A Case of Orbital Lipoblastoma: Temporal Evolution of Imaging Findings
Lipoblastoma is a rare benign tumor that arises from embryonic white fat, occurring almost exclusively in infants and childhood. It is found most often on the limbs and trunk, and is benign in character with a lack of propensity to recur.1,2 There are few cases reported of lipoblastoma involving the orbit. Adams et al.3 reported the first case of orbital lipoblastoma in 1997, which encompassed histopathologic and radiologic findings of orbital lipoblastoma. A case of orbitonasal lipoblastoma was also reported in 2006.4 However, there are no previous studies that report clinico-radio-pathologic (Source: Journal of Pediatric...
Source: Journal of Pediatric Ophthalmology and Strabismus - October 9, 2017 Category: Opthalmology Authors: Sungsoon Hwang, MD Source Type: research

Reduction of Consecutive Esotropia Using Modified Contralateral Recession and Resection for Recurrent Intermittent Exotropia
The most common surgical procedures for intermittent exotropia are unilateral lateral rectus recession and medial rectus resection or bilateral lateral rectus recession.1,2 Surgical success rates of exotropia vary from 58% to 79% based on previous studies.3,4 It is common to reoperate on patients with exotropia because recurrence rates tend to increase over time. The surgical treatment for recurrent exotropia depends mainly on the primary surgery.5 Bilateral or unilateral medial rectus resection is performed on patients with a previous bilateral lateral rectus recession. Unilateral lateral (Source: Journal of Pediatric Oph...
Source: Journal of Pediatric Ophthalmology and Strabismus - October 9, 2017 Category: Opthalmology Authors: Soon Young Cho, MD Source Type: research

Combined Oral and Topical Beta Blockers for the Treatment of Early Proliferative Superficial Periocular Infantile Capillary Hemangioma
Infantile hemangiomas are benign vascular endothelial neoplasms characterized by a bright red surface and occur in up to 4% of children by the age of 1 year. They are usually small at the time of birth and enlarge rapidly during the first few months of the newborn's life, eventually shrinking slowly over time.1,2 Therapeutic options include corticosteroids, pulse dye laser, topical imiquimod, beta blockers, and surgery, with recent emphasis on corticosteroids and beta blockers. The efficacy of propranolol, a non-selective beta blocker, in the treatment of infantile hemangiomas has been (Source: Journal of Pediatric Ophthal...
Source: Journal of Pediatric Ophthalmology and Strabismus - October 9, 2017 Category: Opthalmology Authors: Hatem M. Marey, MD Source Type: research

Neuroanatomical Structures in Human Extraocular Muscles and Their Potential Implication in the Development of Oculomotor Disorders
The control and coordination of extraocular muscles both rely on a complex interaction between pre-motor neurons located in the cerebral cortex and cerebellum. The pathway from these supranuclear structures leads to the neural network in the brainstem and ends in three cranial nerve nuclei (III, IV, and VI) involved in ocular rotation. The dichotomy in size, which can be observed among the pool of motor neurons in all of the nuclei, is also present among the efferent nerve fibers and the muscle fibers that they innervate. This neuromuscular organization suggests that there is a division of (Source: Journal of Pediatric Oph...
Source: Journal of Pediatric Ophthalmology and Strabismus - October 9, 2017 Category: Opthalmology Authors: Ala Paduca, PhD Source Type: research

Medial Rectus Bridge Faden Operations in Accommodative and Partially Accommodative Esotropia With Convergence Excess
Esotropia that is caused by an increased accommodative effort or an abnormally high accommodative convergence –accommodation ratio is referred to as accommodative esotropia. Esotropia is partially accommodative when accommodative factors contribute to but do not account for the entire deviation.1 The surgical course for bilateral medial rectus recession for accommodative and partially accommodative esotro pia is often difficult to determine and undercorrections are common in such patients.2 A Faden operation on the medial rectus muscles with or without recession is the standard procedure used (Source: Journal of Pediatri...
Source: Journal of Pediatric Ophthalmology and Strabismus - October 9, 2017 Category: Opthalmology Authors: Asli Inal, MD Source Type: research

Inferior Oblique Belly Transposition for Small Angle Hypertropia With Inferior Oblique Overaction: A Pilot Study
Inferior oblique myectomy and recession are the most commonly performed procedures to weaken inferior oblique overaction.1 In patients with small hypertropias in the primary gaze position ( (Source: Journal of Pediatric Ophthalmology and Strabismus)
Source: Journal of Pediatric Ophthalmology and Strabismus - October 9, 2017 Category: Opthalmology Authors: Shiqiang Yang, MD Source Type: research

Surgical Outcome of Congenital Cataract in Eyes With Microcornea
With the advent of improved surgical technique, better instrumentation, and newer intraocular lenses, outcomes of congenital cataract surgery are improving. Intraocular lens implantation is now being widely accepted, especially in children older than 1 year of age.1,2 This is possible for cases of congenital cataract with normal corneal size; however, for children with microcornea, this may not hold true. Not only is the normal-sized intraocular lens (IOL) implantation deferred, but it also has a relatively poor prognosis attributable to the associated ocular and systemic anomalies. The rate (Source: Journal of Pediatric O...
Source: Journal of Pediatric Ophthalmology and Strabismus - October 9, 2017 Category: Opthalmology Authors: Jyoti Matalia, MBBS, DOMS, DNB Source Type: research

