnosis of glaucoma, and at least 1 year of follow-up.</div></div><div><h3>Results</h3><div>Of 169 eyes of 127 GFCS patients (66 male, 58 bilateral cases), 88 eyes (52%) of 73 (57%) patients underwent glaucoma surgery (median, 3.5 years of age at first glaucoma surgery; median of two glaucoma surgeries). At final follow-up (mean, 13.6 ± 7.0 years), eyes requiring glaucoma surgery had worse visual acuity (<em>P</em> = 0.01) and greater cup:disk ratio (<em>P</em> < 0.01). GFCS patients with history of bilateral congenital cataracts had better visual acuity in affected eyes than those with history of unilateral congenital cataract (<em>P</em> < 0.01). Angle surgery (n = 56), Baerveldt devices (n = 38), Ahmed valves (n = 19), and cycloablation (n = 21) showed 1-year survival rates between 64% and 75%. Baerveldt implants showed the highest 5- and 10-year survival rates, at 65% and 43%, respectively.</div></div><div><h3>Conclusions</h3><div>More than 50% of eyes with GFCS in our study cohort required at least one glaucoma surgery. Glaucoma surgery and history of unilateral cataract were associated with worse visual acuity outcomes.</div></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":"28 5","pages":"Article 103993"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299952","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}
Journal of AaposPub Date : 2024-10-01DOI: 10.1016/j.jaapos.2024.103970
Noor Ghali MS , Arif O. Khan MD
{"title":"Paradoxical keratitis and dermatitis following adalimumab treatment","authors":"Noor Ghali MS , Arif O. Khan MD","doi":"10.1016/j.jaapos.2024.103970","DOIUrl":"10.1016/j.jaapos.2024.103970","url":null,"abstract":"<div><div>Anti-tumor necrosis factor monoclonal antibodies are an important tool in the management of rheumatologic disease. However, paradoxical inflammation can be precipitated by their use. This case report describes the development of keratitis and dermatitis following adalimumab treatment for chronic recurrent multifocal osteomyelitis in a 6-year-old girl. The keratitis and dermatitis subsided once topical steroids were started and the adalimumab was held.</div></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":"28 5","pages":"Article 103970"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141604447","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":"28 5","pages":"Article 103973"},"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}
Journal of AaposPub Date : 2024-10-01DOI: 10.1016/j.jaapos.2024.104004
Aaron Harris BS , Nora Siegler BS , Hannah L. Walsh BS , Kara M. Cavuoto MD
{"title":"Geographic disparities and surgical trends of strabismus surgery among Medicare beneficiaries (2016-2021)","authors":"Aaron Harris BS , Nora Siegler BS , Hannah L. Walsh BS , Kara M. Cavuoto MD","doi":"10.1016/j.jaapos.2024.104004","DOIUrl":"10.1016/j.jaapos.2024.104004","url":null,"abstract":"<div><div>This study highlights the disparity between the prevalence of adult strabismus in the United States and the limited number of surgeons performing adult strabismus surgery on Medicare beneficiaries. Only 12.2% of pediatric ophthalmologists billed Medicare for adult strabismus procedures during the study period. Additionally, geographic disparities of surgeons performing adult strabismus surgery were evident, with drastically different surgeon-to-patient ratios by state. Overall, the study raises concerns about the adequacy of the surgeon supply to meet the demand for adult strabismus cases.</div></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":"28 5","pages":"Article 104004"},"PeriodicalIF":1.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299928","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}