Journal of Pediatric Ophthalmology and Strabismus最新文献

{"title":"Sympathizing With the Abducens Nerve.","authors":"Alaa Bou Ghannam, Hana Mansour","doi":"10.3928/01913913-20210209-01","DOIUrl":"https://doi.org/10.3928/01913913-20210209-01","url":null,"abstract":"","PeriodicalId":519537,"journal":{"name":"Journal of Pediatric Ophthalmology and Strabismus","volume":" ","pages":"73"},"PeriodicalIF":1.2,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38951589","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":"Accuracy of Intraocular Lens Power Calculation in Children With Vitrectomized Eyes Undergoing Cataract Surgery.","authors":"Sumita Agarkar,&nbsp;Swathi Mailankody,&nbsp;Ramyaa Srinivasan,&nbsp;Rajiv Raman","doi":"10.3928/01913913-20210107-01","DOIUrl":"https://doi.org/10.3928/01913913-20210107-01","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the predictability of desired postoperative refractive outcomes using the SRK-II formula for intraocular lens (IOL) power calculation in children undergoing cataract surgery in eyes with a previous pars plana vitrectomy (PPV).</p><p><strong>Methods: </strong>In this retrospective study, 68 eyes of 66 children who underwent cataract surgery and IOL implantation in eyes that had previous vitrectomy between January 2008 and December 2017 were included. Data were collected on preoperative and postoperative characteristics. The Mann-Whitney test, Kruskal-Wallis test, and multinominal logistic regression were used for comparing the results.</p><p><strong>Results: </strong>Absolute prediction error (APE) in the cohort was 1.29 ± 1.13. Desirable refractive outcome with insignificant prediction error of less than 0.50 diopters (D) was found in approximately one-third of the children. Patients were further subdivided by magnitude of APE as ≥ 0.50 to ≤ 1.00 D and > 1.00 D. Age at the time of surgery, axial length, mean keratometry, silicone oil removal, IOL position, scleral buckle, and corneal suture did not affect APE and there was no significant difference between the groups (<i>P</i> > .05).</p><p><strong>Conclusions: </strong>The mean APE of the SRK-II formula for IOL power calculation in pediatric eyes that had vitrectomy is comparable to that reported in the literature for routine pediatric cataract surgeries. Factors such as age, axial length, corneal power, IOL position (bag/sulcus), scleral buckle, corneal suture, and silicone oil removal done prior to surgery or along with cataract surgery did not affect the APE. <b>[<i>J Pediatr Ophthalmol Strabismus</i>. 2021;58(2):126-131.]</b>.</p>","PeriodicalId":519537,"journal":{"name":"Journal of Pediatric Ophthalmology and Strabismus","volume":" ","pages":"126-131"},"PeriodicalIF":1.2,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38938783","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":"Subconjunctival Dirofilariasis Mimicking Infectious Scleritis.","authors":"Monalisha Pattnaik,&nbsp;Devjyoti Tripathy,&nbsp;Ruchi Mittal","doi":"10.3928/01913913-20201221-03","DOIUrl":"https://doi.org/10.3928/01913913-20201221-03","url":null,"abstract":"","PeriodicalId":519537,"journal":{"name":"Journal of Pediatric Ophthalmology and Strabismus","volume":" ","pages":"136"},"PeriodicalIF":1.2,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38938789","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":"Pattern-Reversal Visual Evoked Potential in Children With Congenital Zika Syndrome.","authors":"Luan F B Almeida,&nbsp;Marisa Kattah,&nbsp;Liana O Ventura,&nbsp;Adriana L Gois,&nbsp;Camilla Rocha,&nbsp;Camila G Andrade,&nbsp;Carlos Mendonza-Santiesteban,&nbsp;Camila V Ventura","doi":"10.3928/01913913-20201110-01","DOIUrl":"https://doi.org/10.3928/01913913-20201110-01","url":null,"abstract":"<p><strong>Purpose: </strong>To objectively evaluate the visual function in children with congenital Zika syndrome using pattern-reversal visual evoked potential (PR-VEP).</p><p><strong>Methods: </strong>This was a cross-sectional study composed of two patient groups: children aged between 18 and 24 months who were positive for the Zika virus (congenital Zika syndrome group) and age-matched healthy children (control group). All patients underwent a comprehensive ophthalmologic examination and PR-VEP was performed binocularly in a room with constant dim illumination. The P100 peak time in the 60' arc stimuli was used, and the results were correlated with visual acuity, cephalic perimeter at birth, and funduscopic findings.</p><p><strong>Results: </strong>Thirty-seven children were included in the congenital Zika syndrome group and 15 in the control group. The mean age was 18.5 ± 0.9 months (range: 17 to 20 months) in the congenital Zika syndrome group and 24.3 ± 1.6 months (range: 21 to 28 months) in the control group. The P100 response was normal in 7 patients (18.9%) with congenital Zika syndrome, borderline in 2 (5.4%), abnormal with prolonged latency in 18 (48.6%), and abnormal with no response in 10 (27.0%). A significant correlation between the visual acuity and P100 peak time was observed (<i>P</i> < .001). The P100 values were not correlated significantly with the cephalic perimeter at birth (<i>P</i> = .412) or the funduscopic findings (<i>P</i> = .510). PR-VEP in children with congenital Zika syndrome and no funduscopic findings was significantly worse than in the control group (<i>P</i> = .001).