Journal of Pediatric Ophthalmology and Strabismus最新文献

{"title":"Relationship Between the Clinical Factors and Deviation Control in Intermittent Exotropia.","authors":"Gülce Gökgöz Özişik,&nbsp;Guven Gokgoz,&nbsp;Cagatay Caglar,&nbsp;Hasan Basri Cakmak","doi":"10.3928/01913913-20210723-01","DOIUrl":"https://doi.org/10.3928/01913913-20210723-01","url":null,"abstract":"<p><strong>Purpose: </strong>To establish whether clinical factors were correlated with deviation control in intermittent exotropia.</p><p><strong>Methods: </strong>This retrospective study included 54 patients with intermittent exotropia. The patient's sex, family history, age at first admission, best corrected visual acuity, refractive errors after cycloplegia, angles of ocular deviation at near and distance, and near, distance, and total deviation control were evaluated. Ocular deviation controls were determined according to the Mayo Clinic's office-based scale. Correlation analysis was performed between the deviation control and the determined clinical factors.</p><p><strong>Results: </strong>Spearman correlation analyses revealed a mild correlation between age with total exotropia control score and age with the control of near exotropia control score (<i>r</i> = 0.320, <i>P</i> = .018 and <i>r</i> = 0.339, <i>P</i> = .012, respectively). The angle of deviation at near showed a significant moderate correlation between total exotropia control score and near exotropia control score (<i>r</i> = 0.523, <i>P</i> < .001 and <i>r</i> = 0.780, <i>P</i> < .001, respectively). The deviation angle at distance showed a mild correlation with distance exotropia control score and total exotropia control score (<i>r</i> = 0.423, <i>P</i> = .001 and <i>r</i> = 0.288, <i>P</i> = .034, respectively). The angle of deviation at distance showed a mild correlation with the angle of deviation at near (<i>r</i> = 0.359, <i>P</i> = .008). The deviation angle at distance was established as an independent factor for predicting total exotropia score (<i>P</i> = .037, <i>P</i> = .015, respectively).</p><p><strong>Conclusions: </strong>The high deviation angle correlates positively with poor deviation control. The distance deviation angle is an independent predictor of total deviation control for the first time in the literature. <b>[<i>J Pediatr Ophthalmol Strabismus</i>. 2022;59(1):53-59.]</b>.</p>","PeriodicalId":519537,"journal":{"name":"Journal of Pediatric Ophthalmology and Strabismus","volume":" ","pages":"53-59"},"PeriodicalIF":1.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39497801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multiple XEN Gel Stents for Refractory Pediatric Glaucoma.","authors":"Sunil Ruparelia,&nbsp;Efraim Berco,&nbsp;Alejandro Lichtinger,&nbsp;Nir Shoham-Hazon","doi":"10.3928/01913913-20211101-03","DOIUrl":"https://doi.org/10.3928/01913913-20211101-03","url":null,"abstract":"<p><p>Although trabeculotomy and goniotomy are currently the mainstay of surgical management for congenital glaucoma, XEN Gel Stent (Allergan) implantation and other microinvasive glaucoma surgery technologies may offer the advantage of having a lower risk of postoperative complications than conventional techniques. A 10-year-old boy presented with aphakic glaucoma in his left eye secondary to previous cataract surgery. Intraocular pressure (IOP) in the left eye at initial presentation was 31 mm Hg with maximal tolerated medical therapy. Surgical history included tube shunt, shunt revision, and subsequent shunt removal. Shunt surgery and revision had been unsuccessful at achieving target IOP. The patient underwent two treatments of micro-pulse transscleral laser therapy that failed to achieve target IOP. At this time, an open conjunctiva ab externo superior XEN Gel Stent (Allergan) was implanted. Within 1 month of surgery, conjunctival dehiscence and contraction occurred. Following this, ab interno inferonasal air-ophthalmic viscosurgical device XEN Gel Stent implantation was performed. In the 6 months following the second XEN Gel Stent, IOP in the left eye was stable at 6 to 8 mm Hg. This report describes the effective use of a XEN Gel Stent implant in the management of congenital glaucoma, while also highlighting a complication. Further studies are required to determine the comparative outcomes of this technique with conventional surgical management. <b>[<i>J Pediatr Ophthalmol Strabismus</i>. 