3,059 results match your criteria Journal of AAPOS[Journal]


Innovative techniques for the treatment of adult strabismus.

J AAPOS 2019 Apr 17. Epub 2019 Apr 17.

Department of Ophthalmology, Duke Eye Center, Duke University, Durham, North Carolina; Department of Ophthalmology, University of California, Los Angeles; Doheny Eye Institute, Los Angeles, California.

Adult strabismus is often characterized by surgical complexity. In recent years, several innovative techniques for the management of complex strabismus have been developed. Strabismus surgeons should understand the indications for various strabismus surgical techniques in the management of these difficult cases. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10918531193008
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http://dx.doi.org/10.1016/j.jaapos.2018.10.018DOI Listing
April 2019
3 Reads

Microvascular changes in amblyopic eyes detected by optical coherence tomography angiography.

J AAPOS 2019 Apr 17. Epub 2019 Apr 17.

Department of Ophthalmology, Sıtkı Kocman University, Mugla, Turkey.

Purpose: To investigate retinal microvascular findings detected by optical coherence tomography angiography (OCT-A) in amblyopic eyes compared with normal eyes.

Methods: A total of 23 amblyopic (strabismic, ametropic, anisometropic, and meridional amblyopia) and 22 normal eyes were included in this prospective observational, comparative study. All patients underwent complete ophthalmological examination and OCT-A imaging. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10918531193008
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http://dx.doi.org/10.1016/j.jaapos.2018.12.009DOI Listing
April 2019
1 Read

Anesthesia for pediatric ophthalmologic surgery.

J AAPOS 2019 Apr 14. Epub 2019 Apr 14.

Department of Anesthesiology, California Pacific Medical Center, Sutter Hospitals, Northern California Anesthesia Physicians, San Francisco, California.

This review presents updated recommendations, based on existing clinical research, for anesthetic management of strabismus surgery in children. In children, unlike adults, eye surgery nearly always requires general anesthesia, even for brief procedures. Recommendations for preoperative anxiolysis, fasting guidelines, and management of upper respiratory infections are discussed. Read More

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http://dx.doi.org/10.1016/j.jaapos.2018.10.017DOI Listing

Anticoagulation: a practical guide for strabismus surgeons.

J AAPOS 2019 Apr 11. Epub 2019 Apr 11.

Department of Anesthesia, University of California, San Diego.

An increasing number of surgical strabismus patients are taking oral anticoagulant and antiplatelet agents, with more diverse mechanisms of action than those used in the past. The decision as to whether to continue these drugs throughout the perioperative period is difficult and must be based on the balance between hemorrhagic and thrombotic risk. To help guide strabismus surgeons with clinical management in these cases, we review potential hemorrhagic complications of strabismus surgery and examine the use of anticoagulant and antiplatelet drugs during the perioperative period. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10918531193008
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http://dx.doi.org/10.1016/j.jaapos.2018.12.008DOI Listing
April 2019
2 Reads

Management of orbital rhabdomyosarcoma in a child with Li-Fraumeni syndrome.

J AAPOS 2019 Apr 8. Epub 2019 Apr 8.

Department of Ophthalmology, Hospital for Sick Children, Toronto, Ontario.

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https://linkinghub.elsevier.com/retrieve/pii/S10918531193006
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http://dx.doi.org/10.1016/j.jaapos.2019.01.013DOI Listing
April 2019
2 Reads

Juvenile idiopathic arthritis-related uveitis mimicking endophthalmitis.

J AAPOS 2019 Apr 5. Epub 2019 Apr 5.

Vitreo-retina, Trauma and Uvea Services; Dr. Rajendra Prasad Center for Ophthalmic Sciences; All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.

Juvenile idiopathic arthritis (JIA) is a group of disorders occurring in children with arthritis of more than 6 weeks' duration. JIA may have varied systemic and ocular presentations, which can pose a diagnostic challenge. Chronic uveitis with insidious onset is the most common type of ocular presentation. Read More

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http://dx.doi.org/10.1016/j.jaapos.2019.03.001DOI Listing

Successful treatment of an exudative choroidal hemangioma with oral propranolol in a 10-year-old boy.

J AAPOS 2019 Apr 5. Epub 2019 Apr 5.

