What's new AAPOS 2008 - The Private Eye Clinic

More documents

Recommendations

Info

GLAUCOMA Surgical outcome of primary developmental glaucoma: a single surgeon's longterm experience from a tertiary eye care centre in India. Mandal AK, Gothwal VK, Nutheti R. Eye. 2007 Jun;21(6):764-74 Six hundred and twenty-four eyes of 360 consecutive patients who underwent primary combined trabeculotomy-trabeculectomy (CTT) for PDG from January 1990 to June 2004 were studied. The main outcome measures were pre- and postoperative intraocular pressures (IOPs), corneal clarity, visual acuities, refractive errors, success rate, time of surgical failure, complications, and factors associated with poor outcome. IOP reduced from 28.1+/-7.5 to 14.9+/-5.9 mmHg (P35 mmHg and two-fold in cases with a history of prior glaucoma surgery. There were no major intraoperative complications, bleb-related infection, or endophthalmitis. The effects of sevoflurane and ketamine on intraocular pressure in children during examination under anesthesia. Blumberg D, Congdon N, Jampel H, Gilbert D, Elliott R, Rivers R, Munoz B, Quigley H. Am J Ophthalmol. 2007 Mar;143(3):494-9. Epub 2007 Jan 2. PURPOSE: We studied the effects on intraocular pressure (IOP) of anesthesia administered during examination under anesthesia (EUA) in children. METHODS: This randomized trial compared IOP after inhaled sevoflurane gas to that after intramuscular ketamine hydrochloride in children undergoing EUA. IOP was measured in 30 eyes with TonoPen XL (Mentor, Inc, Norwell, Massachusetts, USA) as soon as possible after anesthesia induction (T1) and two, four, six, and eight minutes thereafter. At the same times, we recorded systolic and diastolic blood pressure (SBP, DBP) and heart rate (HR). RESULTS: Compared with the mean IOP at T1, IOP in the sevoflurane group was significantly lower for all measurements from two to eight minutes thereafter (mean decrease in IOP: two minutes = 12%, four minutes = 19%; six minutes = 19%; eight minutes = 17%, all P < or = .01). In the ketamine group, mean IOP was not significantly changed from T1 through six minutes, whereas at eight minutes, it was 7% lower (P = 92
.03). SBP and DBP were significantly lower for sevoflurane than for ketamine at all measurements from two minutes onward, and HR was lower for sevoflurane than for ketamine at two, four, and six minutes. CONCLUSIONS: IOP measured after ketamine sedation is more likely to represent the awake IOP than that after sevoflurane anesthesia. Changes in SBP, DBP, and HR caused by sevoflurane suggest that hemodynamic alterations may underlie its effects on IOP. Effect on Intraocular Pressure of Extraocular Muscle Surgery for Thyroid- Associated Ophthalmopathy. Gomi CF, Yates B, Kikkawa DO, Levi L, Weinreb RN, Granet DB. Am J Ophthalmol. 2007 Sep 15; [Epub ahead of print] PURPOSE: To study the effect of extraocular muscle surgery on intraocular pressure (IOP) in patients with thyroid-associated ophthalmopathy. METHODS: The medical records of patients with restrictive myopathy secondary to thyroid-associated ophthalmopathy who underwent strabismus surgery from July 1, 1997 through July 31, 2003 were reviewed and analyzed retrospectively. Seventeen patients met the criteria and were included in this study. All patients were seen at the Thyroid Eye Center at the University of California, San Diego, a university-based tertiary referral center. The main outcome measure was IOP readings obtained before and after surgery in both primary gaze and upgaze. RESULTS: A statistically significant decrease in IOP in upgaze was noted after extraocular muscle recession. The mean IOP before surgery was 16.6 +/- 3.78 mm Hg in primary gaze and 23.2 +/- 7.27 mm Hg in upgaze. After strabismus surgery, the mean IOP after one month was 15.7 +/- 2.36 mm Hg (P = .215) in primary gaze and 18.9 +/- 2.96 mm Hg in upgaze (P = .001). CONCLUSIONS: Strabismus surgery resulted in a significant reduction in IOP in the early postoperative period in patients with restrictive myopathy secondary to thyroidassociated ophthalmopathy. The effect of laryngeal mask airway insertion on intraocular pressure measurement in children receiving general anesthesia. Watts P, Lim MK, Gandhewar R, Mukherjee A, Wintle R, Armstrong T, Zatman T, Jones R, Al Madfai H. Am J Ophthalmol. 2007 Oct;144(4):507-10. Epub 2007 Aug 8. 93
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 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
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: The authors conclude that lash ptos
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 and 102: SYSTEMIC Visual function and ocular
Page 103 and 104: 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
show all

What's new AAPOS 2008 - The Private Eye Clinic

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?