2022;59(1):e11-e14.]</b>.</p>","PeriodicalId":519537,"journal":{"name":"Journal of Pediatric Ophthalmology and Strabismus","volume":" ","pages":"e11-e14"},"PeriodicalIF":1.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39731183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute Abducens Nerve Palsy Following the Second Dose of the AstraZeneca COVID-19 Vaccine.","authors":"Arpitha Pereira,&nbsp;Roger S Haslett","doi":"10.3928/01913913-20210920-01","DOIUrl":"https://doi.org/10.3928/01913913-20210920-01","url":null,"abstract":"<p><p>The authors report the case of an otherwise healthy 65-year-old man who presented with an acute right abducens nerve palsy 3 days after receiving the second dose of the AstraZeneca coronavirus disease 2019 (COVID-19) vaccine. Abducens nerve palsies typically results from microvascular disease or compressive tumors, although they are known to arise following routine vaccinations. Given the lack of preexisting risk factors, normal computed tomography scan results, and the timing of the symptoms, the abducens nerve palsy was believed to be related to the vaccination. This report highlights the potential neurologic adverse effects associated with COVID-19 vaccines. <b>[<i>J Pediatr Ophthalmol Strabismus</i>. 2021;58(6):e49-e50.]</b>.</p>","PeriodicalId":519537,"journal":{"name":"Journal of Pediatric Ophthalmology and Strabismus","volume":" ","pages":"e49-e50"},"PeriodicalIF":1.2,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39681849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Progressive Myelinated Retinal Nerve Fibers in Children With Craniosynostosis.","authors":"Seung Ah Chung,&nbsp;Chung Woon Kim,&nbsp;Seung Woo Kim","doi":"10.3928/01913913-20210824-01","DOIUrl":"https://doi.org/10.3928/01913913-20210824-01","url":null,"abstract":"<p><p>The authors found the changes of myelinated retinal nerve fibers in one pair of identical twins with nonsyndromic craniosynostosis and two patients with Crouzon syndrome, who were at risk for impaired lamina cribrosa barrier function. This is the first report of progressive and presumed acquired myelinated retinal nerve fibers in craniosynostosis. <b>[<i>J Pediatr Ophthalmol Strabismus</i>. 2021;58(6):e40-e43.]</b>.</p>","PeriodicalId":519537,"journal":{"name":"Journal of Pediatric Ophthalmology and Strabismus","volume":" ","pages":"e40-e41"},"PeriodicalIF":1.2,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39681852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical Outcomes of Balloon Dacryocystoplasty Combined With Pushed-Type Monocanalicular Intubation as the Primary Management for Congenital Nasolacrimal Duct Obstruction.","authors":"Chun-Chieh Lai,&nbsp;Cheng-Ju Yang,&nbsp;Chia-Chen Lin,&nbsp;Yi-Chun Chi","doi":"10.3928/01913913-20210414-01","DOIUrl":"https://doi.org/10.3928/01913913-20210414-01","url":null,"abstract":"<p><strong>Purpose: </strong>To report the surgical outcomes of antegrade balloon dacryocystoplasty combined with pushed-type monocanalicular intubation as a primary surgical treatment in patients with congenital nasolacrimal duct obstruction.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted at National Cheng Kung University Hospital. The medical records of all patients with congenital nasolacrimal duct obstruction who underwent antegrade balloon dacryocystoplasty followed by pushed-type monocanalicular intubation as the primary surgical treatment from January 2018 to July 2020 were included. The monocanalicular tube was removed 1 to 2 weeks after intubation. Surgical success was defined as resolved epiphora 1 month after the tube was removed.</p><p><strong>Results: </strong>A total of 62 eyes of 48 patients were involved in this study. The mean age of the total population was 24.1 months (range: 12 to 66 months). The mean duration of the tube indwelling in the nasolacrimal duct was 9.5 days (range: 4 to 15 days). A total of 60 of the 62 eyes (96.77%) reported surgical success. Early tube loss occurred in 2 eyes (3.23%); however, epiphora was not reported afterward. No complications other than tube loss were recorded. There were no recurrences in patients who had undergone successful surgery observed up to July 2020.</p><p><strong>Conclusions: </strong>Antegrade balloon dacryocystoplasty with short-term pushed-type monocanalicular intubation as a primary surgical treatment for congenital nasolacrimal duct obstruction may have high potential with a high success rate and a low complication rate. <b>[<i>J Pediatr Ophthalmol Strabismus</i>. 