Journal of AaposPub Date : 2024-06-01DOI: 10.1016/j.jaapos.2024.103934
Jill Anderson MD
{"title":"C. Gail Summers, MD","authors":"Jill Anderson MD","doi":"10.1016/j.jaapos.2024.103934","DOIUrl":"10.1016/j.jaapos.2024.103934","url":null,"abstract":"","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1091853124002040/pdfft?md5=07e1b805fcc7b73ce1383dee39f22017&pid=1-s2.0-S1091853124002040-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141065475","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 : 2024-06-01DOI: 10.1016/j.jaapos.2024.103913
Xi Yu Zhao MD , Zhang Qing Feng MD , Jun Hong Li MD
{"title":"Modified Nishida muscle transposition procedure combined with superior rectus muscle tenotomy for inferior rectus muscle aplasia","authors":"Xi Yu Zhao MD , Zhang Qing Feng MD , Jun Hong Li MD","doi":"10.1016/j.jaapos.2024.103913","DOIUrl":"10.1016/j.jaapos.2024.103913","url":null,"abstract":"<div><p>The modified Nishida muscle transposition procedure, in which one-third of each vertical rectus muscle belly is sutured onto the sclera in the infero- and superotemporal quadrants without either tenotomy of the vertical rectus muscles or splitting of the vertical rectus muscle is an effective treatment for abducens nerve palsy. We report a case of inferior rectus muscle aplasia treated using the modified Nishida procedure to transpose both horizontal rectus muscles inferiorly combined with superior rectus tenotomy.</p></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140854561","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 : 2024-06-01DOI: 10.1016/j.jaapos.2024.103921
Sherin H. Sadek MD , Abdelrahman M. Elhusseiny MD, MSc , Sarah A. Saad MD , Yasmine M. El Sayed MD, MRCSEd , Ghada I. Gawdat MD, PhD , Mahmoud A. Kamal MD
{"title":"Macular and peripapillary vascular parameters in the fellow eyes of unilateral primary congenital glaucoma: a comparative study","authors":"Sherin H. Sadek MD , Abdelrahman M. Elhusseiny MD, MSc , Sarah A. Saad MD , Yasmine M. El Sayed MD, MRCSEd , Ghada I. Gawdat MD, PhD , Mahmoud A. Kamal MD","doi":"10.1016/j.jaapos.2024.103921","DOIUrl":"10.1016/j.jaapos.2024.103921","url":null,"abstract":"<div><h3>Purpose</h3><p>To study the fellow eyes of patients with unilateral primary congenital glaucoma (PCG) using optical coherence tomography angiography (OCTA) and compare them to normal age- and refractive error–matched healthy controls.</p></div><div><h3>Methods</h3><p>Using OCTA, the foveal avascular zone (FAZ) area, cup:disk ratio, vessel density (VD) of the optic nerve head (ONH) and peripapillary area and the macular VD in superficial (SCP) and deep vascular complexes in both 3 mm and 6 mm scans of both groups were compared. Clinical data included best-corrected visual acuity (BCVA), cycloplegic refraction, intraocular pressure (IOP), anterior and posterior segments examination findings, including ONH cup:disk ratio.</p></div><div><h3>Results</h3><p>A total of 48 eyes of 48 children (24 eyes in each group) were included. There was no difference in the mean retinal nerve fiber layer thickness, cup:disk ratio, baseline visual acuity, or spherical equivalent between groups (<em>P</em> > 0.05). In the 3 mm macular scan, the VD of the SCP at the fovea was significantly higher in the PCG group compared to controls (<em>P</em> = 0.04). In the ONH scans, there was a significantly reduced inside the disk VD in the PCG group compared to controls (<em>P</em> = 0.03). There was no significant difference in other macular and ONH vascular parameters between groups (<em>P</em> > 0.05).</p></div><div><h3>Conclusions</h3><p>In our study cohort, there was no difference in most of the macular and ONH vascular parameters between groups. However, the fellow eyes of PCG patients exhibited higher VD of the SCP at the fovea and reduced inside the disk VD compared with control eyes.</p></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140861213","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 : 2024-06-01DOI: 10.1016/j.jaapos.2024.103923
Alison Ford MD , Madeline Beauchene MD , Amy H. Stanford MD , Jonathan M. Klein MD , John M. Dagle MD , Danielle R. Rios MD, MS , Scott A. Larson MD , Patrick J. McNamara MB BCh, MSc , Regan E. Giesinger MD