Department of Ophthalmology and Visual Sciences, Washington University in St. Louis, St. Louis, Missouri. Electronic address:

A 10-year-old boy was referred for a circumscribed choroidal hemangioma with underlying exudative detachment of the left eye. To avoid general anesthetics required for laser-based therapy in a child, we began a trial of oral propranolol. The patient's exudative detachment resolved, with resulting improvement in visual acuity, and remained quiescent for 3 years. Read More

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http://dx.doi.org/10.1016/j.jaapos.2019.02.004DOI Listing

Differences in retinal nerve fiber layer thickness measured by spectral domain optical coherence tomography between primary congenital glaucoma patients and healthy children.

J AAPOS 2019 Apr 2. Epub 2019 Apr 2.

Professor and Chairman. Ophthalmology Department. Clinico San Carlos Universitary Hospital, Sanitary Research Institute of the San Carlos Clinical Hospital, Madrid, Spain; Ocular Pathology National Net OFTARED of the Institute of Health Carlos III, Profesor Martín Lagos Street, 28040, Madrid, Spain, Universidad Complutense. Madrid, Spain. Electronic address:

Purpose: To evaluate the retinal nerve fiber layer (RNFL) thickness using spectral domain optical coherence tomography (SD-OCT) in a population of children diagnosed with primary congenital glaucoma (PCG).

Methods: Cross-sectional study where 59 eyes from 59 children diagnosed with PCG and 87 eyes from 87 healthy children were evaluated by SD-OCT to measure the RNFL. The global average peripapillary RNFL thickness and sectional RNFL thickness were evaluated in both groups. Read More

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http://dx.doi.org/10.1016/j.jaapos.2017.03.023DOI Listing
April 2019
1 Read

Treatment outcomes for amblyopia using PEDIG amblyopia protocols: a retrospective study of 877 cases.

J AAPOS 2019 Mar 29. Epub 2019 Mar 29.

Gloucestershire Eye Unit, Cheltenham, United Kingdom. Electronic address:

Background: The landmark Pediatric Eye Disease Investigators Group (PEDIG) Amblyopia Treatment Studies (ATS) 2A and 2B concluded that 6 hours of occlusion were as efficacious as full-time occlusion in treating severe amblyopia and that 2 hours occlusion were as effective as 6 in treating moderate amblyopia. We present the first retrospective study of real-world outcomes of amblyopia treatment using PEDIG amblyopia protocols in 877 patients treated at a single center.

Methods: Electronic patient records were reviewed retrospectively to identify children of Leeds, England, meeting ATS2A (severe amblyopia) and ATS2B (moderate amblyopia) inclusion criteria who presented at the Gloucestershire Eye Unit from 2013 to 2017. Read More

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http://dx.doi.org/10.1016/j.jaapos.2018.12.007DOI Listing

An update of ophthalmic management in craniosynostosis.

J AAPOS 2019 Mar 27. Epub 2019 Mar 27.

Wills Eye Institute, Philadelphia, Pennsylvania. Electronic address:

Craniosynostosis has a varied clinical spectrum, ranging from isolated single suture involvement to multisutural fusions. Syndromic and nonsyndromic patients require orchestrated and multidisciplinary care from birth to adulthood. Advances in our understanding of craniosynostosis over the last quarter-century have resulted in more systematic management of the problems associated with the syndromic and nonsyndromic forms of this condition. Read More

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http://dx.doi.org/10.1016/j.jaapos.2018.10.016DOI Listing

Management of congenital microphthalmos and anophthalmos with orbital cyst.

J AAPOS 2019 Mar 27. Epub 2019 Mar 27.

Beijing Tongren Eye Center, Department of Ophthalmology, Beijing Tongren Hospital, Beijing Ophthalmology and Visual Science Key Lab, Capital Medical University, Beijing, China. Electronic address:

Purpose: To study the effects of an individualized treatment approach to children with congenital microphthalmos and anophthalmos.

Methods: Patients with congenital microphthalmos or anopthalmos with orbital cysts who were referred to Beijing Tongren Hospital between July 2009 and July 2017 were included in this retrospective case series study. For patients <6 years of age, the cyst was retained to promote orbital development unless a prosthesis could not be fitted at all or disproportionate orbital growth was detected. Read More

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http://dx.doi.org/10.1016/j.jaapos.2018.10.015DOI Listing
March 2019
3 Reads

Reply.

J AAPOS 2019 Mar 21. Epub 2019 Mar 21.

