What's new AAPOS 2008 - The Private Eye Clinic

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Reviewer’s Comments: This study from the Mayo Clinic supports the use of the CROM method as the best method for quantifying diplopia in clinic practice and for clinical trials of strabismus. There are limitations to the practical administration of the CROM method. It requires a magnet to be worn and is also not suitable for those with severely restricted head or neck mobility. 16
STRABISMUS SURGERY Unilateral recession-resection in children with exotropia of the convergence insufficiency type. Choi MY, Hyung SM, Hwang JM. Eye. 2007 Mar;21(3):344-7. The purpose of this study was to evaluate prospectively the long-term surgical results of unilateral lateral rectus muscle recession and medial rectus muscle resection in children with intermittent exotropia of the convergence insufficiency type. A total of 14 children with intermittent exotropia greater at near than at distance by 10 prism diopters (PD) or more were included in this prospective study. The amounts of resection and recession were based on near and distance deviation, respectively. Minimum follow-up was 1 year (mean 26.6 months; range, 12-68 months) after surgery. Significant postoperative reduction was achieved in terms of mean distance exodeviation, from 22.5 PD to 9.1 PD (P=0.000), and mean near exodeviation from 33.8 PD to 13.6 PD (P=0.000). Mean near-distance difference reduced from 11.3 PD preoperatively to 4.6 PD postoperatively (P=0.000). Fresnel prism was used temporarily to treat postoperative esotropia in only one patient for postoperative 6 months. Unilateral surgery biased to MR strengthening more than LR weakening in children with intermittent exotropia of the convergence insufficiency type, was found to successfully reduce both distance and near deviation and to collapse near-distance differences with a low risk of long-term postoperative esotropia. Effect of prophylactic brimonidine instillation on bleeding during strabismus surgery in adults. Hong S, Kim CY, Seong GJ, Han SH. Am J Ophthalmol. 2007 Sep;144(3):469-70. PURPOSE: To investigate the effects of preoperative brimonidine-purite 0.15% instillation on intraoperative bleeding and postoperative subconjunctival hemorrhage during strabismus surgery in adult patients. METHODS: One hundred and eighteen eyes of 90 consecutive adult patients were instilled with either a single drop of brimonidine-purite 0.15% (42 eyes), phenylephrine 1% (38 eyes), or sodium hyaluronate 0.1% (38 eyes) 15 minutes prior to strabismus surgery. Intraoperative bleeding and postoperative subconjunctival hemorrhage were graded on a scale of one to three. The scores were compared among the study groups. RESULTS: Scores of the intraoperative bleeding and the postoperative subconjunctival hemorrhage of the treatment groups were significantly less than that of the control group (P < .001). The scores of the brimonidine group were similar to those of the phenylephrine group (intraoperative bleeding score, P = .405; subconjunctival hemorrhage score, P = .722). 17
Page 1 and 2: What’s New and Important in Pedia
Page 3 and 4: ROP Retinopathy of Prematurity: the
Page 5 and 6: same diagnosis in 4 of 34 images (1
Page 7 and 8: PREMATURITY Perinatal care in the t
Page 9 and 10: STRABISMUS Causes and outcomes for
Page 11 and 12: METHODS: The medical records of all
Page 13 and 14: initial positive response to medica
Page 15: deviation as an intermittent exodev
Page 19 and 20: The effect of topical tetracaine ey
Page 21 and 22: +/-0.08 and 0.34 +/-0.07 mm, for th
Page 23 and 24: THYROID Cigarette smoking and thyro
Page 25 and 26: excluding from the cataract group t
Page 27 and 28: Long-Term Results of Lensectomy in
Page 29 and 30: CATARACT SURGERY Pediatric anterior
Page 31 and 32: Suture-related complications after
Page 33 and 34: included vitrectomy, capsulotomy, c
Page 35 and 36: medication. At the last follow-up,
Page 37 and 38: REFRACTIVE ERROR / REFRACTIVE SURGE
Page 39 and 40: demonstrated a positive effect on t
Page 41 and 42: ANTERIOR SEGMENT Conjunctival Melan
Page 43 and 44: RESULTS: Directly after birth, corn
Page 45 and 46: and photophobia (80%). The children
Page 47 and 48: Validity and reliability of the Chi
Page 49 and 50: 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
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one. Patients treated with radiatio
Page 75 and 76:
Neuro-ophthalmological management o
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CONCLUSION: Canalicular involvement
Page 79 and 80:
peripheral retinal vasculitis. The
Page 81 and 82:
This article describes a 7-month-ol
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eference eyes. Photopic flash ERGs
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RESULTS: In models that adjusted fo
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ORBIT Porous orbital implants, wrap
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PLASTICS Conjunctival epithelial ch
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The authors conclude that lash ptos
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.03). SBP and DBP were significantl
Page 95 and 96:
CONGENITAL INFECTION Congenital lym
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PEDIATRICS Visual Manifestations of
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controversial, ranging from one to
Page 101 and 102:
SYSTEMIC Visual function and ocular
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Toxocara infection. Toxocara GWC an
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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