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Ophthalmology Review Journal
J Pediatr Ophthalmol Strabismus[JOUR] Established 1995
1. J Pediatr Ophthalmol Strabismus. 2015 Mar 13;52:e8-e10. doi:
10.3928/01913913-20150303-01.

Spectral-Domain Optical Coherence Tomography and Fundus Autofluorescence
Evaluation of Torpedo Maculopathy.

Thomas AS, Flaxel CJ, Pennesi ME.

The authors describe the spectral-domain optical coherence tomography and fundus 
autofluorescence findings in a case of torpedo maculopathy. Spectral-domain
optical coherence tomography revealed loss or disruption of the retinal pigment
epithelium and overlying disruption of the outer neurosensory retina. Fundus
autofluorescence revealed reduced fundus autofluorescence of the lesion
surrounded by a rim of increased fundus autofluorescence. [J Pediatr Ophthalmol
Strabismus. 2015;52:e8-e10.].

Copyright 2015, SLACK Incorporated.

PMID: 26484432   [PubMed - in process]


2. J Pediatr Ophthalmol Strabismus. 2015 Oct 15;52:e59-62. doi:
10.3928/01913913-20151007-13.

The Spectrum of Pediatric Orbital BB Gun Injuries: A Case Series.

Sridhar J, Chang JS, Liao S, Cavuoto KM, Rachitskaya AV.

Three cases of pediatric BB orbital injury are reported demonstrating varying
outcomes. Pediatric orbital BB injuries have a wide spectrum of clinical outcomes
depending on the ocular structures involved. Improved safety education of
patients and parents is necessary to reduce the burden of these
vision-threatening injuries. [J Pediatr Ophthalmol Strabismus. 2015;52:e59-e62.].

Copyright 2015, SLACK Incorporated.

PMID: 26473586   [PubMed - in process]


3. J Pediatr Ophthalmol Strabismus. 2015 Oct 15;52:e55-8. doi:
10.3928/01913913-20151007-12.

Anterior Segment Optical Coherence Tomography Imaging of Haab Striae.

Spierer O, Cavuoto KM, Suwannaraj S, Chang TC.

The authors present a case series demonstrating the anterior segment optical
coherence tomography (AS-OCT) findings of Haab striae in three patients with
congenital glaucoma. The use of AS-OCT in the assessment of Haab striae in
pediatric glaucoma is novel, previously undescribed, and possibly allows
differentiation between acute and chronic corneal changes. [J Pediatr Ophthalmol 
Strabismus. 2015;52:e55-e58.].

Copyright 2015, SLACK Incorporated.

PMID: 26473585   [PubMed - in process]


4. J Pediatr Ophthalmol Strabismus. 2015 Oct 15;52:e52-4. doi:
10.3928/01913913-20151007-11.

Unilateral Congenital Lacrimal Gland Agenesis With Contralateral Lacrimal Gland
Hypoplasia.

Talsania SD, Robson CD, Mantagos IS.

Congenital alacrima is a form of primary lacrimal deficiency characterized by
aplasia or hypoplasia of the lacrimal gland. The puncta and salivary glands may
also be aplastic. The case of a 5-year-old girl with congenital alacrima
secondary to lacrimal gland agenesis and hypoplasia without punctal or salivary
gland involvement and without other systemic comorbidities is reported. [J
Pediatr Ophthalmol Strabismus. 2015;52:e52-e54.].

Copyright 2015, SLACK Incorporated.

PMID: 26473584   [PubMed - in process]


5. J Pediatr Ophthalmol Strabismus. 2015 Nov 1;52(6):339-42. doi:
10.3928/01913913-20150924-11. Epub 2015 Oct 12.

Long-term Cosmetic Alignment Following Surgery for Esotropia Versus Exotropia in 
Childhood: A Comparison Using Survival Curves.

Parrotta JN, Panganiban MK, Feustel PE, Dicenzo A, Simon JW.

PURPOSE: Although long-term results following repair of esotropia and exotropia
in childhood have been reported, the two entities have never been directly
compared.
METHODS: Records of all children younger than 18 years who underwent horizontal
strabismus surgery from 2000 through 2012 were reviewed. Children with structural
eye pathology, severe vision loss, neurologic disorders, and incomitant or
combined horizontal and vertical deviations were excluded. Failure was defined by
a second horizontal surgery or a primary position deviation greater than 20 prism
diopters (PD) at any time during follow-up (as long as 10 years). A threshold of 
20 PD was chosen because families often consider deviations important enough to
warrant a first or second surgery if it is larger but not if it is smaller.
RESULTS: Of 317 children, 235 with esotropia had surgery at a mean age of 42
months and 82 with exotropia had surgery at a mean age of 60 months. Overall,
surgery was successful in 78% of those with esotropia and 65% of those with
exotropia. A second surgery was performed in 29 (12%) of those with esotropia and
15 (18%) of those with exotropia. The mean deviation at last follow-up, using
absolute values, was 9 PD for esotropia and 10 PD for exotropia. Survival curve
success was better for esotropia (P = .008).
CONCLUSION: By survival curve analysis, success was more likely among children
with esotropia. Many "failures" slipped beyond the 20 PD threshold only
transiently and had deviations that were not noticeable to family or friends.
Overall, children did reasonably well long-term following surgery for both
esotropia and exotropia. Only 14% of the entire group required a second surgery
during an average of 41 months of follow-up. [J Pediatr Ophthalmol Strabismus.
2015;52(6):339-342.].