Duke Eye Center, Duke University, Durham, North Carolina.

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http://dx.doi.org/10.1016/j.jaapos.2019.02.003DOI Listing

Endoscopic cyclophotocoagulation (ECP) for childhood glaucoma: a large single-center cohort experience.

J AAPOS 2019 Mar 16. Epub 2019 Mar 16.

Duke University Department of Ophthalmology, Durham, North Carolina. Electronic address:

Purpose: To assess the factors associated with successful outcomes in the management of childhood glaucoma treated with endoscopic cyclophotocoagulation (ECP) as both primary and adjunctive surgery.

Methods: The medical records of consecutive children with glaucoma treated by a single surgeon at a single center over a 17-year period using ECP procedures were reviewed retrospectively. Treatment failure was defined as (1) intraocular pressure (IOP) >24 mm Hg at two consecutive examinations despite maximal medical treatment, (2) any additional glaucoma surgery, (3) sight-threatening complications, or (4) progression to no light perception visual acuity. Read More

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http://dx.doi.org/10.1016/j.jaapos.2018.10.014DOI Listing
March 2019
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Outcome of inferior oblique disinsertion versus myectomy in the surgical treatment of unilateral congenital superior oblique palsy.

J AAPOS 2019 Mar 15. Epub 2019 Mar 15.

Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran. Electronic address:

Purpose: To compare the outcome of inferior oblique disinsertion and myectomy in patients with unilateral congenital superior oblique palsy.

Methods: In this prospective study, consecutive patients with superior oblique palsy underwent either myectomy or disinsertion of the inferior oblique muscle. Success was defined as postoperative hypertropia of ≤5 in primary position and no hypotropia. Read More

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http://dx.doi.org/10.1016/j.jaapos.2018.11.009DOI Listing

Evaluation of computer-based retinopathy of prematurity (ROP) education for ophthalmology residents: a randomized, controlled, multicenter study.

J AAPOS 2019 Mar 16. Epub 2019 Mar 16.

Massachusetts Eye and Ear, Harvard Medical School, Department of Ophthalmology, Boston, Massachusetts. Electronic address:

Purpose: To evaluate the effect of a computer-based training program-Massachusetts Eye & Ear ROP Trainer-on residents' knowledge of retinopathy of prematurity (ROP) management.

Methods: In this prospective, randomized study, ophthalmology residents from nine different training programs consented to participate. Those who completed the study were randomly assigned to either the Trainer or the control group. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10918531193006
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http://dx.doi.org/10.1016/j.jaapos.2018.11.008DOI Listing
March 2019
1 Read

Strabismus surgery in the setting of glaucoma drainage devices in the pediatric population.

J AAPOS 2019 Mar 15. Epub 2019 Mar 15.

Department of Ophthalmology, Duke University Medical Center, Durham, North Carolina. Electronic address:

Purpose: To evaluate outcomes of strabismus surgery performed subequent to or concomitant with glaucoma drainage device (GDD) implantation for refractory childhood glaucoma.

Methods: The medical records of children who underwent strabismus surgery after or concomitantly with GDD implantation were reviewed retrospectively. Included were surgeries with motility and alignment data measured preoperatively and ≥3 months postoperatively. Read More

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http://dx.doi.org/10.1016/j.jaapos.2018.12.006DOI Listing

Reply.

J AAPOS 2019 Mar 11. Epub 2019 Mar 11.

Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida.

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http://dx.doi.org/10.1016/j.jaapos.2019.02.002DOI Listing

Comparison of surgical outcomes between bilateral recession and unilateral recession-resection in moderate-angle intermittent exotropia.

J AAPOS 2019 Mar 7. Epub 2019 Mar 7.

Department of Pediatric Ophthalmology and Strabismus, Tianjin Eye Hospital, Tianjin, China; Tianjin Key Laboratory of Ophthalmology and Visual Science, Tianjin Eye Institute, Tianjin, China; Clinical College of Ophthalmology, Tianjin Medical University, Tianjin, China. Electronic address:

Purpose: To compare postoperative drift after bilateral lateral rectus recession (BLR) and after unilateral recession combined with medial rectus resection (R&R) in children with primary moderate-angle intermittent exotropia.

