What's new AAPOS 2008 - The Private Eye Clinic

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Acute and chronic complications of type 2 diabetes mellitus in children and adolescents. Phinhas-Hamiel O, Zeitler P. Lancet. 2007; 369:1823-1831. With the concern that type II diabetes is increase in adolescents, the authors did a literature search of articles describing the complications and the ages they were seen. One study with included retinopathy found a higher rate in type I diabetics, but that type II diabetics were found to have retinopathy sooner than type I, presumably because the type II diabetics had undiagnosed diabetes longer than type I. Another study of Pima Indians found a similar rate in both types and no one in this study developed retinopathy until after age 20. Diagnosis of ocular toxocariasis by establishing intraocular antibody production. de Visser L, Rothova A, de Boer JH, van Loon AM, Kerkhoff FT, Canninga-van Dijk MR, Weersink AY, de Groot-Mijnes JD. Am J Ophthalmol. <strong>2008</strong> Feb;145(2):369-74. Epub 2007 Dec 3. PURPOSE: To investigate the role of Toxocara canis in posterior uveitis of undetermined origin. DESIGN: Retrospective case-study. METHODS: Paired ocular fluid (47 aqueous humor [AH] and two vitreous fluids) and serum samples of 37 adults and 12 children with undetermined posterior uveitis were retrospectively analyzed for intraocular IgG antibody production against Toxocara canis by enzyme-linked immunosorbent assay and Goldmann-Witmer coefficient (GWC) determination. Previous diagnostic investigation by polymerase chain reaction and GWC for Herpes simplex virus, Varicella zoster virus, and Toxoplasma gondii had not provided a cause of the posterior uveitis. RESULTS: Three of 12 (25%) children showed intraocular IgG production against Toxocara canis. One child had vitritis, one presented with a low-grade uveitis and a peripheral retinal lesion, and the third had posterior uveitis and a chorioretinal scar. All three children had AH IgG titers exceeding those of the corresponding serum. In fact, two children had low Toxocara serum IgG titers (
Toxocara infection. Toxocara GWC analysis, however, can be of value when diagnosing patients with posterior focal lesions or vitritis of unknown etiology. 103
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What’s New and Important in Pedia
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ROP Retinopathy of Prematurity: the
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same diagnosis in 4 of 34 images (1
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PREMATURITY Perinatal care in the t
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STRABISMUS Causes and outcomes for
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METHODS: The medical records of all
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initial positive response to medica
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deviation as an intermittent exodev
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STRABISMUS SURGERY Unilateral reces
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The effect of topical tetracaine ey
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+/-0.08 and 0.34 +/-0.07 mm, for th
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THYROID Cigarette smoking and thyro
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excluding from the cataract group t
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Long-Term Results of Lensectomy in
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CATARACT SURGERY Pediatric anterior
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Suture-related complications after
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included vitrectomy, capsulotomy, c
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medication. At the last follow-up,
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REFRACTIVE ERROR / REFRACTIVE SURGE
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demonstrated a positive effect on t
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ANTERIOR SEGMENT Conjunctival Melan
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RESULTS: Directly after birth, corn
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and photophobia (80%). The children
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Validity and reliability of the Chi
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outcomes achieved at cessation of t
Page 51 and 52: METHODS: One hundred and thirteen c
Page 53 and 54: Verisyse intraocular lens implantat
Page 55 and 56: GENETICS Marfan syndrome: from mole
Page 57 and 58: Visual outcome of a cohort of child
Page 59 and 60: primarily affect the photoreceptors
Page 61 and 62: single morphogenetic anomaly in dev
Page 63 and 64: Three genome-wide association studi
Page 65 and 66: • Cafe-au-lait macules • Freckl
Page 67 and 68: Laryngeal and tracheal anomalies Po
Page 69 and 70: Treatment of retinoblastoma: Curren
Page 71 and 72: Secondary acute myeloid leukemia af
Page 73 and 74: one. Patients treated with radiatio
Page 75 and 76: Neuro-ophthalmological management o
Page 77 and 78: CONCLUSION: Canalicular involvement
Page 79 and 80: peripheral retinal vasculitis. The
Page 81 and 82: This article describes a 7-month-ol
Page 83 and 84: eference eyes. Photopic flash ERGs
Page 85 and 86: RESULTS: In models that adjusted fo
Page 87 and 88: ORBIT Porous orbital implants, wrap
Page 89 and 90: PLASTICS Conjunctival epithelial ch
Page 91 and 92: The authors conclude that lash ptos
Page 93 and 94: .03). SBP and DBP were significantl
Page 95 and 96: CONGENITAL INFECTION Congenital lym
Page 97 and 98: PEDIATRICS Visual Manifestations of
Page 99 and 100: controversial, ranging from one to
Page 101: SYSTEMIC Visual function and ocular
Page 105 and 106: congenital cataracts. The retina wa
Page 107 and 108: Childhood blindness: a UK epidemiol
Page 109: safe and efficient procedure to cor
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