{"title":"Exposure to persistent hemodynamically significant patent ductus arteriosus is associated with retinopathy of prematurity","authors":"Alison Ford MD , Madeline Beauchene MD , Amy H. Stanford MD , Jonathan M. Klein MD , John M. Dagle MD , Danielle R. Rios MD, MS , Scott A. Larson MD , Patrick J. McNamara MB BCh, MSc , Regan E. Giesinger MD","doi":"10.1016/j.jaapos.2024.103923","DOIUrl":"10.1016/j.jaapos.2024.103923","url":null,"abstract":"<div><h3>Background</h3><p>Hemodynamically significant patent ductus arteriosus (hsPDA) shunt may predispose infants to retinopathy of prematurity (ROP) because of its higher preductal cardiac output and blood oxygen content, which may augment ocular oxygen delivery.</p></div><div><h3>Methods</h3><p>A retrospective cohort study of preterm infants, born at <27 weeks’ gestation and admitted at <24h postnatal age to a large quaternary referral was conducted. The primary composite outcome was death at <32 weeks or moderate-to-severe ROP (≥stage 2 or requiring treatment) in either eye. Secondary outcomes included ROP requiring treatment, and any ROP. Univariate analysis of patient characteristics and outcomes was performed as well as logistic regression. A receiver operating characteristics curve was generated for the outcome of ROP ≥stage 2 or requiring treatment.</p></div><div><h3>Results</h3><p>A total of 91 patients were screened, of whom 86 (54 hsPDA, 32 controls) were eligible for inclusion. hsPDA patients were younger and lighter at birth and had a higher burden of hyperglycemia and respiratory illness. The rates of the composite outcome (death <32 weeks or moderate-to-severe ROP) and of any ROP were more frequent in the hsPDA group. hsPDA shunt exposure was independently associated with development of any ROP among survivors to assessment (<em>P</em> = 0.006). PDA cumulative exposure score of 78 (clinical equivalent = 7 days high-volume shunt exposure) predicts moderate-to-severe ROP with 80% sensitivity and 78% specificity.</p></div><div><h3>Conclusions</h3><p>Among infants <27 weeks, hsPDA shunt is associated with increased risks of a composite outcome of death or moderate-to-severe ROP, as well as ROP of any stage. Shunt modulation as a strategy to reduce ROP represents a biologically plausible avenue for investigation.</p></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140855717","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 : 2024-06-01DOI: 10.1016/j.jaapos.2024.103922
Elsbeth J.T. van Zeeburg MD, PhD , Marije L. Sminia MD, PhD , Professor Nicoline E. Schalij-Delfos MD, PhD
{"title":"Long-term results of anterior chamber iris claw intraocular lens implantation in children with ectopia lentis in Marfan syndrome","authors":"Elsbeth J.T. van Zeeburg MD, PhD , Marije L. Sminia MD, PhD , Professor Nicoline E. Schalij-Delfos MD, PhD","doi":"10.1016/j.jaapos.2024.103922","DOIUrl":"10.1016/j.jaapos.2024.103922","url":null,"abstract":"<div><h3>Purpose</h3><p>To report the long-term clinical and endothelial cell count (ECC) results of lensectomy with primary anterior chamber iris claw lens implantation in the eyes of patients ≤18-year-old with ectopia lentis due to Marfan syndrome.</p></div><div><h3>Methods</h3><p>The medical records of Marfan patients operated on at a single institution from September 2007 to August 2020, with minimum follow-up of 2 years, were reviewed retrospectively. The following data were analyzed: sex, age at surgery, indication for surgery, the position of the lens in relation to the undilated and dilated pupil, corneal endothelial cell counts (ECC), peri- and postoperative complications, pre- and postoperative best-corrected visual acuity.</p></div><div><h3>Results</h3><p>A total of forty-two eyes of 23 patients (12 girls and 11 boys) were included. At least two or more postoperative ECCs were collected from 33 eyes (17 patients). Median age at IOL implantation was 6.1 years (range, 1.8-18). Median overall follow-up time was 6.2 years (range, 2-13.5). Median ECC follow-up time was 6.2 years (range, 2-10). Mean best-corrected visual acuity was 0.71 ± 0.38 logMAR before surgery and 0.02 ± 0.25 logMAR at final follow-up. The mean annual ECC decline was 0.71% ± 2.24. Total cell loss from first to last postoperative measurement was 150 cells ± 394 cells/mm<sup>2</sup> (4.81%). Pre- and first postoperative data were available for 17 eyes of 10 patients, with a mean cell loss before and directly after surgery of 269 ± 268 cells (7.94%). Surgery related complications were iris bombé due to blockage of peripheral iridectomy in 3 eyes and claw dislocation due to direct impact trauma in 3 eyes.</p></div><div><h3>Conclusions</h3><p>In our large, pediatric study cohort, anterior chamber iris claw IOL implantation resulted in an excellent visual outcome and normal endothelial cell loss compared with normative data. Safety measures are recommended to avoid traumatic dislocation of IOLs.</p></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1091853124001927/pdfft?md5=9bf08276b37ee8755bce77593647b460&pid=1-s2.0-S1091853124001927-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140861159","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 : 2024-06-01DOI: 10.1016/j.jaapos.2024.103919
Yoav Glidai MD , Moe H. Aung MD, PhD , Jane Edmond MD , Linda Lawrence MD , G. Vike Vicente MD , Sylvia R. Kodsi MD