Methods: The medical records of children with intermittent exotropia in the range of 25-50 who underwent BLR or R&R from July 2015 to September 2016 were reviewed retrospectively. Outcomes were classified according to postoperative angle of deviation at distance as overcorrection (esophoria or -tropia of >5), success (esophoria or -tropia of ≤5 to exophoria/tropia of ≤10), or recurrence (exophoria or -tropia of >10). Read More

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http://dx.doi.org/10.1016/j.jaapos.2018.11.007DOI Listing
March 2019
1.142 Impact Factor

Surgical intervention in pediatric intracranial hypertension: incidence, risk factors, and visual outcomes.

J AAPOS 2019 Feb 28. Epub 2019 Feb 28.

Department of Ophthalmology, Nationwide Children's Hospital, Columbus, Ohio. Electronic address:

Purpose: To evaluate the incidence of surgical intervention in pediatric intracranial hypertension (IH), evaluate the visual outcomes of surgically managed patients, and identify potential predictors for surgical intervention.

Methods: The medical records of patients with primary and secondary IH at Nationwide Children's Hospital from 2010 to 2017 were reviewed retrospectively. Presenting characteristics of medically and surgically managed patients were compared, and the clinical courses of surgically managed patients were reviewed. Read More

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http://dx.doi.org/10.1016/j.jaapos.2018.11.006DOI Listing
February 2019
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Ocular manifestations in a family with brachio-oculo-facial syndrome.

J AAPOS 2019 Feb 26. Epub 2019 Feb 26.

Bascom Palmer Eye Institute, Department of Ophthalmology, University of Miami Miller School of Medicine, Miami, Florida. Electronic address:

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http://dx.doi.org/10.1016/j.jaapos.2019.01.007DOI Listing
February 2019

Refractive outcomes comparing primary laser to primary bevacizumab with delayed laser for type 1 ROP.

J AAPOS 2019 Feb 21. Epub 2019 Feb 21.

University of Chicago, Department of Ophthalmology and Visual Science, Chicago, Illinois. Electronic address:

Purpose: To compare the refractive outcomes of intravitreal bevacizumab (IVB) and delayed peripheral retinal photocoagulation (PRP) with primary PRP in infants treated for posterior type 1 ROP.

Methods: The medical records of 87 infants at a tertiary referral center treated for posterior type 1 ROP between 2006 and 2016 were reviewed retrospectively. Consecutive infants received primary PRP before and primary IVB after a change in treatment practice implemented in early 2011. Read More

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http://dx.doi.org/10.1016/j.jaapos.2018.10.013DOI Listing
February 2019
1.142 Impact Factor

Lateral rectus sag and recurrent esotropia in children.

J AAPOS 2019 Feb 21. Epub 2019 Feb 21.

Department of Ophthalmology, David Geffen Medical School at University of California, Los Angeles; Stein Eye Institute, David Geffen Medical School at University of California, Los Angeles; Department of Neurology, David Geffen Medical School at University of California, Los Angeles; Department of Neuroscience, David Geffen Medical School at University of California, Los Angeles; Bioengineering Interdepartmental Programs, David Geffen Medical School at University of California, Los Angeles. Electronic address:

Purpose: To describe the clinical and intraoperative findings of an anatomic abnormality in children that resembles sagging eye syndrome documented in older adults and that led to recurrent esotropia after surgery.

Methods: We reviewed records of 4 patients with substantial recurrent esotropia after bilateral medial rectus recession who required subsequent surgery combining lateral rectus resection with correction of the anatomic abnormality affecting the lateral rectus path. Binocular alignment was sequentially analyzed. Read More

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http://dx.doi.org/10.1016/j.jaapos.2018.12.005DOI Listing
February 2019

Superior oblique tucking: a promising way of treating excyclotorsion.

J AAPOS 2019 Feb 18. Epub 2019 Feb 18.

Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.

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http://dx.doi.org/10.1016/j.jaapos.2019.02.001DOI Listing
February 2019
1 Read
1.142 Impact Factor

Acquired and progressive myelinated retinal nerve fibers in neurofibromatosis type 1.

J AAPOS 2019 Feb 14. Epub 2019 Feb 14.

Hospital de Santa Maria, Lisboa, Portugal; Clínica Universitária de Oftalmologia, Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal.

Acquired myelinated retinal nerve fibers (MRNF) is rare. The reported cases occur after optic disk injuries. We describe a case of a patient with neurofibromatosis type 1 and bilateral optic pathway glioma, who after 3 years' follow-up developed unilateral MRNF. Read More

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http://dx.doi.org/10.1016/j.jaapos.2019.01.012DOI Listing
February 2019
1 Read

Delayed resolution of retinopathy of prematurity.

