Abstracts of the Ophthalmic Literature

s of the Ophthalmic Literature Compiled by: Cindy Cline, C.O. Katherine Fray, C.O. Bruce Furr, c.o. Alexandra Huebner, C.O. Lauren Pendarvis, C.O. Cindy Pritchard, c.o. Ingrid Rocha-Gamba, C.O. Kyle Arnoldi, C.O. ADLER E, DING K, SIATKOWSKI M: Factors related to strabismus decompensation after a period of prolonged postoperative stability. J AAPOS 2014; 18:50-55. Surgical management is the preferred treatment for patients with horizontal angles of deviation greater than l(P. Previous studies have reported high incidence of reoperation. This study analyzes the clinical and demographic factors associated with late decompensation ofhorizontal strabismus after a good postoperative result for a minimum of 12 months. Patients included in the study measured less than 10& of horizontal deviation at distance or near more than one year following surgery. Approximately 30% ofthese patients showed deterioration in the deviation more than 12 months postoperatively. One factor connected with late decompensation was the presence of preoperative oblique dysfunction. A second reason for instability was the existence of a larger deviation at distance than near. Lastly, data suggested that alignment of 0-4& after surgery lessens the rate of decompensation compared to postoperative deviations of4-8&. Dr. R. Michael Siatkowski, Dean McGee Eye Institute, 608 Stanton L.YoungBlvd., Oklahoma City, OK 73104 e-mail: rmichael-siatkowski@dmei.org ADYANTHAYA R, ISENOR S, MUTHUSAMY B, IRSCH K, GUYTON D: Children with Down syndrome benefit from bifocals as evidenced by increased compliance with spectacle wear. J AAPOS 2014; 18:481-484. About 60% of children with Down syndrome have some ocular manifestations such as, hypermetropia, myopia, strabismus, nystagmus, amblyopia, lid anomalies, and corneal problems. It has been recently reported that about 80% of these children may also have accommodative insufficiency.The goal of this study was to assess if the use of bifocals increased spectacle compliance in children with Down syndrome. Hyperopia is the most prevalent refractive error in these children. In this cohort of patients, single-vision eyeglasses compliance was poor.Accommodation was evaluated by dynamic retinoscopy. According to this retrospective study's findings, prescribing bifocals to children with Downsyndrome increased glasses wear compliance and facilitated normal progress of their accommodative ability. Dr. David L. Guyton, The Wilmer Institute 233, The Johns Hopkins Hospital, Baltimore, MD 21287 e-mail: dguyton@jhmi.edu © 2015 Board of Regents of the University of Wisconsin System, American Orthoptic Journal, Volume 65, 2015, ISSN 0065-955X, E·ISSN 1553-4448 American Orthoptic Journal 129