</p><p><strong>Conclusions: </strong>Children with congenital Zika syndrome have characteristically abnormal PR-VEPs regardless of the funduscopic findings and severe microcephaly. The PR-VEP findings supported the diagnosis of cortical visual impairment in these children. <b>[<i>J Pediatr Ophthalmol Strabismus</i>. 2021;58(2):78-83.]</b>.</p>","PeriodicalId":519537,"journal":{"name":"Journal of Pediatric Ophthalmology and Strabismus","volume":" ","pages":"78-83"},"PeriodicalIF":1.2,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39020107","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":"Pediatric Eye Emergency Department Visits: Retrospective Review and Evaluation.","authors":"Christopher Ramsay,&nbsp;Ann P Murchison,&nbsp;Jurij R Bilyk","doi":"10.3928/01913913-20201118-01","DOIUrl":"https://doi.org/10.3928/01913913-20201118-01","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the epidemiology of pediatric ocular conditions presenting to an ophthalmic emergency department and analyze the incidence of ocular trauma and other ophthalmic diagnoses.</p><p><strong>Methods: </strong>A retrospective review was performed of all patients seen in an urban eye emergency department over a 1-year period. The following variables were examined: visit date, demographics, diagnosis, mechanism of injury, and level of patient care.</p><p><strong>Results: </strong>Analysis was performed on 1,136 pediatric visits spanning 1 year. Trauma was the most common etiology, seen in 44.4% of patients, followed by infection in 19.3%. The largest volume of pediatric use was in the spring and early summer, with the peak of trauma in the spring. Most admissions of pediatric patients were due to trauma (76.4%), of which the most common diagnoses were ruptured globe (27.3%), eyelid laceration (18.2%), and orbital fracture (10.9%). Sporting activities were the most frequent broad cause of trauma seen in pediatric patients, accounting for 30.9% of all trauma, whereas the highest singular cause of trauma was injury by air guns (9.5%).</p><p><strong>Conclusions: </strong>Pediatric ophthalmic emergency department visits in this urban setting are most often due to trauma, with increased use in the spring and early summer. A majority of the more serious conditions leading to admission can be attributed to trauma, which is often preventable. Knowledge of patterns of visits could improve planning of ophthalmology physician coverage. <b>[<i>J Pediatr Ophthalmol Strabismus</i>. 2021;58(2):84-92.]</b>.</p>","PeriodicalId":519537,"journal":{"name":"Journal of Pediatric Ophthalmology and Strabismus","volume":" ","pages":"84-92"},"PeriodicalIF":1.2,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39020108","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 Subjective and Objective Torsion in Normal Patients.","authors":"Sung Ju Baek,&nbsp;Linden Z M Chen,&nbsp;Parth R Shah,&nbsp;Ross Fitzsimons","doi":"10.3928/01913913-20201221-04","DOIUrl":"https://doi.org/10.3928/01913913-20201221-04","url":null,"abstract":"<p><strong>Purpose: </strong>To compare subjective and objective torsion in normal individuals.</p><p><strong>Methods: </strong>A total of 59 individuals (118 eyes) were recruited from one ophthalmology institute in New South Wales, Australia. Objective torsion was measured with optical coherence tomography (OCT) (Heidelberg Engineering) and subjective torsion measurements were obtained with the Torsionometer (INNOVA).</p><p><strong>Results: </strong>Kendall's tau correlation coefficient when comparing the Torsionometer to combined left and right OCT measurements was 0.115 (95% CI: -0.085 to 0.322), inferring a weak correlation. Similarly, when the Torsionometer readings were compared with the OCT measurements of each eye separately, the results demonstrated a weak correlation.</p><p><strong>Conclusions: </strong>To the authors' knowledge, this is the first study comparing subjective and objective torsion in normal individuals. The results demonstrate that subjective and objective torsion in normal individuals should be considered as separate entities and the terms should not be used interchangeably. <b>[<i>J Pediatr Ophthalmol Strabismus</i>. 2021;58(2):112-117.]</b>.</p>","PeriodicalId":519537,"journal":{"name":"Journal of Pediatric Ophthalmology and Strabismus","volume":" ","pages":"112-117"},"PeriodicalIF":1.2,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39020109","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":"Monocular Esotropia Increasing on Attempted Abduction.","authors":"Nils Mungan,&nbsp;Mitchell B Strominger,&nbsp;Daniel T Weaver,&nbsp;Rudolph S Wagner","doi":"10.3928/01913913-20201221-01","DOIUrl":"https://doi.org/10.3928/01913913-20201221-01","url":null,"abstract":"","PeriodicalId":519537,"journal":{"name":"Journal of Pediatric Ophthalmology and Strabismus","volume":" ","pages":"74-77"},"PeriodicalIF":1.2,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38938788","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":"Cortical Visual Impairment in Congenital Zika Syndrome.","authors":"Rudolph S Wagner","doi":"10.3928/01913913-20210204-01","DOIUrl":"https://doi.org/10.3928/01913913-20210204-01","url":null,"abstract":"","PeriodicalId":519537,"journal":{"name":"Journal of Pediatric Ophthalmology and Strabismus","volume":" ","pages":"72"},"PeriodicalIF":1.2,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38938790","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":"Congenital Zika Syndrome: Surgical and Visual Outcomes After Surgery for Infantile Strabismus.","authors":"Liana O Ventura,&nbsp;Simone Travassos,&nbsp;Marcelo C Ventura Filho,&nbsp;Polyana Marinho,&nbsp;Linda Lawrence,&nbsp;M Edward Wilson,&nbsp;Noelle Carreiro,&nbsp;Valeska Xavier,&nbsp;Adriana L Gois,&nbsp;Camila V Ventura","doi":"10.3928/01913913-20200331-01","DOIUrl":"https://doi.org/10.3928/01913913-20200331-01","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the surgical and functional outcomes in children with congenital Zika syndrome who underwent strabismus surgery.