J AAPOS 2019 Feb 14. Epub 2019 Feb 14.

Department of Ophthalmology, University of Colorado School of Medicine, Aurora, Colorado.

Purpose: To compare the characteristics of infants whose retinopathy of prematurity (ROP) resolves in <50 weeks with those of infants whose ROP resolves in >50 weeks' postmenstrual age (PMA) in order to identify which infants are at risk for delayed resolution and to evaluate whether severe ROP developed after 50 weeks' PMA.

Methods: The medical records of infants screened for ROP from January 2008 to December 2016 at a tertiary care facility were reviewed retrospectively. Infants without follow-up prior to ROP resolution or complete retinal vascularization and those with retinal detachment were excluded. Read More

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http://dx.doi.org/10.1016/j.jaapos.2018.10.012DOI Listing
February 2019

Reply.

Authors:
Jay Self

J AAPOS 2019 Feb 13. Epub 2019 Feb 13.

Faculty of Medicine, University of Southampton, Southampton, United Kingdom; University Hospital Southampton, Southampton.

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http://dx.doi.org/10.1016/j.jaapos.2019.01.011DOI Listing
February 2019

Computed tomography-based 3D modeling to provide custom 3D-printed glasses for children with craniofacial abnormalities.

J AAPOS 2019 Feb 13. Epub 2019 Feb 13.

Department of Ophthalmology, University of California San Francisco, San Francisco. Electronic address:

Children with craniofacial malformations frequently require spectacles but have difficulty finding an acceptable fit with current offerings of pediatric spectacle frames. We describe a novel method for creating custom 3D-printed spectacle frames based on a 3D reconstruction of a prior computed tomography scan. This method offers the ability to create better-fitting spectacles to children who are not served by "off the rack" frames. Read More

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http://dx.doi.org/10.1016/j.jaapos.2019.01.010DOI Listing
February 2019
1 Read

Driver licensing and motor vehicle crash rates among young adults with amblyopia and unilateral vision impairment.

J AAPOS 2019 Feb 12. Epub 2019 Feb 12.

Center for Injury Research and Prevention, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; Division of Emergency Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania. Electronic address:

This retrospective cohort study investigated whether unilateral vision impairment (UVI) or amblyopia are associated with driver licensing and crash risk among young adults. Electronic health records for New Jersey residents who were patients with the Children's Hospital of Philadelphia's healthcare network were linked to statewide driver licensing and crash data. We compared young adults with a diagnosis of UVI and/or amblyopia to peers without such a diagnosis. Read More

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http://dx.doi.org/10.1016/j.jaapos.2019.01.009DOI Listing
February 2019
1 Read

Angiostrongylus-a technique for removing a rare parasite from the cornea of a child.

J AAPOS 2019 Feb 12. Epub 2019 Feb 12.

Pediatric Ophthalmology and Strabismus, Sadguru Netra Chikitsalaya and Post Graduate Institute of Ophthalmology, Chitrakoot, Madhya Pradesh, India.

We report a case of an Angiostrongylus parasite in the corneal stroma in an 8-year-old boy and our technique for its removal. The parasite was identified on slit-lamp examination. Its location was confirmed on anterior segment optical coherence topography (AS-OCT). Read More

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http://dx.doi.org/10.1016/j.jaapos.2018.11.005DOI Listing
February 2019

Considerations in multi-gene panel testing in pediatric ophthalmology.

J AAPOS 2019 Feb 12. Epub 2019 Feb 12.

National Eye Institute, National Institutes of Health, Bethesda, Maryland. Electronic address:

Multi-gene panel testing is used increasingly in ophthalmology practice as an efficient and cost-effective method for diagnosing inherited eye conditions. Panel testing is a powerful diagnostic tool, and it has the potential to reveal syndromic information in patients with seemingly isolated eye findings. This case series highlights our experience with 4 children in 3 families who were referred for evaluation of an isolated retinal degeneration and diagnosed with neuronal ceroid lipofuscinosis on panel testing. Read More

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http://dx.doi.org/10.1016/j.jaapos.2019.01.008DOI Listing
February 2019
1 Read

A suspected case of anesthesia-induced rhabdomyolysis in a child undergoing strabismus surgery.