2021;58(6):365-369.]</b>.</p>","PeriodicalId":519537,"journal":{"name":"Journal of Pediatric Ophthalmology and Strabismus","volume":" ","pages":"365-369"},"PeriodicalIF":1.2,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39074708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of the Control Ability on Stereopsis Recovery of Intermittent Exotropia in Children.","authors":"Wenquan Tang,&nbsp;Bin He,&nbsp;Jun Luo,&nbsp;Zifeng Deng,&nbsp;Xilang Wang,&nbsp;Xuanchu Duan","doi":"10.3928/01913913-20210615-02","DOIUrl":"https://doi.org/10.3928/01913913-20210615-02","url":null,"abstract":"<p><strong>Purpose: </strong>To explore the relationship between ocular position control ability and stereopsis recovery in children with intermittent exotropia, and to analyze the influencing factors of distance stereopsis recovery.</p><p><strong>Methods: </strong>In this retrospective study, 78 children with small angle intermittent exotropia received vision training for 3 months. All patients were examined for distance stereopsis with the synoptophore and for near stereopsis with the Titmus stereogram before and after the training. The patients were divided into low and high Newcastle Control Score (NCS) groups. The stereopsis of the two groups was compared. Logistic regression analysis was used to analyze the influencing factors of distance stereopsis recovery.</p><p><strong>Results: </strong>Among 78 children with intermittent exotropia, 33 had near stereopsis (42.3%) and 22 had distance stereopsis (28.2%); the difference was significant (<i>P</i> < .05). After 3 months of training, there were statistically significant differences between distance and near stereopsis in the low NCS group and the high NCS group (chi-square = 7.127, <i>P</i> = .008; chi-square = 13.005, <i>P</i> < .001). The number of children with distance and near stereopsis in the low NCS group increased significantly compared with before training (chi-square = 13.471, <i>P</i> < .001; chi-square = 22.244, <i>P</i> < .001). Multivariate logistic regression analysis showed that age of onset (odds ratio [OR] = 3.768, <i>P</i> = .001), near point of convergence (OR = 0.347, <i>P</i> = .002), and NCS (OR = 0.142, <i>P</i> = .002) were risk factors that affected stereopsis recovery in children with small angle intermittent exotropia.</p><p><strong>Conclusions: </strong>Control ability is one of the important indicators to assess the severity of intermittent exotropia. The worse the control ability, the more difficult the recovery of stereopsis. Age of onset, near point of convergence, and NCS are risk factors that affect the recovery of distance stereopsis. <b>[<i>J Pediatr Ophthalmol Strabismus</i>. 2021;58(6):350-354.]</b>.</p>","PeriodicalId":519537,"journal":{"name":"Journal of Pediatric Ophthalmology and Strabismus","volume":" ","pages":"350-354"},"PeriodicalIF":1.2,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39346090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Red Eyes and a Preauricular Rash.","authors":"Helen H Yeung","doi":"10.3928/01913913-20211026-01","DOIUrl":"https://doi.org/10.3928/01913913-20211026-01","url":null,"abstract":"","PeriodicalId":519537,"journal":{"name":"Journal of Pediatric Ophthalmology and Strabismus","volume":" ","pages":"345"},"PeriodicalIF":1.2,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39681855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinicians in PPE: A Visually Impaired Patient's View.","authors":"Emily K O'Neill, Sian E Handley, Dorothy Thompson","doi":"10.3928/01913913-20210316-03","DOIUrl":"10.3928/01913913-20210316-03","url":null,"abstract":"","PeriodicalId":519537,"journal":{"name":"Journal of Pediatric Ophthalmology and Strabismus","volume":" ","pages":"407"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39046676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Two Photoscreeners in a Population of Syrian Refugee Children.","authors":"John P Gorham,&nbsp;Soroosh Behshad,&nbsp;Natalie C Weil","doi":"10.3928/01913913-20210428-01","DOIUrl":"https://doi.org/10.3928/01913913-20210428-01","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate children in the Za'atari refugee camp in Jordan to better understand the prevalence of ocular pathology and to compare two photoscreening devices to evaluate their utility.