Journal of Pediatric Ophthalmology and Strabismus This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Assessment of an Advanced Vision Screener in the Detection of Amblyopia in the Nebraska Pediatric Population
Amblyopia is the most common visual deficit in children, with a prevalence of approximately 4%,1 and is defined as a functional reduction in the visual acuity of an eye caused by disuse or misuse during the critical period of visual development. Normal vision cannot develop if there is monocular deprivation. This is commonly caused by strabismus, unequal refractive errors (anisometropia), or deprivation of visual stimulation due to anatomical anomalies such as cataract, ptosis, or eyelid hemangioma. If the interference is not corrected within the sensitive period, usually between the ages of (Source: Journal of Pediatric O...
Source: Journal of Pediatric Ophthalmology and Strabismus - December 19, 2017 Category: Opthalmology Authors: Mary Haschke, MD Source Type: research

Horizontal Deviations in Congenital Brown Syndrome
Brown syndrome is an ocular motility disorder characterized by limited active and passive eye elevation in adduction.1 Patients with vertical deviation in primary position, compensatory head position, or significant downshoot in adduction (often termed Brown syndrome “plus”) usually require surgical correction, whereas less severe cases are often observed without surgery.2,3 Surgical options for Brown syndrome involve weakening or elongation of the superior oblique tendon by Z-tenotomy,4 tenectomy,5 silicone band tendon lengthening,3 split tendon lengthening ,6 or posterior tenectomy.7 (Source: Journal of Pediatric Oph...
Source: Journal of Pediatric Ophthalmology and Strabismus - December 19, 2017 Category: Opthalmology Authors: Gad Dotan, MD Source Type: research

Retinoblastoma in the United States: A 40-Year Incidence and Survival Analysis
Retinoblastoma is a rare form of eye cancer that usually develops in early childhood, typically before the age of 5 years.1,2 It is aggressive and life-threatening if untreated, but curable if detected at an early stage.3 The tumor can be unilateral, occurring in only one of the eyes, or bilateral, occurring in both eyes. Leukocoria and strabismus are the most frequent clinical manifestations of retinoblastoma. Some other signs may be observed, including iris rubeosis, hypopyon, hyphema, buphthalmia, orbital cellulitis, and exophthalmia.4 Diagnosis is determined by funduscopy, ultrasound, and (Source: Journal of Pediatric ...
Source: Journal of Pediatric Ophthalmology and Strabismus - December 19, 2017 Category: Opthalmology Authors: Arthur Gustavo Fernandes, MPH Source Type: research

Double Rhomboid Suture Technique for Congenital Ptosis
Congenital ptosis is one of the many ophthalmic conditions for which a preferred method of treatment has yet to be determined. The most common operation is a frontalis sling, yet the method by which this is performed varies widely from surgeon to surgeon. Materials that have been used include autologous grafts, bioengineered slings, and plain sutures. Speed of the surgery, reoperation rates, and complication rates are of the utmost importance, especially with the potential need to bring a pediatric patient back to undergo general anesthesia. We reviewed the records of one pediatric (Source: Journal of Pediatric Ophthalmology and Strabismus)
Source: Journal of Pediatric Ophthalmology and Strabismus - December 19, 2017 Category: Opthalmology Authors: Austin Bach, DO, MPH Source Type: research

Diagnosis and Treatment Options for Achromatopsia: A Review of the Literature
Achromatopsia is an inherited retinal disease that affects the cone cell function. It is a genetic dysfunction of all types of cones1 and is usually an autosomal-recessive disease that affects 1:30,000 to 1:50,000 births. It is characterized by presentation at birth or early infancy with pendular nystagmus, poor visual acuity, lack of color vision, and marked photophobia.2,3 The clinical signs and symptoms of achromatopsia vary. Typical clinical presentation includes photophobia, pendular nystagmus, poor visual acuity, and color vision deficiency, among others. These symptoms usually start at (Source: Journal of Pediatric ...
Source: Journal of Pediatric Ophthalmology and Strabismus - December 19, 2017 Category: Opthalmology Authors: Isabel Pascual-Camps, MD, PhD Source Type: research

Rigid Gas Permeable Contact Lens as a Vision-Sparing Tool in Children After Traumatic Corneal Laceration
Corneal wounds may result in significant visual and optical defects. Scar formation within the cornea leads to irregularities produced by variable tractional forces on the corneal surface and visual loss possibly caused by regular and irregular astigmatism.1 Corneal topographic considerations must now be included early in the management of corneal scars after trauma and also at the final visual rehabilitation phase.2 The visual acuity test cannot specify optical defects such as ghost images and halo induced by corneal aberrations. Rigid gas permeable contact lenses create a new optical (Source: Journal of Pediatric Ophthal...
Source: Journal of Pediatric Ophthalmology and Strabismus - December 19, 2017 Category: Opthalmology Authors: Rabab Mohamed Elseht, MD Source Type: research

Critical Assessment of an Ocular Photoscreener
Amblyopia is categorized as a neurologic defect in vision that has a 1.6% to 3.6% prevalence in the general population.1,2 The World Health Organization classifies amblyopia as a disorder that meets screening criteria based on the benefits and affordability of its treatment.1 The American Academy of Pediatrics, the American Academy of Ophthalmology, and the U.S. Preventative Services Task Force also recommend careful evaluation of the visual system in young children.3 –5 Although no consensus exists on the preferred and most efficacious screening protocol,6 deliberate screening in developed (Source: Journal of Pediatric ...
Source: Journal of Pediatric Ophthalmology and Strabismus - December 19, 2017 Category: Opthalmology Authors: Thomas Williams, BS Source Type: research

“My Son Will Not Play Outside”
This 14-month-old boy (Figure 1) presented for an initial eye examination because his mother described an “intolerance to light outdoors” since infancy, with a preference for playing indoors. At times, epiphora occured with intense photophobia. Medical history included forceps-assisted delivery at term. His development had been normal, with all growth milestones reached. There was no family history of childhood eye disease. On further examination, the child was easily upset and possessed no systemic abnormalities. Eye examination showed that he had brief fixation and followed toys for both (Source: Journal of Pediatric...
Source: Journal of Pediatric Ophthalmology and Strabismus - November 21, 2017 Category: Opthalmology Authors: David S. Walton, MD Source Type: research

Improving Resident Proficiency in Strabismus Surgery
The teaching of strabismus surgery in ophthalmology is based on the resident first observing and then performing the required techniques in the operating room under direct supervision of a mentor. Strabismus surgery is usually assigned to junior residents prior to their performing intraocular surgery. Pediatric ophthalmologists are frequently the primary hands-on instructors of proper ophthalmic surgical techniques for novice students. Most of us willingly accept this responsibility, but often come to realize that all residents are not equal in surgical skills. Alternative teaching methods (Source: Journal of Pediatric Oph...
Source: Journal of Pediatric Ophthalmology and Strabismus - November 21, 2017 Category: Opthalmology Authors: Rudolph S. Wagner, MD Source Type: research