MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Journal of AAPOS' source. Mon, 30 Jan 2012 00:49:13 +0100 http://www.medworm.com/index.php?rid=5496568&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111005520%2Fabstract%3Frss%3Dyes Dr. Carl J. Troia of Omaha, Nebraska, passed away on October 1, 2011, at the age of 88 years. He was a charter member of the American Association for Pediatric Ophthalmology and Strabismus. He is survived by Katherine, his wife of 62 years; 6 children, of whom Sebastian and Robert followed in his footsteps in pediatric ophthalmology; and 19 grandchildren. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5496568 Thu, 01 Dec 2011 05:00:00 +0100 5496568 http://www.medworm.com/index.php?rid=5496567&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111005350%2Fabstract%3Frss%3Dyes was born on July 19, 1927, at Ilanz, in the Grisons, a mountainous canton in the eastern part of Switzerland. He was passionate about mountaineering and skiing. Dr. Lang studied medicine first in the French-speaking canton of Fribourg then in German-speaking Zurich and later spent a semester at the University of Nancy, France. After a time at the hospital of his home town, he trained in ophthalmology at the University Clinic of Ophthalmology and completed his residency in 1957. A year later, he went into private practice in Zurich. Dr. Lang died on October 19, 2010. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5496567 Thu, 01 Dec 2011 05:00:00 +0100 5496567 http://www.medworm.com/index.php?rid=5496566&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111005507%2Fabstract%3Frss%3Dyes We mourn the loss of Mike Redmond, MD. Dr Redmond died in June 2011 of pancreatic cancer. Those who knew him were privileged. He was a terrific friend, a giving individual, a team player, and an extraordinary colleague. Those who did not know him benefit from what he did—for his patients, for our profession, for his community. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5496566 Thu, 01 Dec 2011 05:00:00 +0100 5496566 http://www.medworm.com/index.php?rid=5496565&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111005258%2Fabstract%3Frss%3Dyes We report a case of extensive bilateral intraretinal hemorrhages in a premature infant with active retinopathy of prematurity (ROP) after an examination with scleral depression. In the only other previously reported case, the retinal hemorrhages were limited to the posterior pole of an eye with preexisting vitreous hemorrhage, and the child had a history of severe necrotizing enterocolitis that required surgery. Investigators have hypothesized that the combination of ocular manipulation, abrupt intraocular pressure change, and fragile immature retinal vasculature with poor autoregulation may contribute to the pathogenesis of retinal hemorrhages. Physicians performing ROP examinations should be aware of this possibility and judiciously use scleral depression; however, examination-induced re... Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5496565 Thu, 01 Dec 2011 05:00:00 +0100 5496565 http://www.medworm.com/index.php?rid=5496564&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111005337%2Fabstract%3Frss%3Dyes We report a 19-month-old boy with a choroidal melanoma presenting as hemorrhagic retinal detachment and buphthalmos. The eye was enucleated, but the child subsequently died from systemic metastases. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5496564 Thu, 01 Dec 2011 05:00:00 +0100 5496564 http://www.medworm.com/index.php?rid=5496563&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111005301%2Fabstract%3Frss%3Dyes We report a case of Donnai-Barrow syndrome in a 2-year-old boy who presented with exotropia and prominent eyes since birth. Ocular findings included high myopia, persistent pupillary membrane, and optic nerve hypoplasia. Facial manifestations included broad nasal bridge, hypertelorism, and downward-slanting of palpebral fissures. The patient had associated omphalocele, sensorineural hearing loss, and developmental delay. Magnetic resonance imaging revealed agenesis of the corpus callosum. To our knowledge, this is the first reported association of persistent pupillary membrane, strabismus, and optic nerve hypoplasia in a patient with Donnai-Barrow syndrome. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5496563 Thu, 01 Dec 2011 05:00:00 +0100 5496563 http://www.medworm.com/index.php?rid=5496562&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111005246%2Fabstract%3Frss%3Dyes A 12-year-old girl presented with several years of progressive painless proptosis and orbital fullness. On imaging, she was found to have marked expansion and remodeling centered in the right greater wing of the sphenoid bone with an adjacent middle cranial fossa arachnoid cyst. A clinical diagnosis of intradiploic arachnoid cyst was made. This entity was benign, and other ophthalmic and neurologic signs or symptoms were absent. Our patient was observed without surgical intervention. To our knowledge, this is the first such case reported in a child. Although this cyst has been described in the occipital and frontal bones, this is the first description of occurrence in the sphenoid bone. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5496562 Thu, 01 Dec 2011 05:00:00 +0100 5496562 http://www.medworm.com/index.php?rid=5496561&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111005222%2Fabstract%3Frss%3Dyes A 14-month-old boy with juvenile xanthogranuloma skin lesions presented with increased intraocular pressure, hyphema, anterior uveitis, iris mass, and a subconjunctival limbal mass of the right eye. He subsequently developed a subretinal mass in the left eye. The anterior uveitis resolved after 2 periocular injections of triamcinolone in addition to the administration of topical prednisolone and oral prednisone and methotrexate. The subretinal mass in the left eye also resolved during the course of 1 year. He developed a cataract in the right eye and underwent lensectomy with anterior vitrectomy. This is the first published case in which methotrexate was used as an adjunctive treatment of juvenile xanthogranuloma in a child. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5496561 Thu, 01 Dec 2011 05:00:00 +0100 5496561 http://www.medworm.com/index.php?rid=5496560&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111004940%2Fabstract%3Frss%3Dyes A 5-month-old boy developed a large-amplitude, horizontal pendular flutterlike oscillation of the eyes, when placed in the supine position. Magnetic resonance imaging (MRI) 1 month earlier had shown isolated thickening of the optic nerves and chiasm without other central nervous system signal abnormalities. Repeat MRI at 5½ months of age showed a constellation of central nervous system signal abnormalities suggestive of Krabbe disease. The diagnosis was confirmed with serum enzymatic and genetic testing. This case demonstrates that positional ocular flutter can be a presenting sign of Krabbe disease and reinforces the observation that isolated thickening of the anterior visual pathways can antedate other central nervous system abnormalities on MRI. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5496560 Thu, 01 Dec 2011 05:00:00 +0100 5496560 http://www.medworm.com/index.php?rid=5496559&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS109185311100526X%2Fabstract%3Frss%3Dyes A 5-year-old girl with Noonan-neurofibromatosis syndrome was diagnosed with bilateral superior oblique palsy. At surgery, the right superior oblique tendon was absent, and further exploration revealed abnormal tissue inserting into Tenon's capsule. Orbital imaging was not performed. Congenital absence of the superior oblique tendon was diagnosed. Although Noonan syndrome is known to have many ocular manifestations, absence of the superior oblique tendon has not been previously reported. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5496559 Thu, 01 Dec 2011 05:00:00 +0100 5496559 http://www.medworm.com/index.php?rid=5496558&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111005234%2Fabstract%3Frss%3Dyes We describe the surgical outcome after treating moderate- to large-angle esotropia in 3 patients with Möbius syndrome with the augmented vertical rectus muscle transposition. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5496558 Thu, 01 Dec 2011 05:00:00 +0100 5496558 http://www.medworm.com/index.php?rid=5496557&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111004927%2Fabstract%3Frss%3Dyes Lemierre syndrome is characterized by pharyngotonsillitis that is typically secondary to Fusobacterium necrophorum infection and causes adjacent septic thrombophlebitis and thrombosis with subsequent metastatic abscesses. A 3-year-old boy presented with fever, tonsillar enlargement, and bilateral otomastoiditis with purulent discharge. Physical examination revealed abducens nerve palsy on the left side, with a compensatory left head turn. Otomastoid discharge culture was positive for anaerobic F. necrophorum. Magnetic resonance venography of the head and neck revealed thromboses in left internal jugular vein, left cavernous sinus, left superior ophthalmic vein, and left sigmoid sinus. The patient was treated with anticoagulation and a 10-week course of intravenous antibiotics, including ce... Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5496557 Thu, 01 Dec 2011 05:00:00 +0100 5496557 http://www.medworm.com/index.php?rid=5496556&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111005362%2Fabstract%3Frss%3Dyes Conclusions: Despite the failure to find an abnormal NDP allele, other unexplored NDP regions, an undetected defect restricted to retinal tissues, or an autosomal mutation coupled with disrupted signaling pathways may be responsible for the condition. High aqueous VEGF-A suggests that this cytokine may play a role in pathogenesis in conjunction with other pathways. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5496556 Thu, 01 Dec 2011 05:00:00 +0100 5496556 http://www.medworm.com/index.php?rid=5496555&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111005180%2Fabstract%3Frss%3Dyes Conclusions: Pediatric ophthalmology fellows in this study demonstrated high diagnostic specificity in image-based ROP diagnosis; however, sensitivity was lower, particularly for clinically significant disease. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5496555 Thu, 01 Dec 2011 05:00:00 +0100 5496555 http://www.medworm.com/index.php?rid=5496554&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111005209%2Fabstract%3Frss%3Dyes Purpose: Ocular funduscopic examination is difficult in young children and is rarely attempted by nonophthalmologists. Our objective was to determine the feasibility of reliably obtaining high-quality nonmydriatic fundus photographs in children.Methods: Nonmydriatic fundus photographs were obtained in both eyes of children seen in a pediatric ophthalmology clinic. Ease of fundus photography was recorded on a 10-point Likert scale (10 = very easy). Quality was graded from 1 to 5 (1, inadequate for any diagnostic purpose; 2, unable to exclude all emergent findings; 3, only able to exclude emergent findings; 4, not ideal, but still able to exclude subtle findings; and 5, ideal quality). The primary outcome measure was image quality by age.Results: A total of 878 photographs of 212 children (m... Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5496554 Thu, 01 Dec 2011 05:00:00 +0100 5496554 http://www.medworm.com/index.php?rid=5496553&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111005167%2Fabstract%3Frss%3Dyes Conclusions: In this study, aniridia was associated with nystagmus and other motility problems, cataract, glaucoma, and keratopathy. Systemic abnormalities included increased average body mass index and obesity, which appeared to occur not only in WAGR syndrome but more broadly in aniridia. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5496553 Thu, 01 Dec 2011 05:00:00 +0100 5496553 http://www.medworm.com/index.php?rid=5496552&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111005192%2Fabstract%3Frss%3Dyes Conclusions: Open globe injuries in children occur most frequently in preschool boys. Prognosis is determined by presenting visual acuity, trauma score, and wound severity and location. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5496552 Thu, 01 Dec 2011 05:00:00 +0100 5496552 http://www.medworm.com/index.php?rid=5496551&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111005295%2Fabstract%3Frss%3Dyes Conclusions: The manufacturer’s criteria have excellent sensitivity but low specificity, warranting modification; other criteria increase specificity with minimal effect on sensitivity. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5496551 Thu, 01 Dec 2011 05:00:00 +0100 5496551 http://www.medworm.com/index.php?rid=5496550&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111004939%2Fabstract%3Frss%3Dyes Conclusions: Binocular function of anisometropic children can be improved with refractive correction and amblyopia therapy. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5496550 Thu, 01 Dec 2011 05:00:00 +0100 5496550 http://www.medworm.com/index.php?rid=5496549&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111005210%2Fabstract%3Frss%3Dyes Conclusions: Children with congenital ptosis are at risk of anisometropic and strabismic amblyopia, which may progress during early development. Patients should be examined at regular intervals to evaluate and treat these potential complications. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5496549 Thu, 01 Dec 2011 05:00:00 +0100 5496549 http://www.medworm.com/index.php?rid=5496548&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111005325%2Fabstract%3Frss%3Dyes Conclusions: Most children with a history of high-risk prethreshold ROP develop strabismus at some time during the first 6 years of life. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5496548 Thu, 01 Dec 2011 05:00:00 +0100 5496548 http://www.medworm.com/index.php?rid=5496547&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111005179%2Fabstract%3Frss%3Dyes Conclusions: The placement of additional posterior scleral sutures to “anchor” the insertion did not improve outcomes in lateral rectus muscle recession surgery. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5496547 Thu, 01 Dec 2011 05:00:00 +0100 5496547 http://www.medworm.com/index.php?rid=5496546&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111005271%2Fabstract%3Frss%3Dyes Background: Esotropic overcorrection on postoperative day 1 after surgery for intermittent exotropia is generally thought to increase the likelihood of long-term satisfactory alignment; however, it is unclear why some patients who are initially overcorrected demonstrate recurrent intermittent exotropia whereas others maintain esotropic to orthotropic alignment.Methods: The records of all patients who underwent primary surgical correction of intermittent exotropia were reviewed; those with any degree of esotropia on postoperative day 1 were included. The status at the last visit was categorized as orthotropic to 8Δ, monofixational esotropia 10Δ.Results: A total of 63 patients met the inclusion criteria. The mean postoperative day 1 alignment was 6Δ ± 3Δ esotropia at distance and 5Δ ±... Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5496546 Thu, 01 Dec 2011 05:00:00 +0100 5496546 http://www.medworm.com/index.php?rid=5496545&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111005398%2Fabstract%3Frss%3Dyes Conclusions: The dose–effect relationship at 6 months after advancement of the medial rectus muscle for consecutive exotropia could be a useful guide for planning surgical correction, even considering the expected exodrift. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5496545 Thu, 01 Dec 2011 05:00:00 +0100 5496545 http://www.medworm.com/index.php?rid=5496544&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111005283%2Fabstract%3Frss%3Dyes When will my child go blind? Parents of children with degenerative and progressive eye disorders, such as retinal dystrophies, often ask this question, one of both fact and value. Some parents ask the question prematurely, as when the child with well-controlled glaucoma is doing beautifully. Others wait to confront the issues until the very end stages of their child’s ocular disease. Searching for data to help answer the parent’s query, physicians might turn to colleagues or the literature and ask, “What is the incidence of blindness in this condition for a patient like mine?” or, more generically, “What is the prognosis?” (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5496544 Thu, 01 Dec 2011 05:00:00 +0100 5496544 http://www.medworm.com/index.php?rid=5496543&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111005155%2Fabstract%3Frss%3Dyes Although there is general agreement about the benefit of vision screening for the prevention of amblyopia, there is debate about implementation (eg, age to start, method, frequency). To promote vision screening, Healthy People 2020, the 10-year plan for improving the health of the nation, has set an objective to increase vision screening rates among children 5 years of age and younger. During the past 3 years, we have been working on a series of projects funded by the Centers for Disease Control and Prevention to monitor progress toward this goal. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5496543 Thu, 01 Dec 2011 05:00:00 +0100 5496543 http://www.medworm.com/index.php?rid=5496542&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111005313%2Fabstract%3Frss%3Dyes Intermittent exotropia is a common condition that affects patients of all ages. In most patients, the ocular deviation is controlled part of the time by the instinctive drive for binocular vision. Although there is much discussion in the literature about when to treat or observe, for me, the decision is an easy one most of the time. When the eye drifts only with fatigue and quickly returns to its normal position with a blink and a grimace, and when the ocular deviation is difficult to bring out in the office and manifests only at home with distance viewing, no intervention is necessary. On the other hand, when exotropia appears countless times per day or recovers slowly after the eyes are dissociated, treatment is warranted. Fortunately, near-vision control is usually preserved even when d... Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5496542 Thu, 01 Dec 2011 05:00:00 +0100 5496542 http://www.medworm.com/index.php?rid=5496541&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111005404%2Fabstract%3Frss%3Dyes It is estimated that 4 million American children undergo general anesthesia for a variety of surgical procedures and imaging studies every year. Perioperative mortality and morbidity for children have steadily improved over the last few decades, with a reported mortality rate of one per hundred thousand anesthetics with a tenfold higher rate for young infants. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5496541 Thu, 01 Dec 2011 05:00:00 +0100 5496541 http://www.medworm.com/index.php?rid=5433272&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111004794%2Fabstract%3Frss%3Dyes See accompanying articles on pages 421-426 and 427-431. During the last half century, the management of an infant with a monocular cataract has changed. In the early 1960s through the early 1970s, the sentiment existed that unless there was a good chance for visual rehabilitation, performing cataract surgery for an infant with a monocular cataract was to be avoided. This was in part because of the relatively primitive surgical techniques for cataract removal, safety concerns relating to infant anesthesia, and the lack of satisfactory and effective optical rehabilitation. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5433272 Wed, 19 Oct 2011 04:00:00 +0100 5433272 http://www.medworm.com/index.php?rid=5433304&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS109185311100406X%2Fabstract%3Frss%3Dyes To the Editor: We would like to thank Dr. Agervi for taking the time to carefully review and critique our study. We agree that it is extremely important to avoid concluding that the Bangerter foil “caused” the development of motor fusion. Our study was designed simply to confirm a clinical observation, ie, that some patients with a history of strabismic amblyopia develop motor fusion during the course of treatment with the Bangerter foil. The lack of a control group makes it impossible to draw other conclusions. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5433304 Mon, 03 Oct 2011 04:00:00 +0100 5433304 http://www.medworm.com/index.php?rid=5433285&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111004058%2Fabstract%3Frss%3Dyes In this study, distance–near relationships and ratios of accommodative convergence to accommodation (AC/A) are compared using different measurement methods in Asian children with divergence excess intermittent exotropia.Methods: Children with intermittent exotropia and a distance deviation exceeding the near by at least 10Δ were consecutively recruited. After prism cover test measurements at 6 m and 33 cm, AC/A ratios were calculated using the heterophoria method and the gradient method with –2.0 D and +3.0 D lenses at 6 m and 33 cm, respectively. AC/A ratios were recalculated after 1 hour of monocular patching.Results: A total of 42 children (mean age, 6.9 years; range, 3-16 years) were included. The mean difference between distance and near deviation was 22Δ before occlusion and 14... Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5433285 Mon, 03 Oct 2011 04:00:00 +0100 5433285 http://www.medworm.com/index.php?rid=5433307&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111004915%2Fabstract%3Frss%3Dyes The Journal regrets and apologizes for incorrectly printing author names in the article “Trends in surgical correction of strabismus: A 20-year experience, 1990-2009” (J AAPOS 2011;15:219-23), the order of authors and middle initials for the first author are as follows: Erika M. P. Dabes, MD, David R. Weakley, MD, and Eileen Birch, PhD. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5433307 Sat, 01 Oct 2011 04:00:00 +0100 5433307 http://www.medworm.com/index.php?rid=5433306&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111004903%2Fabstract%3Frss%3Dyes To the Editor: In their letter to the editor regarding my editorial on their recently published paper on home-based computer orthoptics for children with convergence insufficiency, Rogers and colleagues do not address the major design limitations of their study. Instead they chose to criticize the study design of the Convergence Insufficiency Treatment Trial (CITT), published in Archives of Ophthalmology in 2008, based on a superficial reading of our publications. Rogers and colleagues state, “We now know that the home-based reinforcement used with the in-office vision therapy group was the very same computer therapy used for the home-based computer orthoptics group. The omission of this detail from the CITT paper has created much confusion and caused the results of the CITT to be dramat... Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5433306 Sat, 01 Oct 2011 04:00:00 +0100 5433306 http://www.medworm.com/index.php?rid=5433298&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111004666%2Fabstract%3Frss%3Dyes To the Editor: The case recently reported by Laursen and Demer illustrates the risk of undertaking orbital surgery without first examining the muscle to identify an orbital flap tear. Strabismus after blunt orbital trauma may be induced by several mechanisms. Entrapment of a muscle causes motility restriction in the direction away from the fracture site; this is well understood and improvable by orbital repair. A motility defect toward the fracture site, however, may be explained by a partial avulsion injury, or “flap tear,” of the muscle. These motility defects are associated with avulsion of the outer layer of the muscle or of a section of the muscle at the time of injury. The resultant motility defect is usually the result of a tether effect created by the avulsed flap of tissue, wh... Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5433298 Sat, 01 Oct 2011 04:00:00 +0100 5433298 http://www.medworm.com/index.php?rid=5433297&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111004678%2Fabstract%3Frss%3Dyes A 10-year-old girl presented with a 2-week history of an elevated, red conjunctival mass. She was in remission from acute myeloid leukemia (AML) and had two recurrences. Biopsy revealed a conjunctival myeloid sarcoma, an extramedullary lesion composed of cells of myeloid lineage that may present in children and adults, most commonly in the lymph nodes, skin, and subcutaneous tissues; it is less likely in ocular tissue. In patients with a history of AML, a new myeloid sarcoma is considered a relapse. To the best of our knowledge, this is the first case of a conjunctival myeloid sarcoma heralding a recurrence of an aggressive form of AML in a child. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5433297 Sat, 01 Oct 2011 04:00:00 +0100 5433297 http://www.medworm.com/index.php?rid=5433296&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111004460%2Fabstract%3Frss%3Dyes We present the case of a 14-year-old boy with cerebroretinal microangiopathy with calcification and cysts illustrating the classic occlusive retinal telangiectasias. His condition was diagnosed using multiple imaging modalities, including upper gastrointestinal endoscopy of the upper gastrointestinal tract, magnetic resonance imaging, optical coherence tomography, and fluorescein angiography. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5433296 Sat, 01 Oct 2011 04:00:00 +0100 5433296 http://www.medworm.com/index.php?rid=5433295&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111004691%2Fabstract%3Frss%3Dyes We report a case of a medulloblastoma in a child in whom it presented as an incomitant esotropia after surgical correction for comitant infantile exotropia. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5433295 Sat, 01 Oct 2011 04:00:00 +0100 5433295 http://www.medworm.com/index.php?rid=5433293&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111004836%2Fabstract%3Frss%3Dyes We describe the adaptation of two-incision push-pull technique for performing continuous capsulorhexis in children's eyes with anterior capsules having large fibrous plaque in the center. This technique uses the fibrous plaque as a template for directing the force vectors to achieve a controlled tear and a continuous capsulorhexis. We used the technique in 12 eyes of six children with successful capsulorhexis in 10 eyes and peripheral extension of rhexis in 2 eyes. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5433293 Sat, 01 Oct 2011 04:00:00 +0100 5433293 http://www.medworm.com/index.php?rid=5433292&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111004848%2Fabstract%3Frss%3Dyes We report a self-inflicted penetrating eye injury, late retinal detachment, and vision loss in a 7-year-old boy resulting from the use of a Wii Remote. To our knowledge, this is the first reported case of severe ocular trauma from use of a wireless game controller. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5433292 Sat, 01 Oct 2011 04:00:00 +0100 5433292 http://www.medworm.com/index.php?rid=5433291&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111004484%2Fabstract%3Frss%3Dyes We report two cases of unilateral HSV keratitis, after Cesarean section, in neonates whose twin had died. Both mothers denied history of HSV. Ophthalmic diagnosis led to full systemic workup and appropriate treatment. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5433291 Sat, 01 Oct 2011 04:00:00 +0100 5433291 http://www.medworm.com/index.php?rid=5433290&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111004897%2Fabstract%3Frss%3Dyes We present a case of a 7-year-old girl with peripheral ulcerative keratitis of unknown etiology. To the best of our knowledge, this is the first such case reported in a child. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5433290 Sat, 01 Oct 2011 04:00:00 +0100 5433290 http://www.medworm.com/index.php?rid=5433289&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS109185311100485X%2Fabstract%3Frss%3Dyes A 5-year-old boy who had undergone deep anterior lamellar keratoplasty (DALK) in the right eye 8 months earlier presented with a full-thickness graft–host junction dehiscence and iris prolapse following an injury with a rubber ball. The junction was resutured and the graft became clear within 5 weeks. To our knowledge, this is the first reported case of wound dehiscence after DALK in a child. Although Descemet’s membrane might be considered a protective barrier following DALK, the graft–host junction remains vulnerable and can rupture with blunt trauma. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5433289 Sat, 01 Oct 2011 04:00:00 +0100 5433289 http://www.medworm.com/index.php?rid=5433288&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111004800%2Fabstract%3Frss%3Dyes Conclusions: These findings highlight the gaps in the delivery of preschool vision screening. Improved population-level surveillance of children's vision and methods to track use of vision-related health services are needed to inform policy makers to develop new strategies to improve care. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5433288 Sat, 01 Oct 2011 04:00:00 +0100 5433288 http://www.medworm.com/index.php?rid=5433287&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111004873%2Fabstract%3Frss%3Dyes Conclusions: High sensitivity and negative predictive values suggest that the plusoptiX S04 will detect most children with ID who have amblyogenic risk factors, but one-half of all children referred will have no risk factors. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5433287 Sat, 01 Oct 2011 04:00:00 +0100 5433287 http://www.medworm.com/index.php?rid=5433286&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS109185311100468X%2Fabstract%3Frss%3Dyes Conclusions: Recession of a rectus muscle for comitant horizontal strabismus may result in vertical widening of the palpebral fissure. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5433286 Sat, 01 Oct 2011 04:00:00 +0100 5433286 http://www.medworm.com/index.php?rid=5433284&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111004885%2Fabstract%3Frss%3Dyes Conclusions: For children with untreated intermittent exotropia, deterioration in near stereoacuity at 1 and 2 years is infrequent. Therefore, performing surgery for intermittent exotropia to proactively prevent deterioration of near stereoacuity cannot be justified. Retesting stereoacuity is critical to determine whether any measured decrease in stereoacuity is real. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5433284 Sat, 01 Oct 2011 04:00:00 +0100 5433284 http://www.medworm.com/index.php?rid=5433283&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111004861%2Fabstract%3Frss%3Dyes Purpose: To determine factors associated with pretreatment and posttreatment stereoacuity in subjects with moderate anisometropic amblyopia.Methods: Data for subjects enrolled in seven studies conducted by the Pediatric Eye Disease Investigator Group were pooled. The sample included 633 subjects aged 3 to (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5433283 Sat, 01 Oct 2011 04:00:00 +0100 5433283 http://www.medworm.com/index.php?rid=5433281&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111004782%2Fabstract%3Frss%3Dyes Background: Platelets may act as vascular endothelial growth factor scavengers, possibly limiting neovascularization in retinopathy of prematurity (ROP). The purpose of this study was to investigate the association between thrombocytopenia (platelets (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5433281 Sat, 01 Oct 2011 04:00:00 +0100 5433281 http://www.medworm.com/index.php?rid=5433280&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111004757%2Fabstract%3Frss%3Dyes Conclusions: The relationship between unilateral and bilateral optic neuritis and the development of MS is dependent on age. Older children and those with brain MRI abnormalities at presentation, are at greater risk for MS. Long-term follow-up of children with optic neuritis is needed to establish the true risk for the development of MS. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5433280 Sat, 01 Oct 2011 04:00:00 +0100 5433280 http://www.medworm.com/index.php?rid=5433279&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111004745%2Fabstract%3Frss%3Dyes Conclusions: Eyes achieving secondary in-the-bag IOL showed less inflammation and corneal edema in the early postoperative period partly as the result of greater surgical and anatomic challenges in some eyes receiving sulcus IOL. Visual and refractive outcomes were satisfactory in eyes with secondary IOL implantation. Mean prediction error was similar for in-the-bag and sulcus IOLs. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5433279 Sat, 01 Oct 2011 04:00:00 +0100 5433279 http://www.medworm.com/index.php?rid=5433278&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111004770%2Fabstract%3Frss%3Dyes Conclusions: Although the 0.8 D reduction in accuracy of the refraction-based formulas was not statistically significant, we recommend continued use of biometry-based formulas for IOL power calculation. Aphakic refraction may be used to confirm IOL power prediction when biometry is difficult. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5433278 Sat, 01 Oct 2011 04:00:00 +0100 5433278 http://www.medworm.com/index.php?rid=5433277&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111004769%2Fabstract%3Frss%3Dyes Conclusions: Aphakic infants with mild PFV treated with CL had a greater incidence of adverse events after lensectomy compared with children with other forms of unilateral congenital cataract; nevertheless, similar visual outcomes at 1 year after surgery were obtained. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5433277 Sat, 01 Oct 2011 04:00:00 +0100 5433277 http://www.medworm.com/index.php?rid=5433276&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111004654%2Fabstract%3Frss%3Dyes Purpose: To describe a video-documented assessment of cataract type in the eyes of patients with monocular infantile cataract who were enrolled in the Infant Aphakia Treatment Study.Methods: The Infant Aphakia Treatment Study is a randomized clinical trial in which the investigators compared intraocular lens (IOL) versus contact lens correction in 114 infants, aged 28 days to (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5433276 Sat, 01 Oct 2011 04:00:00 +0100 5433276 http://www.medworm.com/index.php?rid=5433274&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111004472%2Fabstract%3Frss%3Dyes Patients with early-onset strabismus often have abnormal binocular function and suppression. Abnormal binocular function has traditionally been attributed to defective binocular summation as a result of a reduction in excitatory binocular connections (binocularly driven neurons) in the primary visual cortex (V1). These excitatory binocular connections are thought to be established during the critical period of visual development and are lost permanently if strabismus is not corrected early. Interocular suppression, on the other hand, is generally considered to be an adaptive sensory mechanism to minimize diplopia and confusion that result from strabismus. It is a neurophysiologic process mediated by inhibitory interactions in area V1 and V2, and possibly at the level of the lateral genicul... Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5433274 Sat, 01 Oct 2011 04:00:00 +0100 5433274 http://www.medworm.com/index.php?rid=5433273&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111004496%2Fabstract%3Frss%3Dyes See accompanying articles on pages 432-434 and 435-440. During residency in 1990, I examined a child who had undergone bilateral cataract surgery with secondary intraocular lens (IOL) implants in the first weeks of life: his vision at the age of 2 years was poor from inflammation and anterior segment scarring. The attending ophthalmologist pointed out that IOL placement in children was fraught with difficulties and unknowns. Implanting IOLs in children tended to result in greater complications. The optics of the growing pseudophakic eye was largely a mystery, and this attending sided with leaving children aphakic at cataract surgery. I remember wishing that we had better surgical techniques and that we could figure out the optics involved. In the same year that I examined the pseudophakic... Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5433273 Sat, 01 Oct 2011 04:00:00 +0100 5433273 http://www.medworm.com/index.php?rid=5433271&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111004708%2Fabstract%3Frss%3Dyes The pediatric ophthalmologist caring for children being treated with vigabatrin (Sabril; Lundbeck Inc, Deerfield, IL) is faced with a difficult challenge. The drug is an irreversible inhibitor of GABA transaminase, the major neuroinhibitory transmitter in the brain, and it is the first-line drug of choice for the treatment of infants with infantile spasms. Vigabatrin can be extraordinarily effective for the management of these often-refractory seizures, prompting neurologists and parents alike to prefer to keep their child on the drug for extended periods of time, especially when other drugs are ineffective. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5433271 Sat, 01 Oct 2011 04:00:00 +0100 5433271 http://www.medworm.com/index.php?rid=5433305&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111004125%2Fabstract%3Frss%3Dyes To the Editor: We were flattered that our retrospective chart review reporting outcomes using a home-based computer orthoptics program in treating convergence insufficiency prompted an editorial from Dr. Mitchell Schieman. There has been significant controversy related to the best treatment strategy for patients with convergence insufficiency, and this was brought out in Dr Schieman's editorial. We wish to take this opportunity to further address some of the issues raised in his editorial. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5433305 Thu, 29 Sep 2011 04:00:00 +0100 5433305 http://www.medworm.com/index.php?rid=5433302&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111004101%2Fabstract%3Frss%3Dyes To the Editor: We congratulate Wilson and colleagues for their excellent comparison of the two most common sites for secondary IOL implantation in children. However, we would like to add some comments to the proposed technique and methodology described by the authors. The authors have previously described the technique for in-the-bag implantation of secondary IOLs; they acknowledge that opening the capsular bag may not be possible in all cases. In the current series, the primary surgery for the in-the-bag IOL implantation group was performed by the senior author in 76% of the cases; however, in the sulcus implantation group, 33% of the primary surgeries were performed by the author. This finding suggests that secondary in-the-bag implantation is more feasible in the group in whom it was pl... Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5433302 Thu, 29 Sep 2011 04:00:00 +0100 5433302 http://www.medworm.com/index.php?rid=5433300&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111004071%2Fabstract%3Frss%3Dyes To the Editor: In their informative article on pediatric sixth nerve palsy, Merino and colleagues reported spontaneous recovery after sixth nerve palsy in 5 of their patients and noted that treatment with botulinum toxin was successful in most of the remaining 10 cases, with a single surgery required in 3 cases. We would like to share a few comments regarding the results and conclusions drawn up by the authors. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5433300 Thu, 29 Sep 2011 04:00:00 +0100 5433300 http://www.medworm.com/index.php?rid=5433294&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111004149%2Fabstract%3Frss%3Dyes We report a 4-year-old girl who presented with visual disturbances initially diagnosed and treated as amblyopia. She subsequently developed headaches and a gait disturbance and was discovered to have a large, suprasellar, nonsecreting pituitary adenoma. The tumor was resected, but 22 months later she developed recurrence with malignant transformation. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5433294 Thu, 29 Sep 2011 04:00:00 +0100 5433294 http://www.medworm.com/index.php?rid=5433282&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111004113%2Fabstract%3Frss%3Dyes Conclusions: The scores measured were larger with OMA in the horizontal and smaller in the vertical direction than with the Lees screen in some directions. Although the OMA did not save time, patients found it easier to perform than the Lees screen. The OMA may be considered a useful alternative to the Lees screen. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5433282 Thu, 29 Sep 2011 04:00:00 +0100 5433282 http://www.medworm.com/index.php?rid=5433275&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111004137%2Fabstract%3Frss%3Dyes See accompanying article on pages 441-446. Identifying adults at high risk for progression to multiple sclerosis (MS) after optic neuritis is relatively straightforward and is based on the results of the Optic Neuritis Treatment Trial (ONTT). A single characteristic magnetic resonance imaging (MRI) lesion at baseline was the sole significant predictor of progression to MS, with 72% of such patients progressing to definite MS at 15 years. Subsequent clinical trials have shown that treatment of patients at higher risk for MS can delay and perhaps prevent progression. Based on these strong prospective data, appropriate management recommendations can be made for adults with an initial presentation of optic neuritis. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5433275 Thu, 29 Sep 2011 04:00:00 +0100 5433275 http://www.medworm.com/index.php?rid=5212362&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111003429%2Fabstract%3Frss%3Dyes We describe the first case of cavernous sinus syndrome from an intracavernous internal carotid artery aneurysm in a 9-month-old boy with tuberous sclerosis. The presence of an intracranial aneurysm should be considered in the differential diagnosis of children with tuberous sclerosis who develop cranial nerve deficits. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5212362 Fri, 05 Aug 2011 04:00:00 +0100 5212362 http://www.medworm.com/index.php?rid=5212356&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111003880%2Fabstract%3Frss%3Dyes Conclusions: In premature newborns, IOP measurements were slightly greater than in full-term newborns because of an increased CCT. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5212356 Fri, 05 Aug 2011 04:00:00 +0100 5212356 http://www.medworm.com/index.php?rid=5212369&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111003922%2Fabstract%3Frss%3Dyes To the Editor: Postoperative adhesions are a major complication of strabismus surgery, particularly reoperations. Various materials have been used to reduce these adhesions. The results of Sheha and colleagues on the use of cryopreserved amniotic membrane to wrap the extraocular muscles during a strabismus reoperation were tempting. Cryopreserved amniotic membrane is, however, expensive and has to be stored at −80°C, thus limiting its availability. Dried (lyophilized) amniotic membrane is less expensive and does not require special storage. I previously reported my results of wrapping extraocular muscles with dried membrane during a strabismus reoperation: instead of limiting adhesions and fibrosis, I discovered extensive adhesions and fibrosis on a subsequent reoperation on these wrapp... Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5212369 Mon, 01 Aug 2011 04:00:00 +0100 5212369 http://www.medworm.com/index.php?rid=5212368&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111003739%2Fabstract%3Frss%3Dyes In this study, accuracy of IK4 measurements with the use of standard toric surfaces was within 0.25 D. Validity measurements obtained in 860 children aged 3-7 years demonstrated slightly greater astigmatism measurements in the IK4 than in the Retinomax K+. Measurement success was 98% when the IK4 was used. The IK4 may prove to be clinically useful for screening children as young as 3 years of age at high risk for corneal astigmatism. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5212368 Mon, 01 Aug 2011 04:00:00 +0100 5212368 http://www.medworm.com/index.php?rid=5212367&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111003417%2Fabstract%3Frss%3Dyes We describe the case of a 66-year-old man with traumatic, restrictive strabismus. Amniotic membrane was applied to resolve symblepharon between the globe and lids and also to prevent re-formation of adhesions between extraocular muscles and adjacent titanium plates placed during prior surgery. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5212367 Mon, 01 Aug 2011 04:00:00 +0100 5212367 http://www.medworm.com/index.php?rid=5212366&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111003727%2Fabstract%3Frss%3Dyes We report two patients who developed epiphora when the lacrimal caruncles became distorted after strabismus surgery. Both cases followed successful medial rectus muscle resections for exotropia. A simple excision of the caruncles improved the epiphora and produced a satisfactory appearance. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5212366 Mon, 01 Aug 2011 04:00:00 +0100 5212366 http://www.medworm.com/index.php?rid=5212365&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111003831%2Fabstract%3Frss%3Dyes We report 2 cases of acquired Brown syndrome, each associated with a mass in the supranasal area of the involved eye. Meticulous endoscopic surgery of an ethmoidal mucocele in the first case resulted in the recovery of superior oblique muscle function. Imaging studies suggested the presence of an orbital venous malformation in the second case, the clinical course of which was stable, with minimal intermittent diplopia over time. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5212365 Mon, 01 Aug 2011 04:00:00 +0100 5212365 http://www.medworm.com/index.php?rid=5212364&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS109185311100379X%2Fabstract%3Frss%3Dyes A 27-year-old man who presented with diplopia and proptosis and was diagnosed with euthyroid Graves disease and restrictive strabismus. It was determined that his symptoms were caused by isolated lateral rectus muscle involvement. Diplopia resolved and ocular motility improved substantially following 6 weeks of oral corticosteroid therapy. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5212364 Mon, 01 Aug 2011 04:00:00 +0100 5212364 http://www.medworm.com/index.php?rid=5212363&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111003740%2Fabstract%3Frss%3Dyes We report the case a 9-month-old boy who had 2 episodes of a left abduction deficit that resolved spontaneously. A 3-dimensional high-resolution T2-weighted sequence magnetic resonance imaging scan of the head revealed a hypoplastic left 6th nerve and a small left Dorello's canal. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5212363 Mon, 01 Aug 2011 04:00:00 +0100 5212363 http://www.medworm.com/index.php?rid=5212361&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111003934%2Fabstract%3Frss%3Dyes We present a case of Gorlin syndrome presenting as a conjunctival ganglioglioma in a 13-year-old girl. While cases of cerebral ganglioglioma have been described in association with Gorlin syndrome, conjunctival ganglioglioma has not, to the best of our knowledge, been reported. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5212361 Mon, 01 Aug 2011 04:00:00 +0100 5212361 http://www.medworm.com/index.php?rid=5212359&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111004034%2Fabstract%3Frss%3Dyes We report a case of an orbital teratoma masquerading as a lymphangioma in 6-month-old girl. The lesion was entirely excised using a transconjunctival approach with good cosmetic and functional results. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5212359 Mon, 01 Aug 2011 04:00:00 +0100 5212359 http://www.medworm.com/index.php?rid=5212358&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111003909%2Fabstract%3Frss%3Dyes Conclusions: Computerized systems can be used to objectively assess differences in vascular parameters between ROP stages. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5212358 Mon, 01 Aug 2011 04:00:00 +0100 5212358 http://www.medworm.com/index.php?rid=5212357&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111003910%2Fabstract%3Frss%3Dyes Conclusions: Neither intraperitoneal nor intravitreal injection of DPA inhibits retinal neovascularization in a murine model of oxygen-induced retinopathy. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5212357 Mon, 01 Aug 2011 04:00:00 +0100 5212357 http://www.medworm.com/index.php?rid=5212355&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111003752%2Fabstract%3Frss%3Dyes Conclusions: Clinically significant ophthalmic disorders are common among children and young adults with mosaic DS. Our findings support regular periodic eye examinations for these individuals. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5212355 Mon, 01 Aug 2011 04:00:00 +0100 5212355 http://www.medworm.com/index.php?rid=5212354&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111004009%2Fabstract%3Frss%3Dyes Conclusions: Most clinical and genetic findings from these families are consistent with previous reports of HHCS. Astigmatism, previously not associated with HHCS, was present in the majority. Ferritin levels and age of cataract surgery varied among subjects with both FTL gene mutations, suggesting that phenotypic variability is modulated by other genetic or environmental factors. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5212354 Mon, 01 Aug 2011 04:00:00 +0100 5212354 http://www.medworm.com/index.php?rid=5212353&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111003715%2Fabstract%3Frss%3Dyes Conclusions: Penetrating keratoplasty can yield good anatomic results in children with acquired, nontraumatic causes of corneal scarring, but amblyopia limits the visual outcomes. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5212353 Mon, 01 Aug 2011 04:00:00 +0100 5212353 http://www.medworm.com/index.php?rid=5212352&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111003879%2Fabstract%3Frss%3Dyes Purpose: To report the percentage of children under the age of 3 with nasolacrimal duct obstruction (NLDO) and amblyopia risk factors who develop clinical evidence of amblyopia over time.Methods: Records of children under 3 years of age presenting to a pediatric oculoplastic specialist with NLDO between January 1, 2001, and August 8, 2009, were retrospectively reviewed to identify those who also had amblyopia risk factors. Amblyopia was diagnosed based on visual acuity and treatment history.Results: A total of 375 children under the age of 3 had NLDO. Of these, 82 (22%) had amblyopia risk factors, and 70 received a follow-up examination. Average age at first visit was 12 months (1-27 months). In all patients with anisometropia and unilateral NLDO, the side with the NLDO had higher hyperopi... Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5212352 Mon, 01 Aug 2011 04:00:00 +0100 5212352 http://www.medworm.com/index.php?rid=5212351&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111003855%2Fabstract%3Frss%3Dyes Conclusions: The cortical mechanisms necessary for combining information from the two eyes seem to have been present but suppressed in our 2 participants with alternating fixation, just as they have been shown to be present in patients with fixed-angle strabismus. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5212351 Mon, 01 Aug 2011 04:00:00 +0100 5212351 http://www.medworm.com/index.php?rid=5212350&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111003776%2Fabstract%3Frss%3Dyes Conclusions: We found no systematic difference between distance and near visual acuity in 2- to 6-year-old children with moderate amblyopia associated with strabismus and/or anisometropia. Individual differences between distance and near visual acuity are likely due to test–retest variability. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5212350 Mon, 01 Aug 2011 04:00:00 +0100 5212350 http://www.medworm.com/index.php?rid=5212349&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111003892%2Fabstract%3Frss%3Dyes Conclusions: Our data suggest that although RNFLT does not vary between eyes, macular sensitivity is reduced in patients with amblyopia. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5212349 Mon, 01 Aug 2011 04:00:00 +0100 5212349 http://www.medworm.com/index.php?rid=5212348&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111004046%2Fabstract%3Frss%3Dyes Conclusions: We documented no harmful effects on the macula after manipulation of the inferior oblique muscle during standard weakening procedures. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5212348 Mon, 01 Aug 2011 04:00:00 +0100 5212348 http://www.medworm.com/index.php?rid=5212347&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111003764%2Fabstract%3Frss%3Dyes Conclusions: Median primary position deviation was unchanged by scleral buckle removal, and Exoplant removal has minimal long-term benefit on the strabismus following scleral buckling procedures. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5212347 Mon, 01 Aug 2011 04:00:00 +0100 5212347 http://www.medworm.com/index.php?rid=5212346&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111003843%2Fabstract%3Frss%3Dyes Conclusions: Risk factors for exotropia after augmented VRT include younger age and less restriction on forced duction testing. Additional risk factors for exotropia after VRT and subsequent MR muscle recession include preoperative exotropia in adduction and smaller deviation at near. These factors may be useful in distinguishing patients at risk, allowing for consideration of less powerful procedures. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5212346 Mon, 01 Aug 2011 04:00:00 +0100 5212346 http://www.medworm.com/index.php?rid=5212344&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111003867%2Fabstract%3Frss%3Dyes Conclusions: General features of AACE type 2 are concomitance of strabismus, absence of an accommodative component even in the presence of hyperopic refractive errors, and no neurological pathology. The potential for normal binocular vision plays a key role in defining this entity. The reemergence of full stereopsis may take several years. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5212344 Mon, 01 Aug 2011 04:00:00 +0100 5212344 http://www.medworm.com/index.php?rid=5212360&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111003405%2Fabstract%3Frss%3Dyes We present 2 cases of peripapillary staphylomas resembling cystic cavities, both of which caused severe visual impairment. We propose the term cystic peripapillary staphyloma to describe this anomaly. The first case was associated with microphthalmia; the second, with encephalocele and Chiari malformation, an association that has not been previously described. We propose the term “cystic peripapillary staphyloma” to describe this anomaly. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5212360 Thu, 21 Jul 2011 04:00:00 +0100 5212360 http://www.medworm.com/index.php?rid=5212345&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111003430%2Fabstract%3Frss%3Dyes Conclusions: The intraoperative relaxed muscle positioning technique improved ocular alignment and relieved diplopia in most patients with dysthyroid strabismus. Patients with more severe disease were more likely to require reoperation. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5212345 Thu, 21 Jul 2011 04:00:00 +0100 5212345 http://www.medworm.com/index.php?rid=5042920&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111003211%2Fabstract%3Frss%3Dyes Summary: Evaluation of children with optic nerve abnormalities is challenging. Fundus photography, ocular coherence tomography, visual field testing, color vision evaluation, neuroimaging, and genetic testing are helpful in the diagnosis and management of these patients. Importantly, many optic nerve problems are not isolated but occur in association with systemic and central nervous system anomalies. The ophthalmologist thus plays a critical role in recognizing patients who warrant systemic and neurologic assessment. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5042920 Thu, 16 Jun 2011 23:00:00 +0100 5042920 http://www.medworm.com/index.php?rid=5042909&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS109185311100317X%2Fabstract%3Frss%3Dyes Conclusions: This study further strengthens existing evidence for strabismus-related prejudice that suggests that children with noticeable strabismus may be subjected to social alienation by other children. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5042909 Thu, 16 Jun 2011 23:00:00 +0100 5042909 http://www.medworm.com/index.php?rid=5042926&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111003363%2Fabstract%3Frss%3Dyes We describe a case of unilateral retinoblastoma in a 13-month-old boy who presented with signs of orbital cellulitis. Heterochromia, hyphema, and vitreous hemorrhage were observed. Initial computed tomography (CT) imaging failed to reveal the calcified intraocular mass that was later identified on ultrasonography. Histopathology of the enucleated eye revealed diffuse inflammation and tumor necrosis but with absence of malignant retinoblastoma cells. Genetic testing was equivocal. The patient is presumed to have had retinoblastoma that underwent autoinfarction, leading to secondary inflammation. This case highlights the importance of complete ocular evaluation and proper imaging modalities in children presenting with orbital cellulitis. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5042926 Wed, 15 Jun 2011 23:00:00 +0100 5042926 http://www.medworm.com/index.php?rid=5042923&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111003223%2Fabstract%3Frss%3Dyes We report the first case of Duane syndrome presenting in an 8-month-old boy with XXYY syndrome. This case lends further support to the association of chromosomal duplication and Duane syndrome. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5042923 Wed, 15 Jun 2011 23:00:00 +0100 5042923 http://www.medworm.com/index.php?rid=5042905&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS109185311100320X%2Fabstract%3Frss%3Dyes Conclusions: The incidence of surgically corrected infantile esotropia has remained stable over a 20-year period. As a proportion of all primary strabismus procedures, surgery for all types of esotropia has decreased and for exotropia has increased. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5042905 Wed, 15 Jun 2011 23:00:00 +0100 5042905 http://www.medworm.com/index.php?rid=5042930&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111003156%2Fabstract%3Frss%3Dyes We report a case of post-traumatic choroidal neovascularization in a boy that has was successfully treated with intravitreal bevacizumab. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5042930 Sun, 12 Jun 2011 23:00:00 +0100 5042930 http://www.medworm.com/index.php?rid=5042924&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111003119%2Fabstract%3Frss%3Dyes We report an 18-month-old boy who presented with aniridia and megalocornea but no evidence of glaucoma. In children with aniridia, glaucoma often does not present with buphthalmos; because, it typically manifests in preadolescence or adolescence, as progressive changes occur in the drainage angle. Megalocornea, however, in the presence of aniridia strongly suggests glaucoma in early infancy. This case represents a previously unreported association of aniridia and megalocornea in an otherwise-healthy child with good vision. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5042924 Sun, 12 Jun 2011 23:00:00 +0100 5042924 http://www.medworm.com/index.php?rid=5042916&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111003302%2Fabstract%3Frss%3Dyes Conclusions: The coincidence of esotropia with tetrasomy 18p indicates the need to routinely screen these patients for strabismus at the time of diagnosis. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5042916 Sun, 12 Jun 2011 23:00:00 +0100 5042916 http://www.medworm.com/index.php?rid=5042910&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111003168%2Fabstract%3Frss%3Dyes Purpose: To explore the relationships among cycloplegic refraction, keratometry, and axial length in children with refractive accommodative esotropia and to evaluate the feasibility of axial length estimation from the other 2 parameters.Methods: This is a prospective case series of children ages 4-12 years who were diagnosed with refractive accommodative esotropia, cooperative for keratometry and optical biometry by the IOLMaster, and without amblyopia in the right eye. The right eyes of the first group of patients were used to generate a linear regression formula from cycloplegic refraction, keratometry, and axial length. This formula was used in the second group of patients to estimate axial length from cycloplegic refraction and keratometry.Results: A total of 100 children were enrolled... Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5042910 Sun, 12 Jun 2011 23:00:00 +0100 5042910 http://www.medworm.com/index.php?rid=5042908&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111003181%2Fabstract%3Frss%3Dyes Purpose: To report the results of treatment of Brown syndrome using Achilles tendon allograft as a superior oblique tendon expander.Methods: Achilles tendon allografts were prepared from the tissue bank. Five eyes of 3 patients with congenital Brown syndrome (mean age, 6 years) were enrolled in the study. Surgery was performed with a superotemporal conjunctival fornix approach. The superior oblique tendon was exposed and severed; then a 2- to 3-mm-wide strip of Achilles tendon (with a thickness of 1–2 mm) was trimmed and sutured between the cut ends using double-armed 5-0 Mersilene sutures. The length of the expander ranged from 7 mm to 8 mm, depending on the severity of the disease.Results: The preoperative hypotropia in primary position ranged from 15Δ to 30Δ, with abnormal head posi... Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5042908 Sun, 12 Jun 2011 23:00:00 +0100 5042908 http://www.medworm.com/index.php?rid=5042907&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111003107%2Fabstract%3Frss%3Dyes Conclusions: More meticulous sterile preparation of the surgical field did not result in a meaningful reduction in suture or needle contamination rates during strabismus surgery. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5042907 Sun, 12 Jun 2011 23:00:00 +0100 5042907 http://www.medworm.com/index.php?rid=5042906&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111003193%2Fabstract%3Frss%3Dyes Conclusions: Although initial overcorrection after intermittent exotropia surgery may be associated with lower probability of recurrence within 2 years after surgery, it cannot predict long-term motor outcomes. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5042906 Sun, 12 Jun 2011 23:00:00 +0100 5042906 http://www.medworm.com/index.php?rid=5042915&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111003399%2Fabstract%3Frss%3Dyes Introduction: To describe the clinical and surgical outcomes among patients younger than 20 years of age diagnosed with glaucoma in a defined population during a 40-year period.Methods: The medical records of all patients ( (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5042915 Wed, 08 Jun 2011 23:00:00 +0100 5042915 http://www.medworm.com/index.php?rid=5042925&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111003338%2Fabstract%3Frss%3Dyes We report the case of a 3-year-old girl with AOS who was also found to have bilateral anterior polar cataracts and pseudopapilledema secondary to optic disk drusen. To the best of our knowledge, this is the first case of bilateral anterior polar cataracts and pseudopapilledema secondary to optic disk drusen to be reported in association with the AOS. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5042925 Sun, 05 Jun 2011 23:00:00 +0100 5042925 http://www.medworm.com/index.php?rid=5042922&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111002655%2Fabstract%3Frss%3Dyes Antielevation syndrome as a complication of inferior oblique anterior transposition usually appears in the early postoperative period. A 29-year-old woman who had been operated on for right superior oblique palsy developed diplopia 10 years after surgery: motility examination was consistent with an antielevation syndrome. A right inferior oblique recession of 14 mm was performed on the previously transposed muscle; motility improved, and the patient has remained asymptomatic. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5042922 Sun, 05 Jun 2011 23:00:00 +0100 5042922 http://www.medworm.com/index.php?rid=5042921&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111002965%2Fabstract%3Frss%3Dyes This is a report a case of presumed scleral perforation during globe retropulsion as part of the Guyton exaggerated traction test in a patient with a history of bilateral keratoconus and scleral thinning. Perforation was indicated by the sudden occurrence of hyphema and globe softening. Postoperatively, the hyphema resolved, the intraocular pressure normalized, and the patient regained preoperative visual acuity. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5042921 Sun, 05 Jun 2011 23:00:00 +0100 5042921 http://www.medworm.com/index.php?rid=5042919&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111003326%2Fabstract%3Frss%3Dyes Conclusions: Topical anesthetics marginally reduce pain during eye examination in premature infants. Contrary to standard practice, it appears that patients are more comfortable if they are fed before the examination, and there is no benefit of oral sucrose. Nonpharmacological interventions, including sucking on a pacifier and nesting, may also be beneficial. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5042919 Sun, 05 Jun 2011 23:00:00 +0100 5042919 http://www.medworm.com/index.php?rid=5042929&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111003235%2Fabstract%3Frss%3Dyes We present the case of a 4-week-old boy in which a Pierre Robin sequence and a positive family history led to the clinical diagnosis of Stickler syndrome, which was confirmed by the identification of a disease-causing novel deletion of 2 nucleotides in the COL2A1 gene. This early association with Stickler syndrome has not been described previously. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5042929 Tue, 31 May 2011 23:00:00 +0100 5042929 http://www.medworm.com/index.php?rid=5042928&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111003387%2Fabstract%3Frss%3Dyes We report the use of fluorescein angiography and spectral domain optical coherence tomography to examine the posterior segment structures in an 8-month-old girl with Aicardi syndrome. Most of the observed features correlated with previously published histopathological findings, but inner nuclear layer cysts have not been previously described. To our knowledge, this is the first study of the tomographic and angiographic chorioretinal features in vivo. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5042928 Tue, 31 May 2011 23:00:00 +0100 5042928 http://www.medworm.com/index.php?rid=5042927&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111003375%2Fabstract%3Frss%3Dyes We present the case of a 13-year-old girl with unilateral choroidal mass initially thought to be a traumatic choroidal hematoma, later clinically suspicious for medulloepithelioma, but histologically proven to be melanoma. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5042927 Tue, 31 May 2011 23:00:00 +0100 5042927 http://www.medworm.com/index.php?rid=5042918&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111003090%2Fabstract%3Frss%3Dyes Conclusions: Ophthalmic complications of otitis media in children are likely to include abducens palsy. All patients in our series required anticoagulation and intravenous antibiotics. Most required otolaryngologic surgery, but none required strabismus surgery, and all patients had satisfactory visual and ocular motility outcomes. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5042918 Tue, 31 May 2011 23:00:00 +0100 5042918 http://www.medworm.com/index.php?rid=5042917&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111004022%2Fabstract%3Frss%3Dyes “My new patient questionnaire includes a section asking where the child attends day care, pre-K, and/or school. The very next question asks “Grade in school,” to which one parent wrote "C+" ! (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5042917 Tue, 31 May 2011 23:00:00 +0100 5042917 http://www.medworm.com/index.php?rid=5042914&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111003314%2Fabstract%3Frss%3Dyes Conclusions: In this population-based screening program, 1 of 4 positively screened children was not successfully referred. Apart from parental noncompliance, the unsuccessful referrals can be explained by miscommunication, deficient documentation, and physician noncompliance with screening guidelines. An effective monitoring feedback system may improve the efficacy of child vision screening. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5042914 Tue, 31 May 2011 23:00:00 +0100 5042914 http://www.medworm.com/index.php?rid=5042913&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS109185311100334X%2Fabstract%3Frss%3Dyes Purpose: To investigate the visual acuity development as measured by Landolt C and Tumbling E charts (“C chart” and “E chart”) in preschool children.Methods: Visual acuity measurements of healthy children ages 3-6 years who had been evaluated with the use of E charts (during kindergarten screening) and C charts (in a hospital setting) from 2005 to 2007 were studied. Inclusion criteria were hyperopia (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5042913 Tue, 31 May 2011 23:00:00 +0100 5042913 http://www.medworm.com/index.php?rid=5042912&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111004010%2Fabstract%3Frss%3Dyes “Alison, a cute ten year old, was in the office Tuesday with her father. Normally, her mother would bring her. Her glasses were a year old, and she needed a new pair. The refraction had gone pretty well, and she had hit the wall after the 20/20 line. She read 20/20 easily, but the 20/15 line was just too small. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5042912 Tue, 31 May 2011 23:00:00 +0100 5042912 http://www.medworm.com/index.php?rid=5042911&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111003351%2Fabstract%3Frss%3Dyes Conclusions: Of the 2 cycloplegic agents, atropine yielded more consistent results than homatropine; however atropine had a relatively slow onset and prolonged effect. Our regression formula may make it possible to derive atropine-like results while using the clinically more versatile homatropine. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=5042911 Tue, 31 May 2011 23:00:00 +0100 5042911 http://www.medworm.com/index.php?rid=4834491&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111002187%2Fabstract%3Frss%3Dyes To the Editor: We appreciate the interest in our recent article, which demonstrated that a lower oxygen saturation target was not associated with a change in the incidence of type 1 retinopathy of prematurity (ROP). Our findings are, of course, independent of other studies. At the time of publication, the Surfactant, Positive Pressure, and Oxygenation Randomized Trial (ie, SUPPORT) study was the only prospective, randomized study examining the relationship between lower oxygen saturation targets and the incidence and severity of ROP. The conclusions of that work were featured prominently in our discussion because of the investigators' recommendation that caution be exercised in widespread use of a lower oxygen saturation target. The confidence interval for the 1.27 relative risk of death b... Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=4834491 Tue, 05 Apr 2011 23:00:00 +0100 4834491 http://www.medworm.com/index.php?rid=4834467&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111002205%2Fabstract%3Frss%3Dyes Conclusion: A child's motor fusion status is generally believed to be established during an early formative period of visual development. The development of motor fusion in many of our patients during the course of part-time Bangerter foil treatment suggests that improvements in motor fusion status can occur at a later age than previously believed. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=4834467 Tue, 05 Apr 2011 23:00:00 +0100 4834467 http://www.medworm.com/index.php?rid=4834464&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111002199%2Fabstract%3Frss%3Dyes See accompanying articles on pages 127 and 131. Amblyopia is the most common cause of monocular visual dysfunction in children in Western countries. Patching is an effective treatment; however, it often fails because of inadequate compliance on the part of the patient. Therefore, more acceptable treatments are sought. Bangerter filters (Ryser Optik, St. Gallen, Switzerland) have been used in Europe since they were introduced approximately 50 years ago, particularly as secondary treatment after patching and to wean patients from occlusion therapy. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=4834464 Tue, 05 Apr 2011 23:00:00 +0100 4834464 http://www.medworm.com/index.php?rid=4834490&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111002151%2Fabstract%3Frss%3Dyes To the Editor: In “Effect of Decreasing Target Oxygen Saturation on Retinopathy of Prematurity,” Tlucek and colleagues show that after a change in oxygen saturation protocol from 90%-99% to 85%-93%, there was a decrease in the incidence of retinopathy of prematurity (ROP) only in infants ≤1,000g. Interestingly, there was not a statistically significant difference in need for treatment or severity of disease between the 2 groups. The article cites the Surfactant Pressure and Oxygenation Randomized Trial (SUPPORT) and emphasizes the fact that this is the only prospective randomized study that compares the effect of target oxygen saturation on incidence of ROP. The SUPPORT trial must be examined critically before it continues to be touted as a gold standard trial for lower oxygenation a... Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=4834490 Sun, 03 Apr 2011 23:00:00 +0100 4834490 http://www.medworm.com/index.php?rid=4834487&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111002138%2Fabstract%3Frss%3Dyes We report 2 infants with sepsis and orbital cellulitis caused by community-associated MRSA and review the relevant literature. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=4834487 Sun, 03 Apr 2011 23:00:00 +0100 4834487 http://www.medworm.com/index.php?rid=4834482&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111001728%2Fabstract%3Frss%3Dyes We report a case of a 1-month old girl with IFIS associated with bilateral persistent pupillary membranes without cataracts and the use of preoperative topical phenylephrine and pilocarpine for IFIS prophylaxis. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=4834482 Sun, 03 Apr 2011 23:00:00 +0100 4834482 http://www.medworm.com/index.php?rid=4834479&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111002175%2Fabstract%3Frss%3Dyes We present the case of a 34-year-old man with incomitant strabismus after orbital reconstruction following a high-impact baseball injury. Multipositional, high-resolution magnetic resonance imaging revealed extensive longitudinal splitting of the inferior rectus muscle by an orbital floor implant that separated its orbital and global layers. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=4834479 Sun, 03 Apr 2011 23:00:00 +0100 4834479 http://www.medworm.com/index.php?rid=4834475&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111001704%2Fabstract%3Frss%3Dyes Conclusions: Secondary in-the-bag IOL implantation has comparable early results with sulcus IOL implantation while still allowing the use of single-piece acrylic IOLs and offering the chance, in suitable eyes, for implanting a secondary IOL in the anatomical space of the capsular bag. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=4834475 Sun, 03 Apr 2011 23:00:00 +0100 4834475 http://www.medworm.com/index.php?rid=4834489&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111002631%2Fabstract%3Frss%3Dyes We present the case of a 2.5-month-old boy with type 1 primary hyperoxaluria and severe systemic oxalosis resulting in massive retinal crystalline deposition. Maculopathy was demonstrated by optical coherence tomography, and nystagmus was present. Electroretinography demonstrated retinal dysfunction, unusual in oxalosis. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=4834489 Thu, 31 Mar 2011 23:00:00 +0100 4834489 http://www.medworm.com/index.php?rid=4834488&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111002643%2Fabstract%3Frss%3Dyes Fungal orbital infections are rare among children, especially in immunocompetent infants. Two infants presented to us with unilateral proptosis and swelling of the eyelids and periorbital area. Imaging showed an intraorbital mass causing proptosis and bony orbital expansion. There was no sinus, nasal, or intracranial involvement. Systemic evaluation did not reveal any evidence of a compromised immune system. A biopsy from the mass showed the presence of fungal infection. Both infants responded well to medical therapy with intravenous amphotericin B. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=4834488 Thu, 31 Mar 2011 23:00:00 +0100 4834488 http://www.medworm.com/index.php?rid=4834486&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111002527%2Fabstract%3Frss%3Dyes We report the case of a 2.5-year-old girl who presented for ophthalmic examination in the setting of rash and synovitis. Initially, small, evanescent, ovoid corneal subepithelial opacities unique to Blau syndrome were observed. She later developed a fulminant panuveitis that responded to immunomodulatory therapy. Subsequent genetic testing confirmed the diagnosis of Blau syndrome. Despite immunosuppression, at almost 7 years of age, she continues to have persistent panuveitis with vision of 20/20. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=4834486 Thu, 31 Mar 2011 23:00:00 +0100 4834486 http://www.medworm.com/index.php?rid=4834484&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111002230%2Fabstract%3Frss%3Dyes We report the case of an 8½-week-old boy with unilateral optic nerve aplasia who was diagnosed with glaucoma on presentation with corneal edema and an intraocular pressure of 36 mm Hg. The cornea edema cleared after a trabeculotomy, and subsequent fundus examination revealed optic nerve aplasia that was confirmed with magnetic resonance imaging. Intraocular pressure remained well-controlled with 7½ months of follow-up. To our knowledge, this is the first documented case of optic nerve aplasia associated with glaucoma at presentation. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=4834484 Thu, 31 Mar 2011 23:00:00 +0100 4834484 http://www.medworm.com/index.php?rid=4834483&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111002540%2Fabstract%3Frss%3Dyes We describe siblings with familial primary juvenile glaucoma from a consanguineous Saudi Arabian family. The phenotype segregated with homozygous p.G61E CYP1B1 mutations while MYOC mutation was not detected, illustrating that mutations in CYP1B1 rather than mutation in MYOC can underlie familial primary juvenile glaucoma in certain populations. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=4834483 Thu, 31 Mar 2011 23:00:00 +0100 4834483 http://www.medworm.com/index.php?rid=4834481&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111002217%2Fabstract%3Frss%3Dyes We present 3 cases, documented with video, that illustrate the combination of anterior segment surgery (including cataract extraction and papillary membrane removal) with fiber-optic microcatheter trabeculotomy in infants. In one case, the microcatheter procedure could not be completed, and a trabeculotome was used to complete the trabeculotomy. One patient developed a mild hyphema after microcatheter trabeculotomy, which resolved. All cases were performed without other complications and with satisfactory results. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=4834481 Thu, 31 Mar 2011 23:00:00 +0100 4834481 http://www.medworm.com/index.php?rid=4834480&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS109185311100214X%2Fabstract%3Frss%3Dyes A 42-year-old patient (who works as an ophthalmic technician) presented me with this holiday ornament, which she created using four plastic eye shields. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=4834480 Thu, 31 Mar 2011 23:00:00 +0100 4834480 http://www.medworm.com/index.php?rid=4834478&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111002618%2Fabstract%3Frss%3Dyes Summary: Myopia is the most common human eye disorder. With its increasing prevalence and earlier age-of-onset in recent birth cohorts, myopia now affects almost 33% of adults in the United States, and epidemic proportions of 85% to 90% adults in Asian cities. Unlike children in Western populations, where the prevalence of myopia is very low (less than 5%), Asian children have prevalences as high as 29% in 7-year-olds. In addition to the direct economic and social burdens of myopia, associated ocular complications may lead to substantial vision loss. This workshop summarizes the current literature regarding myopia epidemiology, genetics, animal model studies, risk factors, and clinical treatments. Published treatment strategies to retard the progression of myopia in children, such as pharm... Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=4834478 Thu, 31 Mar 2011 23:00:00 +0100 4834478 http://www.medworm.com/index.php?rid=4834477&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS109185311100259X%2Fabstract%3Frss%3Dyes Conclusions: Our understanding of pediatric orbital floor fractures continues to evolve. For young patients with symptomatic diplopia with positive forced ductions, soft tissue entrapment confirmed by computed axial tomography, and/or trapdoor fracture plus restricted ocular movement, having surgery within 2-5 days has been shown to result in better postoperative outcomes. It is recommended that surgery be considered within 48 hours of diagnosis. Long-term prospective studies are still needed to further characterize orbital floor fractures in children. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=4834477 Thu, 31 Mar 2011 23:00:00 +0100 4834477 http://www.medworm.com/index.php?rid=4834476&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111002163%2Fabstract%3Frss%3Dyes Conclusions: AF of retinoblastoma generally shows bright hyperAF of the calcified portion and variable AF of the noncalcified portion. The AF of calcification in retinoblastoma was confirmed by fluorescent microscopy of unstained sections of retinoblastoma after enucleation. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=4834476 Thu, 31 Mar 2011 23:00:00 +0100 4834476 http://www.medworm.com/index.php?rid=4834474&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111002564%2Fabstract%3Frss%3Dyes Conclusions: Ophthalmic alterations in AS were observed more frequently than has been previously reported, except for ocular hypopigmentation, which was observed less frequently. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=4834474 Thu, 31 Mar 2011 23:00:00 +0100 4834474 http://www.medworm.com/index.php?rid=4834472&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111002552%2Fabstract%3Frss%3Dyes Conclusions: Apparently stable congenital glaucoma may progress with sight-threatening complications after many years of IOP stability. Monitoring of these patients is indicated throughout life. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=4834472 Thu, 31 Mar 2011 23:00:00 +0100 4834472 http://www.medworm.com/index.php?rid=4834471&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111002576%2Fabstract%3Frss%3Dyes Conclusions: Vision-threatening consequences of globe perforation during strabismus surgery were uncommon in this rabbit model. Simple observation without intervention may have similar results as prophylactic cryopexy or laser therapy. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=4834471 Thu, 31 Mar 2011 23:00:00 +0100 4834471 http://www.medworm.com/index.php?rid=4834470&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111001716%2Fabstract%3Frss%3Dyes Conclusions: In our study, home-based computer orthoptic exercises reduced symptoms and improved NPC and fusional amplitudes. The computer orthoptic program is an effective option for treating symptomatic convergence insufficiency. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=4834470 Thu, 31 Mar 2011 23:00:00 +0100 4834470 http://www.medworm.com/index.php?rid=4834466&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS109185311100262X%2Fabstract%3Frss%3Dyes See accompanying article on page 167. The treatment of retinoblastoma has evolved from enucleation and external beam radiation therapy (EBRT) to other globe-salvaging therapies, including chemoreduction with focal consolidation and, more recently, superselective intraarterial chemotherapy. Survival rates in the United States have climbed to greater than 99% at specialized centers, with many children preserving the eye and some vision. Management of children with retinoblastoma requires a detailed assessment of the tumor status in both eyes, aided by advances in ophthalmic imaging to investigate and document intraocular findings. The art of retinoblastoma treatment rests on the ocular oncologist's clinical examination and assessment of relevant imaging to formulate an appropriate treatmen... Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=4834466 Thu, 31 Mar 2011 23:00:00 +0100 4834466 http://www.medworm.com/index.php?rid=4834465&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111002539%2Fabstract%3Frss%3Dyes See accompanying article on page 140. It is gratifying to know that there is continued interest in investigating the treatment of convergence insufficiency, one of the most common vision problems encountered in school-age children. Affected individuals often complain of symptoms such as frequent loss of place, poor concentration, reading slowly, blurred vision, diplopia, headaches, or eyestrain during reading or other activities performed in close proximity to the eye. Until recently, there was a paucity of quality studies in which authors evaluated the effectiveness of treatment modalities for this disorder. However, recent randomized clinical trials funded by the National Eye Institute and completed by the Convergence Insufficiency Treatment Trial (CITT) Study Group have shown that 12 w... Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=4834465 Thu, 31 Mar 2011 23:00:00 +0100 4834465 http://www.medworm.com/index.php?rid=4834463&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111002606%2Fabstract%3Frss%3Dyes Parents understand that the development of reading skills forms the basis for a strong education. Common wisdom holds that children attend school for the first few years to learn to read; then they read to learn. For parents of a child with reading difficulties this apprehension of poor school performance is often extrapolated into a fear of their child's failing in life. The associated fear and frustration lead to a search for any interventions that may enhance the child's reading potential and thus parent's perception of success. Families rarely have excess time, money, or energy to spend on treatments that are as yet unproven. They need help, advice, and support. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=4834463 Thu, 31 Mar 2011 23:00:00 +0100 4834463 http://www.medworm.com/index.php?rid=4834462&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111002588%2Fabstract%3Frss%3Dyes Although we have made a number of changes to the Journal of AAPOS during my 5 years as editor-in-chief, we continue to try to improve the appearance and operations of the Journal at every opportunity. I’d like to take a moment to share with readers some of the Journal’s most recent changes. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=4834462 Thu, 31 Mar 2011 23:00:00 +0100 4834462 http://www.medworm.com/index.php?rid=4834485&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111000188%2Fabstract%3Frss%3Dyes We report the case of a 5-year-old boy who experienced retinal dialysis and detachment associated with airbag deployment. The patient recovered 20/20 visual acuity after cryopexy and placement of a radial sponge. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=4834485 Mon, 21 Mar 2011 00:00:00 +0100 4834485 http://www.medworm.com/index.php?rid=4834473&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111001686%2Fabstract%3Frss%3Dyes Conclusions: IOP by Icare tonometry was within 3 mm Hg of IOP by GAT in 63% and greater than GAT in 75%. This device may be reasonable to estimate IOP in selected children with known or suspected glaucoma whose IOP cannot otherwise be obtained in clinic; however, correlation of Icare IOPs with clinical findings must continue to be considered in each case. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=4834473 Mon, 21 Mar 2011 00:00:00 +0100 4834473 http://www.medworm.com/index.php?rid=4834469&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111000176%2Fabstract%3Frss%3Dyes Conclusions: The Parent IXTQ detects subnormal HRQOL in parents of children with intermittent exotropia more often than the PedsQL FIM. It is possible that parental worry may influence management decisions in children with intermittent exotropia and therefore parental HRQOL is worthy of further study. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=4834469 Mon, 21 Mar 2011 00:00:00 +0100 4834469 http://www.medworm.com/index.php?rid=4834468&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853111000097%2Fabstract%3Frss%3Dyes Conclusions: The 0.2 and 0.3 Bangerter filters degrade nonamblyopic eye visual acuity sufficiently in amblyopic children. Because the amount of degradation decreases over time, it is recommended to periodically apply a new filter when using this type of amblyopia treatment. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=4834468 Mon, 21 Mar 2011 00:00:00 +0100 4834468 http://www.medworm.com/index.php?rid=4584557&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853110005458%2Fabstract%3Frss%3Dyes We report a case of a 12-year-old girl who is a soft contact lens wearer with M. anisopliae corneal ulcer who was treated effectively with topical natamycin after identification of the organism by corneal culture. Topical amphotericin B was not effective. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=4584557 Mon, 14 Feb 2011 00:00:00 +0100 4584557 http://www.medworm.com/index.php?rid=4584549&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853110005100%2Fabstract%3Frss%3Dyes We report a case of a 16-year-old girl with KTS who was found to have bilateral optic nerve and chiasmal gliomas, optic disk drusen, and acquired myelination of the retinal nerve fiber layer. These findings have not been previously reported to be associated with KTS or KTWS. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=4584549 Fri, 11 Feb 2011 00:00:00 +0100 4584549 http://www.medworm.com/index.php?rid=4584547&cid=s_38487_30_f&fid=38487&url=http%3A%2F%2Fwww.journals.elsevierhealth.com%2Fperiodicals%2Fympa%2Farticle%2FPIIS1091853110005343%2Fabstract%3Frss%3Dyes We report the clinical, radiological, and histopathological findings of this patient, who to our knowledge is the first reported case of a germinoma occurring in association with adenomatous polyposis. (Source: Journal of AAPOS) Journal of AAPOS journals http://www.medworm.com/rss/comments.php?id=4584547 Fri, 11 Feb 2011 00:00:00 +0100 4584547