{"title":"Ophthalmic features of Lamb-Shaffer syndrome: a case series","authors":"Yoav Glidai MD , Moe H. Aung MD, PhD , Jane Edmond MD , Linda Lawrence MD , G. Vike Vicente MD , Sylvia R. Kodsi MD","doi":"10.1016/j.jaapos.2024.103919","DOIUrl":"10.1016/j.jaapos.2024.103919","url":null,"abstract":"<div><p>Lamb-Shaffer syndrome (LSS) is a rare neurodevelopmental disorder, genetically diagnosed in fewer than 100 individuals worldwide. We present a case series of 6 pediatric patients with LSS and describe its ophthalmic manifestations. Strabismus was present in 5 patients, with exotropia being most common. All subjects had significant refractive errors; 5 had astigmatism of at least 2 D. All patients had optic nerve abnormalities, including pallor (4), hypoplasia (2), and anomalous appearance (1), with retinal nerve fiber layer thinning demonstrated in a single subject. Other ophthalmic disorders detected were ptosis (1), nasolacrimal duct obstruction (1), and nystagmus (2).</p></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140868699","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 : 2024-06-01DOI: 10.1016/j.jaapos.2024.103920
Leyla Yavuz Saricay MD , Hajirah N. Saeed MD , Michael Yoon MD , Anna M. Stagner MD , Lindsey A. MacFarlane MD, MPH , Eric D. Gaier MD, PhD , Jia Yin MD, MPH , David G. Hunter MD, PhD
{"title":"Ocular lichen planus as a cause of recurrent restrictive strabismus","authors":"Leyla Yavuz Saricay MD , Hajirah N. Saeed MD , Michael Yoon MD , Anna M. Stagner MD , Lindsey A. MacFarlane MD, MPH , Eric D. Gaier MD, PhD , Jia Yin MD, MPH , David G. Hunter MD, PhD","doi":"10.1016/j.jaapos.2024.103920","DOIUrl":"10.1016/j.jaapos.2024.103920","url":null,"abstract":"<div><p>We report the case of an 80-year-old man with restrictive strabismus in lateral gaze following multiple oculoplastic procedures for idiopathic epiphora. Despite excellent initial response to nasal conjunctival recession with lysis of adhesions and a miminal recession of the medial rectus muscle, the patient suffered recurrence of diplopia associated with limitation of abduction due to aggressive, deep, subconjunctival scarring. Given the history of oral lichen planus (LP), the patient was diagnosed with ocular involvement of LP. He underwent a second conjunctival recession, this time accompanied by an intensive LP treatment regimen. Nine months after surgery, he remained diplopia free and orthophoric in primary gaze. Surgeons treating restrictive strabismus in patients with LP should consider implementing systemic and topical immunosuppressive treatment simultaneously with surgical management.</p></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140871251","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 : 2024-06-01DOI: 10.1016/S1091-8531(24)00224-6
{"title":"Information for Readers","authors":"","doi":"10.1016/S1091-8531(24)00224-6","DOIUrl":"https://doi.org/10.1016/S1091-8531(24)00224-6","url":null,"abstract":"","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1091853124002246/pdfft?md5=a00c8fb151c1b4dceb740d86abbc1e39&pid=1-s2.0-S1091853124002246-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141250410","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 : 2024-06-01DOI: 10.1016/j.jaapos.2024.103901
Brian M. Nguyen DO , Christine L. Do BS , Ian P. Boydstun DO , Palak B. Wall MD
{"title":"Iris atrophy following intracameral dexamethasone injection: a report of two pediatric cases","authors":"Brian M. Nguyen DO , Christine L. Do BS , Ian P. Boydstun DO , Palak B. Wall MD","doi":"10.1016/j.jaapos.2024.103901","DOIUrl":"10.1016/j.jaapos.2024.103901","url":null,"abstract":"<div><p>We report 2 pediatric cases of iris atrophy that developed roughly 1 month after intracameral injection of dexamethasone suspension 9% following unilateral goniotomy and cataract extraction.</p></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307684","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 : 2024-06-01DOI: 10.1016/j.jaapos.2024.103902
Kevin R. Card BS, Jennifer S. Zeiger BA, Vijitha S. Vempuluru MD, Carol L. Shields MD
{"title":"Spontaneous onset and resolution of optic disk pit maculopathy in a young patient","authors":"Kevin R. Card BS, Jennifer S. Zeiger BA, Vijitha S. Vempuluru MD, Carol L. Shields MD","doi":"10.1016/j.jaapos.2024.103902","DOIUrl":"10.1016/j.jaapos.2024.103902","url":null,"abstract":"<div><p>We report the case of an 8-year-old boy who presented with an optic disk pit and subsequently developed optic disk pit maculopathy, consisting of cystoid retinal edema in the peripapillary space and in the papillomacular bundle, which slowly and spontaneously resolved without intervention.</p></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307686","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}