</p><p><strong>Methods: </strong>This prospective case series included children with congenital Zika syndrome who presented with horizontal infantile strabismus and underwent strabismus surgery. Ocular motility and visual fields were assessed preoperatively and postoperatively. Visual fields were considered normal if they exceeded 70 degrees in the temporal meridian. Postoperatively, parents and caregivers answered a questionnaire that assessed their child's behavioral improvements. A final ocular alignment within ±10 prism diopters (PD) and expansion of the visual fields were considered satisfactory motor surgical results at 6 months postoperatively.</p><p><strong>Results: </strong>Five children (3 girls [60%]) with congenital Zika syndrome (age: 36.4 ± 0.9 months) were included in this study. All children (100%) presented with moderate to severe visual impairment and 4 (80%) presented with funduscopic abnormalities. Preoperatively, 4 children (80%) had infantile esotropia (mean preoperative angle of deviation: 41.3 ± 6.3 PD) and 1 (20%) had infantile exotropia measuring 65 PD. The postoperative outcomes demonstrated ocular alignment in 4 children (80%) at the 6-month follow-up visit. Expansion of the temporal visual field was observed in 7 eyes (70%) of 4 children (80%). Four caregivers (80%) reported behavioral improvement in daily activities, and all caregivers (100%) reported improved peripheral target detection and socialization skills.</p><p><strong>Conclusions: </strong>Strabismus surgery can be an effective procedure for treating horizontal strabismus in children with congenital Zika syndrome because it can improve ocular alignment, expand the visual field, and improve the child's social, functional, and behavioral skills. [J Pediatr Ophthalmol Strabismus. 2020;57(3):169-175.].</p>","PeriodicalId":519537,"journal":{"name":"Journal of Pediatric Ophthalmology and Strabismus","volume":" ","pages":"169-175"},"PeriodicalIF":1.2,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37973896","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":"Short-term Perceptual Learning Game Does Not Improve Patching-Resistant Amblyopia in Older Children.","authors":"Yoon H Lee,&nbsp;Marcello Maniglia,&nbsp;Federico Velez,&nbsp;Joseph L Demer,&nbsp;Aaron R Seitz,&nbsp;Stacy Pineles","doi":"10.3928/01913913-20200306-01","DOIUrl":"https://doi.org/10.3928/01913913-20200306-01","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate self-administered, at-home use of a perceptual learning-based video game consisting of target detection of stimuli in different sizes, spatial frequency, orientation, and contrast as a potential dichoptic therapy to improve binocular function in amblyopic patients resistant to patching.</p><p><strong>Methods: </strong>Children (ages 8 to 18 years) with strabismic and/or anisometropic amblyopia were recruited from a single institution. All participants (n = 25) were prescribed 6 weeks of patching for 2 hours per day, and those whose visual acuity did not improve were randomized to binocular perceptual learning (n = 7), monocular perceptual learning (n = 8), or patching (n = 10) groups for 8 weeks in this prospective cohort study. After an 8-week long period of treatment cessation, during which participants stopped patching or perceptual learning, participants in the patching group were randomized to binocular or monocular perceptual learning training; those in the perceptual learning groups remained the same. Visual function was assessed by visual acuity, low contrast acuity, reading speed, stereoacuity, and binocularity; compliance was evaluated by exercise logs.</p><p><strong>Results: </strong>There were no significant improvements in visual function parameters, which did not vary by treatment group. However, some visual outcomes, such as binocular summation and reading speed, correlated positively with compliance to perceptual learning therapy.</p><p><strong>Conclusions: </strong>At-home, self-administered use of this perceptual learning-based video game-based visual training does not consistently add therapeutic benefit to those with amblyopia resistant to patching. Future investigation is required to determine whether methods to increase compliance will lead to more reliable outcomes. [J Pediatr Ophthalmol Strabismus. 2020;57(3):176-184.].</p>","PeriodicalId":519537,"journal":{"name":"Journal of Pediatric Ophthalmology and Strabismus","volume":" ","pages":"176-184"},"PeriodicalIF":1.2,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37973897","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}