</p><p><strong>Methods: </strong>Families at the Syrian American Medical Society Clinic were offered vision screening for children aged 1 to 18 years. Participants were offered visual acuity measurement and photoscreening with two devices approved for use in the United States. If visual acuity in either eye was worse than 20/40 or either photoscreening device indicated possible pathology, a complete eye examination was performed with cycloplegic refraction and dilated examination.</p><p><strong>Results: </strong>Ninety-one participants completed the screening protocol. The average age of participants who completed the study was 7.8 years (range: 1 to 16 years). Twenty-eight participants (30.8%) failed at least one screening component. In this population, the following pathology was identified: astigmatism (12.1%), esotropia (9.9%), amblyopia (9.9%), hyperopia (7.7%), exotropia (3.3%), and myopia (1.1%). The Plusoptix vision screener (Plusoptix) had a sensitivity of 100% for the identification of amblyopia and 85% specificity. The GoCheck Kids application (Gobiquity) had a sensitivity of 66.67% for the identification of amblyopia and 94% specificity. The positive predictive value for the Plusoptix vision screener and the GoCheck Kids application for the detection of amblyopia risk factors was 77% for both.</p><p><strong>Conclusions: </strong>The high rate of ophthalmic pathology identified in this study reinforces the urgent need for proper vision screening and intervention in this population. <b>[<i>J Pediatr Ophthalmol Strabismus</i>. 2021;58(6):396-400.]</b>.</p>","PeriodicalId":519537,"journal":{"name":"Journal of Pediatric Ophthalmology and Strabismus","volume":" ","pages":"396-400"},"PeriodicalIF":1.2,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39154903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A 5-Year Retrospective Assessment of Clinical Presentation Associated With Sports Injury in Young People Presenting to a Tertiary Eye Center.","authors":"Dominique M Dockery,&nbsp;Magdalena A Harrington,&nbsp;Matthew F Gardiner,&nbsp;Magdalena G Krzystolik","doi":"10.3928/01913913-20210423-02","DOIUrl":"https://doi.org/10.3928/01913913-20210423-02","url":null,"abstract":"<p><strong>Purpose: </strong>To examine the incidence and initial presentation of sports-related ocular injury in youth.</p><p><strong>Methods: </strong>This retrospective case series study was performed at Massachusetts Eye and Ear, Boston, Massachusetts. Inclusion criteria were visit dates between January 1, 2010 and December 31, 2015, age 5 to 25 years, an ocular injury International Classifcation of Disease code, and a sports-related mechanism of injury.</p><p><strong>Results: </strong>The final sample was 223 patients, representing approximately 20% of all youth eye injuries (mean age: 16.2 years (range: 6 to 24 years); 78.9% boys, 21.2% girls). The most common diagnosis was hyphema (72.2%). Most injuries occurred with soccer (23.3%), baseball (17.0%), and basketball (11.7%), with a mean visual acuity of 20/40, 20/50, and 20/50, respectively. The injuries with the lowest mean visual acuity resulted from paintball (20/500) and airsoft gun shooting (20/200). Thirty-three patients (14.7%) required surgical intervention. The average number of follow-up visits within 1 year was five.</p><p><strong>Conclusions: </strong>Approximately 20% of youth ocular injury visits were sports related, with male teenagers affected most. Hyphema was the most common type of sports-related eye injury posing a lifelong risk of ocular complications. Popular youth sports such as soccer, baseball, and basketball caused the most eye injuries. Shooting sports with paintball and airsoft guns were associated with the greatest loss of vision. Patients infrequently reported the use of protective eyewear at the time of injury. Protective eye equipment should be worn by youth participating in sports to prevent ocular trauma and the potential for surgical intervention. <b>[<i>J Pediatr Ophthalmol Strabismus</i>. 2021;58(6):377-384.]</b>.</p>","PeriodicalId":519537,"journal":{"name":"Journal of Pediatric Ophthalmology and Strabismus","volume":" ","pages":"377-384"},"PeriodicalIF":1.2,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39154905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}