J AAPOS 2019 Feb 5. Epub 2019 Feb 5.

Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Ontario, Canada; Department of Ophthalmology and Vision Sciences, The Hospital for Sick Children, Toronto, Ontario, Canada. Electronic address:

We report a case of acute rhabdomyolysis following general anesthesia for strabismus surgery in a previously healthy 11-year-old girl. The patient received a depolarizing muscle relaxant (succinylcholine) and halogenated volatile anesthetic agent (sevoflurane) during surgery. In rare cases, these classes of drugs can trigger malignant hyperthermia (MH) or anesthesia-induced rhabdomyolysis (AIR), which can cause significant morbidity and mortality if not recognized and treated promptly. Read More

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http://dx.doi.org/10.1016/j.jaapos.2019.01.006DOI Listing
February 2019

A novel method for examining corneal endothelial cell morphology in infants.

J AAPOS 2019 Feb 5. Epub 2019 Feb 5.

Department of Ophthalmology and Vision Sciences, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.

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http://dx.doi.org/10.1016/j.jaapos.2018.09.011DOI Listing
February 2019

Increased restriction from an accessory lateral rectus in exotropic Duane syndrome.

J AAPOS 2019 Feb 5. Epub 2019 Feb 5.

Hospital Federal dos Servidores do Estado do Rio de Janeiro, Rio de Janeiro, Brazil. Electronic address:

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http://dx.doi.org/10.1016/j.jaapos.2019.01.003DOI Listing
February 2019
5 Reads

Acquired monocular nystagmus in chiasmal glioma-a video-oculographic study.

J AAPOS 2019 Feb 4. Epub 2019 Feb 4.

Departments of Ophthalmology and Mayo Clinic, Rochester, Minnesota.

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http://dx.doi.org/10.1016/j.jaapos.2019.01.004DOI Listing
February 2019

Ophthalmic diagnosis and optical coherence tomography of abetalipoproteinemia, a treatable form of pediatric retinal dystrophy.

J AAPOS 2019 Feb 5. Epub 2019 Feb 5.

Department of Ophthalmology, King Saud University, Riyadh, Saudi Arabia.

A 16-year-old boy with early-childhood-onset retinal dystrophy and developmental delay was diagnosed with abetalipoproteinemia based on ophthalmic examination, history, and results of a peripheral blood smear. The diagnosis was confirmed by lipid profile and genetic testing, and an older sister was confirmed to be affected as well. Although abetalipoproteinemia is treatable in early childhood, most cases are diagnosed late if at all. Read More

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http://dx.doi.org/10.1016/j.jaapos.2019.01.005DOI Listing
February 2019

Acquired reversible Brown syndrome caused by focal abscess of the superior oblique muscle.

J AAPOS 2019 Jan 30. Epub 2019 Jan 30.

Department of Ophthalmology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.

A 16-year-old boy with a history of relapsed acute myeloid leukemia and a right lower lobe lung abscess confirmed to be Aspergillus presented for a baseline eye examination prior to consideration of bone marrow transplantation. He noted double vision in up-and-left gaze, and his examination was consistent with an acquired right-sided Brown syndrome. Magnetic resonance imaging revealed a 4 mm rim-enhancing inflammatory focus in the right superior oblique muscle. Read More

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http://dx.doi.org/10.1016/j.jaapos.2018.12.003DOI Listing
January 2019
2 Reads

Bartonella presenting as branch retinal artery occlusion in a child.

J AAPOS 2019 Jan 30. Epub 2019 Jan 30.

Department of Ophthalmology, Casey Eye Institute, Oregon Health, and Science University, Portland, Oregon. Electronic address:

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https://linkinghub.elsevier.com/retrieve/pii/S10918531193001
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http://dx.doi.org/10.1016/j.jaapos.2018.12.004DOI Listing
January 2019
8 Reads

Glaucoma and degenerative vitreoretinopathy in a girl with Nicolaides-Baraitser syndrome.

J AAPOS 2019 Jan 29. Epub 2019 Jan 29.

Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania; Pediatric Ophthalmology and Ocular Genetics, Wills Eye Hospital, Philadelphia, Pennsylvania. Electronic address:

We report the case of a 12-year-old girl diagnosed with Nicolaides-Baraitser syndrome with novel ocular features. Diagnosis was based on clinical features, including developmental delay, sparse hair, and craniofacial features along with de novo mutation in SMARCA2. Eye findings included bilateral glaucoma, cataracts, and degenerative vitreoretinopathy. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10918531193001
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http://dx.doi.org/10.1016/j.jaapos.2018.12.002DOI Listing
January 2019
8 Reads

Patient-derived questionnaire items for patient-reported outcome measures in adults with strabismus.

J AAPOS 2019 Jan 25. Epub 2019 Jan 25.

Department of Ophthalmology, Mayo Clinic, Rochester, Minnesota. Electronic address:

In a previous study we performed individual interviews of adults with strabismus and identified specific health-related quality of life concerns. In this present report we provide the entire list of specific questionnaire items that were created, one for each concern articulated in the interviews. Our aim in reporting this full list of 181 individual, patient-derived questionnaire items is to provide a resource to clinicians and researchers interested in developing patient-reported outcome measures for adults with strabismus. Read More

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http://dx.doi.org/10.1016/j.jaapos.2018.11.004DOI Listing
January 2019

Quantitative measurement of horizontal strabismus with digital photography.

J AAPOS 2019 Feb 23;23(1):18.e1-18.e6. Epub 2019 Jan 23.

Marmara University School of Medicine, Istanbul, Turkey. Electronic address:

Purpose: To develop a method to calculate the gaze angle in photographs and to determine its validity and reliability in real strabismus patients.

Methods: Photographs of eyes from 15 orthophoric subjects (n = 1,022) with known gaze angle and imaging distance were investigated with the help of a smartphone application developed by the authors. The application provided measurements of the distance from the geometrical center of the cornea to the light reflex (RD) and corneal diameter (CD). Read More

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http://dx.doi.org/10.1016/j.jaapos.2018.08.014DOI Listing
February 2019

Monotherapy of topical tacrolimus 0.03% in the treatment of vernal keratoconjunctivitis in the pediatric population.

J AAPOS 2019 Feb 19;23(1):36.e1-36.e5. Epub 2019 Jan 19.

Aravind Eye Hospital, Tirunelveli, Tamil Nadu, India.

Purpose: To report the results of treating children with vernal keratoconjunctivitis (VKC) using a monotherapy of topical tacrolimus 0.03%.

Methods: This was a prospective, nonrandomized observational study of children newly diagnosed with VKC. Read More

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http://dx.doi.org/10.1016/j.jaapos.2018.09.010DOI Listing
February 2019
2 Reads

The management of large-angle esotropia in Graves ophthalmopathy with combined medial rectus recession and lateral rectus resection.

J AAPOS 2019 Feb 19;23(1):15.e1-15.e5. Epub 2019 Jan 19.

Department of Ophthalmology, Casey Eye Institute, Oregon Health and Science University, Portland, Oregon.

Purpose: To describe surgical management and outcomes for large-angle esotropia of ≥50 secondary to Graves ophthalmopathy using combined initial nonadjustable medial rectus recessions and lateral rectus resections.

Methods: The medical records of consecutive patients undergoing strabismus surgery for large-angle esotropia secondary to Graves ophthalmopathy from 1995 to 2012 by a single surgeon at each of two institutions was performed. Patient characteristics, surgical technique, and pre- and postoperative measurements of ocular alignment were analyzed. Read More

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http://dx.doi.org/10.1016/j.jaapos.2018.08.013DOI Listing
February 2019
2 Reads

J AAPOS has a new look.

Authors:
William V Good

J AAPOS 2019 Feb 16;23(1). Epub 2019 Jan 16.

Smith-Kettlewell Eye Research Institute, San Francisco, California. Electronic address:

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http://dx.doi.org/10.1016/j.jaapos.2019.01.001DOI Listing
February 2019
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Botulinum toxin-A injection in esotropic Duane syndrome patients up to 2 years of age.

J AAPOS 2019 Feb 14;23(1):25.e1-25.e4. Epub 2019 Jan 14.

Iskenderun State Hospital, Hatay, Turkey.

Purpose: To evaluate the role of botulinum toxin-A (BTX) injection as the primary treatment for patients with esotropic Duane retraction syndrome ≤2 years of age.