Optical Coherence Tomography –Assisted Limbal Dermoid Removal
Limbal dermoids are benign tumors that can contain a variety of histological tissue types.1 Indications for surgical removal of a limbal dermoid include amblyopia and amblyogenic risk factors (including clinically significant anisometropia, obstruction of visual axis, or astigmatism),1,2 ocular exposure (due to incomplete eyelid closure during sleep or induction of a dellen),1,2 lack of compliance with follow-up or with spectacle correction,1,2 or aesthetic and psychosocial reasons.1 Our patient presented on day 27 of life with a limbal dermoid noticeable by his parents. At that time, the (Source: Journal of Pediatric Opht...
Source: Journal of Pediatric Ophthalmology and Strabismus - October 9, 2017 Category: Opthalmology Authors: Jacob A. Evans, BS Source Type: research

Anteriorization of the Normally Acting Inferior Oblique Muscles to Treat Dissociated Vertical Deviation Associated With Juvenile Glaucoma
Dissociated vertical deviation is the tendency for an eye to elevate, abduct, and extort when binocularity is disrupted. Most consider superior rectus recession as the treatment of choice for pure dissociated vertical deviation without inferior oblique overaction.1 If dissociated vertical deviation and inferior oblique overaction coexist, J deformity anteriorization of the inferior oblique muscle is chosen because this will address both issues.2 –4 Previous authors have successfully treated dissociated vertical deviation with inferior oblique anteriorization, even in the absence of inferior (Source: Journal of Pediatric ...
Source: Journal of Pediatric Ophthalmology and Strabismus - October 9, 2017 Category: Opthalmology Authors: Rehab Rashad Kassem, MD, FRCS(Glasg) Source Type: research

Progression of High Anisometropia in Children
Conclusions:</span><p>High anisometropic myopia progresses rapidly in the first few years of life before becoming stable.</p><p><b>[<i>J Pediatr Ophthalmol Strabismus</i>. 2017;54(5):282 –286.]</b></p></div> (Source: Journal of Pediatric Ophthalmology and Strabismus)
Source: Journal of Pediatric Ophthalmology and Strabismus - September 21, 2017 Category: Opthalmology Source Type: research

The Value of the Frontalis Suspension Procedure as a Repeat Intervention in Congenital Blepharoptosis
Conclusions:</span><p>Frontalis suspension as a repeat intervention for congenital blepharoptosis is associated with a further increase in long-term anatomic success rates and should be considered when initial procedures fail or remain inadequate.</p><p><b>[<i>J Pediatr Ophthalmol Strabismus</i>. 2017;54(5):320 –323.]</b></p></div> (Source: Journal of Pediatric Ophthalmology and Strabismus)
Source: Journal of Pediatric Ophthalmology and Strabismus - September 21, 2017 Category: Opthalmology Source Type: research

Combined Surgery for Simultaneous Treatment of Congenital Ptosis and Coexisting Strabismus
Conclusions:</span><p>Comprehensive preoperative examination is vital to determine the appropriate diagnosis and guide surgical decision-making. Single-stage surgery for congenital ptosis and coexisting strabismus is effective and a shortened treatment period is beneficial to patients.</p><p><b>[<i>J Pediatr Ophthalmol Strabismus</i>. 2017;54(5):288 –294.]</b></p></div> (Source: Journal of Pediatric Ophthalmology and Strabismus)
Source: Journal of Pediatric Ophthalmology and Strabismus - September 21, 2017 Category: Opthalmology Source Type: research

Inability of Open-Field Autorefraction to Eliminate Accommodation in Preschoolers
Conclusions:</span><p>The Shin-Nippon NVision-K 5001/Grand Seiko WR-5100K open-field autorefractometer seems to be inadequate in eliminating accommodation in childhood. Measurements under cycloplegia continue to be the best method to ensure accurate results.</p><p><b>[<i>J Pediatr Ophthalmol Strabismus</i>. 2017;54(5):311 –318.]</b></p></div> (Source: Journal of Pediatric Ophthalmology and Strabismus)
Source: Journal of Pediatric Ophthalmology and Strabismus - September 21, 2017 Category: Opthalmology Source Type: research

Ptosis and Strabismus Surgery Performed Simultaneously
(Source: Journal of Pediatric Ophthalmology and Strabismus)
Source: Journal of Pediatric Ophthalmology and Strabismus - September 21, 2017 Category: Opthalmology Source Type: research

Ophthalmic Suture: Making Each Bite Count
(Source: Journal of Pediatric Ophthalmology and Strabismus)
Source: Journal of Pediatric Ophthalmology and Strabismus - September 21, 2017 Category: Opthalmology Source Type: research