Journal of Pediatric Ophthalmology and Strabismus 
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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.Bilateral Superior Rectus Transposition With Bilateral Medial Rectus Recession for M öbius Syndrome
We describe a patient who underwent superior rectus transposition for treatment of Möbius (Source: Journal of Pediatric Ophthalmology and Strabismus)
Source: Journal of Pediatric Ophthalmology and Strabismus - November 21, 2017 Category: Opthalmology Authors: Yuxi Zheng, 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
Like an Old Married Couple
Where do we come from? This old question takes on a new meaning when we ask it from the perspective of a nucleus-containing cell of a eukaryote (an organism with a membrane-bound nucleus and organelles). Before there were eukaryotes, there were bacteria and archaea in a world without free oxygen, making their anaerobic living next to, and likely from, each other. In a singular, improbable event some 2 billion years ago, an archaeal cell picked up a bacterial cell and the two stuck together, giving rise to a primitive eukaryote containing an endosymbiotic bacteria that we now call (Source: Journal of Pediatric Ophthalmology and Strabismus)
Source: Journal of Pediatric Ophthalmology and Strabismus - November 21, 2017 Category: Opthalmology Authors: Frederick M. Wang, 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
Impact of a Strabismus Surgery Suture Course for First- and Second-Year Ophthalmology Residents
Competency in surgery of a resident has been described as the ability of the resident to perform a procedure in a reasonable amount of time while achieving the desired outcome without intervention by a supervisor or complications. Complications in strabismus surgery resulting from improper surgical technique include a slipped or lost muscle. Inadvertent tears in Tenon's capsule can result in the prolapse of orbital fat with fat adherence or restrictive strabismus postoperatively. Reattaching a muscle incorrectly may create unexpected torsion or horizontal or vertical deviation. Recognized (Source: Journal of Pediatric Opht...
Source: Journal of Pediatric Ophthalmology and Strabismus - November 21, 2017 Category: Opthalmology Authors: Aldo Vagge, MD Source Type: research
Traumatic Ruptured Globe From a .22 Cartridge Casing in a 2-Year-Old Girl
We report an unusual mechanism of preventable penetrating ocular trauma and recommend suggestions regarding firearm and ammunition safety and an ophthalmologist's role in educating parents and patients. A 2-year-old previously well girl presented to the emergency department following a .22 caliber cartridge casing injury to her left eye. The patient was playing (Source: Journal of Pediatric Ophthalmology and Strabismus)
Source: Journal of Pediatric Ophthalmology and Strabismus - November 21, 2017 Category: Opthalmology Authors: Jacob S. Martin, MD Source Type: research
Surgical Technique for Pulled in Two Syndrome: Three Cases With Chronic Progressive External Ophthalmoplegia
“Pulled in two syndrome” (PITS) is a rare complication of strabismus surgery characterized by rupture of the extraocular muscle under minimal tension and not through inappropriate excess force.1–4 This rare occurrence is described predominantly in cases in which there is preexisting extraocula r muscle pathology, although the muscle can appear macroscopically normal.3,5 Reported risk factors include previous strabismus surgery, extraocular muscle palsy, thyroid eye disease, or metastatic infiltration.6,7 Surgical outcome depends on retrieval of the dehisced muscle, which can be either sutured (Source: Journal of Pedi...
Source: Journal of Pediatric Ophthalmology and Strabismus - November 21, 2017 Category: Opthalmology Authors: Alexander Matthew Jones, MSc, MA, MB BChir Source Type: research
Surgical Management of Brown Syndrome
Wagner: This session is on surgical management of Brown syndrome. I am going to describe what I consider to be a typical case of Brown syndrome that would end up being a surgical case. A 3-year-old child had unilateral Brown syndrome in the right eye with significant chin-up face position and left face turn. There was a right hypotropia of 6 prism diopters in primary gaze that increased significantly in gaze to the left. There was also an underaction of the elevation in the right eye in the adducted position, as you would expect. The parents believed that the problem was greater in the left (Source: Journal of Pediatric Op...
Source: Journal of Pediatric Ophthalmology and Strabismus - November 21, 2017 Category: Opthalmology Authors: James A. Deutsch, MD Source Type: research
Clinical Features and Surgical Outcome of Triad Exotropia
A prevalence of A-pattern strabismus with exotropia is reported in 9% to 27% of exotropia cases.1 –4 Dysfunction of the superior oblique muscle is suggested as the principal cause of horizontal strabismus with A-pattern.3 Superior oblique overaction is an exaggeration of the normal function of the superior oblique muscle that includes intorsion, depression, and abduction. Dissociated vertical deviation is the tendency for an eye to elevate, abduct, and extort when binocularity is suspended by occlusion or the patient spontaneously dissociates. However, causes of dissociated vertical deviation (Source: Journal of Pediatri...