Methods: The medical records of patients with esotropic Duane syndrome who underwent unilateral or bilateral BTX injection to the medial rectus muscle at or before 2 years of age were reviewed retrospectively. The following data were extracted from the record: laterality, age at the time of injection, primary position deviation, duction deficit, anomalous head posture, globe retraction before and after injection, further surgeries, and complications. Read More

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http://dx.doi.org/10.1016/j.jaapos.2018.10.011DOI Listing
February 2019
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Tropicamide has limited clinical effect on cycloplegia and mydriasis when combined with cyclopentolate and phenylephrine.

J AAPOS 2019 Feb 11;23(1):30.e1-30.e5. Epub 2019 Jan 11.

Northwestern University Feinberg School of Medicine, Chicago, Illinois; Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois. Electronic address:

Purpose: To examine the cycloplegic and mydriatic effect of tropicamide omission from a common pediatric eye drop combination.

Methods: Consecutive children examined at the Ann & Robert H. Lurie Children's Hospital of Chicago from June 8, 2017 to September 6, 2017 were enrolled prospectively. Read More

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http://dx.doi.org/10.1016/j.jaapos.2018.08.012DOI Listing
February 2019
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Superior or inferior rectus transposition in esotropic Duane syndrome: a longitudinal analysis.

J AAPOS 2019 Feb 8;23(1):21.e1-21.e7. Epub 2019 Jan 8.

Iskenderun State Hospital, Hatay, Turkey.

Purpose: To evaluate the results of superior rectus transposition (SRT) or inferior rectus transposition (IRT) in esotropic Duane syndrome.

Methods: The medical records of patients with esotropic Duane syndrome who underwent ciliary vessel-sparing SRT or IRT by a single surgeon in private practice were included. Pre- and postoperative head posture, primary position deviation, fundus torsion, collapse in pattern, and improvement in ductions were analyzed between groups. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10918531193000
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http://dx.doi.org/10.1016/j.jaapos.2018.10.010DOI Listing
February 2019
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Partial scleral buckle removal during strabismus surgery after retinal detachment repair.

J AAPOS 2019 Feb 6;23(1):16.e1-16.e4. Epub 2019 Jan 6.

Department of Ophthalmology, Stanford University School of Medicine, Stanford, California. Electronic address:

Purpose: To describe outcomes after partial scleral buckle removal at the time of strabismus surgery.

Methods: The medical records of consecutive patients with symptomatic diplopia who underwent strabismus surgery after scleral buckling by two surgeons were reviewed retrospectively. All patients underwent forced duction testing and had a segment of the scleral buckle removed intraoperatively. Read More

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http://dx.doi.org/10.1016/j.jaapos.2018.08.011DOI Listing
February 2019
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Assessing nonsedated handheld cone flicker electroretingram as a screening test in pediatric patients: comparison to sedated conventional cone flicker electroretinogram.

J AAPOS 2019 Feb 6;23(1):34.e1-34.e5. Epub 2019 Jan 6.

Bascom Palmer Eye Institute, Department of Ophthalmology, University of Miami Leonard M. Miller School of Medicine, Miami, Florida. Electronic address:

Purpose: To assess the RETeval (LKC Technologies, Gaithersburg, MD) handheld electroretingram (ERG) device as a screening tool for cone dysfunction in pediatric patients by comparing it to conventional ERG.

Methods: Patients scheduled for ERG under general anesthesia (GA) underwent three tests: (1) RETeval standard 30 Hz cone flicker ERG using skin electrodes prior to GA, (2) E3 Diagnosys (Diagnosys LLC, Lowell, MA) conventional complete standard protocol full-field ERG using bipolar contact lens electrodes and handheld stimulus under GA, and (3) repeat RETeval testing under GA. The 30 Hz cone flicker amplitudes and implicit times from the three methods were compared. Read More

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http://dx.doi.org/10.1016/j.jaapos.2018.09.009DOI Listing
February 2019
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Inconsistent diagnostic criteria for convergence insufficiency.

J AAPOS 2019 Feb 4;23(1):32.e1-32.e4. Epub 2019 Jan 4.

Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania.

Background: Convergence insufficiency (CI) is a common entity but seems to be an ill-defined diagnosis that incorporates many near-vision symptoms. The current literature often varies in its criteria for diagnosis. Without a clear definition and standardization of the clinical examination, there is the potential for misdiagnosis and/or the inclusion of other diagnoses as CI. Read More

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http://dx.doi.org/10.1016/j.jaapos.2018.09.008DOI Listing
February 2019
3 Reads