When muscle meets bone: a technique for suturing the lateral rectus muscle to the orbital wall
We present a video of left lateral rectus disinsertion and reattachment to the lateral orbital rim combined with left medial rectus plication in a 9-year-old girl with presumed congenital fibrosis of extraocular muscles.
Publication date: Available online 9 December 2019Source: Journal of American Association for Pediatric Ophthalmology and StrabismusAuthor(s): Anuradha Pradhan, Devjyoti Tripathy, Ruchi Mittal
CONCLUSION: Diplopia and strabismus are rare complications after CRS in the U.S. military population. These procedures continue to increase the operational readiness of our service members with minimal risk of these potentially debilitating complications. Overall, this study provides support for the continued use of PRK and LASIK despite study limitations related to the use of large databases for retrospective review. Future prospective studies using delineated preoperative and postoperative examinations with sensorimotor testing included may be able to resolve the limitations of this study. PMID: 31808933 [PubMed - as...
Publication date: Available online 6 December 2019Source: Journal of American Association for Pediatric Ophthalmology and StrabismusAuthor(s): Weiyi Xia, Wen Wen, Xiying Wang, Chao Jiang, Lianqun Wu, Ling Ling, Jing Yao, Chen Zhao
Publication date: Available online 6 December 2019Source: Journal of American Association for Pediatric Ophthalmology and StrabismusAuthor(s): Peter Daniel, Martin Cogen
Conclusion: At adjusted 1 year of age, refractive outcomes were not significantly different between premature infants who underwent IVB injection and the infants with spontaneous regression of ROP. Further studies with longer duration are warranted to elucidate the effects of IVB on the emmetropization process. Biometry assessments would be helpful in this regard. PMID: 31790628 [PubMed - as supplied by publisher]
Conclusions Despite being a rare condition, Gradenigo syndrome should be taken into account as potential differential diagnosis in children referred to emergency department for recurrent headache and strabismus. An accurate anamnesis to document recent ear infection is mandatory to orientate the diagnosis and focus radiological investigations. Early recognition and timely intervention may allow conservative management to succeed, avoiding the need for surgery and serious sequelae.
Conclusions: SO tendon advancement worked well as single or combined muscle procedure to treat unilateral superior oblique palsy. PMID: 31775558 [PubMed - as supplied by publisher]
Strabismus, also known as a squint, is an ocular misalignment. In the UK the prevalence of strabismus in children is 2.1%. There are multiple causes of strabismus in children; some of which can be sinister and are potentially eye or life threatening. Therefore it is essential that strabismus is identified and managed appropriately and in a timely manner. Amblyopia is frequently associated with strabismus, and can be a cause or a complication of strabismus, it needs to be recognized and treated early to prevent a permanent reduction in visual acuity.
Publication date: Available online 26 November 2019Source: Anaesthesia &Intensive Care MedicineAuthor(s): Tom Y. Pettigrew, Sarah J. SmithAbstractChildren are rarely able to tolerate being awake for any type of surgery under local anaesthesia, therefore the majority of paediatric eye surgery is performed under general anaesthesia. Most patients presenting on a paediatric ophthalmology operating list will be otherwise healthy children who are suitable for day surgery. However, some children may have eye abnormalities as part of a congenital disorder. The perioperative plan should be formulated after assessment of the ch...
Publication date: Available online 25 November 2019Source: Anaesthesia &Intensive Care MedicineAuthor(s): Stuart Young, Aravind BasavarajuAbstractThe majority of ophthalmic surgeries are performed as day cases under topical or regional anaesthesia with or without intravenous sedation. However, general anaesthesia is necessary in certain circumstances e.g. local anaesthetic allergy or patients who are unable to cooperate or to lie flat or still. Patients for ophthalmic surgery are frequently elderly with multiple comorbidities, such as diabetes and hypertension. Patients with rare genetic syndromes may present for eye s...