What's new AAPOS 2008 - The Private Eye Clinic

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Incidence, progression, and duration of retinopathy in Hispanic and white nonhispanic infants. Eliason K, Osborn D, Amsel E, Richards S. J AAPOS 2007 Oct 11(5); 447 The charts of 671 white non-Hispanics and 128 Hispanic infants with BW < 1751g were retrospectively examined and multiple regression analysis was used to control for weight, gestational age and year of birth. The duration of untreated ROP was compared for the two ethnic groups. ROP was found to occur wth similar frequency in Hispanic and white non-Hispanic infants, as does subthreshold or worse ROP. Some Hispanic infants had an unusually short or long duration of ROP before regression. This may indicate the natural history of ROP is different in this group. Treatment for retinopathy of prematurity in Denmark in a ten-year period (1996- 2005): Is the incidence increasing? Slidsborg C, Olesen H, Jensen P, Jensen H et al. Pediatrics 2008 Jan; 121(1):97-105. In a study conducted in Denmark the incidence of treated retinopathy of prematurity increased from 1.3% to 3.5% over a 10 year period time. The increase could not be fully explained by increased survivor rates for the infants or by changes in investigated neonatal risk factors. The increase in treated cases could not be related to changing indications for treatment as the same senior treating ophthalmologist used threshold retinopathy of prematurity criterion for the decision to treat rather than using early treatment recommendations. The authors posit that perhaps screening regimes were more efficacious in finding children at risk for the development of ROP compared to the previous time period. 6
PREMATURITY Perinatal care in the threshold of viability: An international comparison of practical guidelines for the treatment of extremely preterm births. Pignotti M, Donzelli G. Pediatrics 2008; 121(1):e193-e198. The authors conducted a review of published guidelines concerning the different approaches to the care of extremely preterm births in various countries. They found that intensive care was justified in age greater than 25 weeks, compassionate care should be delivered for less than 22 weeks and a variable individual approach to 23 – 24 weeks. As developing countries increased their ability to resuscitate and care for extremely low birth weight infants the prevalence of retinopathy of prematurity will surely increase in these countries. Neurodevelopmental outcome in survivors of periventricular hemorrhagic infarction. Bassan H, Limperopoulos C, Visconti K, Mayer D et al. Pediatrics 2007 Oct; 120(4):785-792. In the study conducted in Boston 30 premature infants were followed prospectively to evaluate developmental and cognitive deaths associated with periventricular hemorrhagic infarction. 26% of the children had significant involvement of the visual pathways leading to decreased visual acuity or significant visual field deficits. Children discharged from the hospital with a diagnosis of periventricular hemorrhagic required close ophthalmic follow-up and early intervention. Neonatologists’ practices and experiences in arranging retinopathy of prematurity screening services. Kemper A, Wallace D. Pediatrics 2007 Sep; 120(3):527-531. The authors conducted a mail survey of 300 neonatologists to determine their practices and experiences related to coordinating, screening and treatment for ROP. The response rate was 62%. The authors found that only 19% of the respondents used the recommended gestational age criterion of 30 weeks for initiating screening with 6% using lower, more restrictive criteria, and 70% using a higher, more inclusive criterion. 86% used 1,500 grams as the birth weight for criterion for screening. 46% reported that retina specialists provided the treatment, although 67% stated that screening was performed by pediatric ophthalmologists. 30% reported that they could not back 7
Page 1 and 2: What’s New and Important in Pedia
Page 3 and 4: ROP Retinopathy of Prematurity: the
Page 5: same diagnosis in 4 of 34 images (1
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 and 16: deviation as an intermittent exodev
Page 17 and 18: STRABISMUS SURGERY Unilateral reces
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
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Visual outcome of a cohort of child
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primarily affect the photoreceptors
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single morphogenetic anomaly in dev
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Three genome-wide association studi
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• Cafe-au-lait macules • Freckl
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Laryngeal and tracheal anomalies Po
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Treatment of retinoblastoma: Curren
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Secondary acute myeloid leukemia af
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one. Patients treated with radiatio
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Neuro-ophthalmological management o
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CONCLUSION: Canalicular involvement
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peripheral retinal vasculitis. The
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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
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CONGENITAL INFECTION Congenital lym
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PEDIATRICS Visual Manifestations of
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controversial, ranging from one to
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SYSTEMIC Visual function and ocular
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Toxocara infection. Toxocara GWC an
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congenital cataracts. The retina wa
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Childhood blindness: a UK epidemiol
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safe and efficient procedure to cor
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