Source: Journal of Pediatric Ophthalmology and Strabismus - November 21, 2017 Category: Opthalmology Authors: Suk-Gyu Ha, MD Source Type: research
Effect of 4-Month Intermittent Atropine Penalization in Amblyopic Children for Whom Patch Therapy Had Failed
The purpose of amblyopia treatment is to decrease visual stimulus to the sound eye, increase use of the amblyopic eye, and thus improve visual acuity (VA).1 Patch therapy has been the most universally employed method. However, side effects such as local irritation and allergy, impaired binocularity during treatment, and psychological stress due to cosmetic issues can occur.2,3 For patients showing such side effects or poor compliance, alternative therapy must be considered. Alternative therapy is also necessary for patients showing no improvement after 6 months of treatment, which is the (Source: Journal of Pediatric Ophth...
Source: Journal of Pediatric Ophthalmology and Strabismus - November 21, 2017 Category: Opthalmology Authors: Bo Ram Seol, MD Source Type: research
Correlation Between Clinical Examination and Diagnostic Imaging in Type II Peters Anomaly
A full-term 7-week-old infant presented to a pediatric ophthalmologist for evaluation of a congenital corneal opacity of the left eye. The pregnancy and delivery were uneventful and the infant was otherwise healthy. On clinical ophthalmic examination, visual acuity was grimace to light in both eyes. Examination under anesthesia revealed a central leukoma (Figure 1A) with a corneolenticular adhesion of the affected eye (Figure 1B), which correlated with high-resolution ultrasound imaging (Figure 1C). Gonioscopy showed an anteriorly coned lens with adhesion to the central cornea. The (Source: Journal of Pediatric Ophthalmology and Strabismus)
Source: Journal of Pediatric Ophthalmology and Strabismus - November 21, 2017 Category: Opthalmology Authors: David S. Walton, MD 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 - November 21, 2017 Category: Opthalmology Authors: Asli Inal, MD Source Type: research
Video Game Vision Syndrome: A New Clinical Picture in Children?
Many individuals who spend long periods of time at video display terminals report a combination of eye and vision issues.1 –3 According to the American Optometric Association,4 computer vision syndrome is “the complex of eye and vision problems related to near work which are experienced during or related to computer use.” These symptoms are not exclusively connected to work-related tasks,5 but can affect individua ls of all ages due to the widespread use of video display terminals in everyday life.6 It has been recently noted that the use of video games can improve the visual performance of (Source: Journal of Pediat...
Source: Journal of Pediatric Ophthalmology and Strabismus - November 21, 2017 Category: Opthalmology Authors: Caterina Rechichi, MD Source Type: research
Toward Achieving 100% Adherence for Retinopathy of Prematurity Screening Guidelines
The publication of the policy statement “Screening of Premature Infants for Retinopathy of Prematurity” by the American Academy of Pediatrics (AAP), American Academy of Ophthalmology, American Association for Pediatric Ophthalmology and Strabismus, and American Association of Ophthalmologists in 2013 set the standard for the screening and treatment of retinopathy of prematurity (ROP) in the United States.1 Implementing these guidelines can be a challenge for many reasons, partially due to the complexity of the neonatal intensive care unit (NICU) setting, where pediatric ophthalmologists (Source: Journal of Pediatric Op...
Source: Journal of Pediatric Ophthalmology and Strabismus - November 21, 2017 Category: Opthalmology Authors: Robert W. Arnold, MD Source Type: research
Resistant Infantile Bacterial Conjunctivitis in Egypt: A Microbiology Study
Conjunctivitis is a commonly encountered disease characterized by conjunctival edema and hyperemia and usually accompanied by variable types of discharge.1 Bacterial conjunctivitis was reported as the second most common type of infectious conjunctivitis after viral infection,2 –4 and the first cause of acute conjunctivitis in children representing 50% to 75% of cases.5,6 These cases are usually managed initially by general practitioners and the antibiotic treatment is empirically selected without preceding microbiological studies.7,8 The microbiological aspects of bacterial conjunctivitis were (Source: Journal of Pediatr...
Source: Journal of Pediatric Ophthalmology and Strabismus - November 14, 2017 Category: Opthalmology Authors: Aiman Abdeltawwab Hashish, MD Source Type: research
