What's new AAPOS 2008 - The Private Eye Clinic

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acid were associated with reduced risk of islet autoimmunity in children at increased genetic risk for type 1 diabetes. Prevalence and patterns of morphological abnormalities in patients with childhood cancer. Merks J, Ozgen H, Koster J, Zwinderman A et al. JAMA 2008 Jan; 299(1):61-69. In this fascinating study conducted in the Netherlands, the investigators examined 1,073 patients who are either long-term survivors of childhood cancer or patients with newly diagnosed cancer. A complete physical examination was performed looking for morphologic abnormalities. The control group of 1,007 school children of the same age served as match controls and received the exact same type of physical examination. They found that there were significantly more morphologic abnormalities in the patients with cancer than patients within the control group. Blepherofimosis was found to be associated with co-occurring morphologic abnormalities suggestive of new tumor predisposition syndromes. The authors conclude that there are most likely unrecognized tumor predispositions syndromes, waiting to be described by astute clinicians. Optical Coherence Tomography Applications in Pediatric Ophthalmology. Salchow, DJ and Hutcheson, KA. JPOS 2007;44:335-349. Invasive and contact diagnostic testing methods are difficult to utilize in children. Optical coherence tomography (OCT) has become a widely-used non-contact method to obtain cross-sections of various ocular structures. Normative values for children have been published and should be used when measuring macular and RNFL thickness, or when assessing the optic disc using OCT. Children older than 3 years can usually cooperate for OCT imaging. This review article describes the principles and clinical applications of OCT with special attention to pediatric ophthalmology. Assessment of Psychomotor Development Before and After Strabismus Surgery for Congenital Esotropia. Tukkers-van Aalst, FS et al. JPOS 2007;44:350-355. Infantile esotropia occurs in up to 30% of children with neurologic and developmental problems, but is rare among the strabismus population with an estimated prevalence of 0.27%. The appropriate age at which to perform surgery is 98
controversial, ranging from one to two years of age in the United States to four to five years of age in Europe. The study demonstrated that children with infantile esotropia had delayed motor and mental development compared with healthy children. After strabismus surgery, the children recovered mentally, but their motor delays persisted for months on testing with the Bayley scales. The results of this study demonstrate that early strabismus surgery (before two years of age) for children with infantile esotropia is beneficial for early brain development. 99
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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
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 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: PEDIATRICS Visual Manifestations of
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
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