Copyright 2015, SLACK Incorporated.

PMID: 26444493   [PubMed - in process]


6. J Pediatr Ophthalmol Strabismus. 2015 Sep 25;52:e48-51. doi:
10.3928/01913913-20150915-02.

Bilateral Congenital Posterior Capsular Defects and Ectopic Cataracts.

Tandon AK, Oltra EZ, Velez FG.

Preexisting posterior capsular defects are rare and can be associated with
infantile cataracts. The authors review possible etiologies of this condition and
emphasize the importance of cautious preoperative planning and surgery. [J
Pediatr Ophthalmol Strabismus. 2015;52:e48-e51.].

Copyright 2015, SLACK Incorporated.

PMID: 26431560   [PubMed - in process]


7. J Pediatr Ophthalmol Strabismus. 2015 Sep 1;52(5):320. doi:
10.3928/01913913-20150819-06.

Mizuo Nakamura Phenomenon.

Kumar V.

PMID: 26431559   [PubMed - in process]


8. J Pediatr Ophthalmol Strabismus. 2015 Sep 1;52(5):317-8. doi:
10.3928/01913913-20150819-05.

Familial Exudative Vitreoretinopathy: Presentation in the First Week of Life.

Chawla R, Bypareddy R, Chandra P, Vohra R.

PMID: 26431558   [PubMed - in process]


9. J Pediatr Ophthalmol Strabismus. 2015 Sep 1;52(5):268. doi:
10.3928/01913913-20150819-04.

Macular Thickness in Highly Myopic Children.

Nelson LB.

PMID: 26431557   [PubMed - in process]


10. J Pediatr Ophthalmol Strabismus. 2015 Sep 1;52(5):266-7. doi:
10.3928/01913913-20150819-03.

Liquid Crystals-Transformer That Meets the Eye.

BenEzra O, Spierer A, Spierer O.

PMID: 26431556   [PubMed - in process]


11. J Pediatr Ophthalmol Strabismus. 2015 Sep 1;52(5):265-6. doi:
10.3928/01913913-20150819-02.

Black Dots and the Evil Eye!

Nair AG, Trivedi MG, Shirwadkar SP, Potdar NA, Shinde CA.

PMID: 26431555   [PubMed - in process]


12. J Pediatr Ophthalmol Strabismus. 2015 Sep 1;52(5):262-4. doi:
10.3928/01913913-20150819-01.

Options in the Management of Reduced Vision in a Case of Ectopia Lentis.

Guo S, Khan AO, Lenhart P, DeRespinis P.

PMID: 26431554   [PubMed - in process]


13. J Pediatr Ophthalmol Strabismus. 2015 Nov 1;52(6):364-70. doi:
10.3928/01913913-20150915-01. Epub 2015 Sep 22.

Field Evaluation of Automated Vision Screening Instruments: Impact of Referral
Criteria Choice on Screening Outcome.

Silverstein E, Donahue SP.

PURPOSE: Automated vision screeners can identify children with amblyopia risk
factors. Two screening instruments having different referral criteria were
evaluated in a community setting: SPOT (Pediavision, Lake Mary, FL) (sensitive
manufacturer's referral criteria) and plusoptiX S08 (Plusoptix GmbH, Nuremberg,
Germany) (specific modified Arthur referral criteria).
METHODS: All children were screened by SPOT, and referred children were then
screened using plusoptiX. Referred children received a gold standard examination 
to determine whether amblyopia risk factors were present.
RESULTS: A total of 2,801 treatment-na´ve children were screened using SPOT. Of
these, 307 (11.0%) were referred by SPOT and subsequently screened by plusoptiX; 
100 received a gold standard examination. Amblyopia risk factors were present in 
43% (43 of 100) referred by SPOT compared to 72.7% (32 of 44) for plusoptiX.
Eleven of 56 referred by SPOT had amblyopia risk factors that would have been
missed by plusoptiX, including three with mild amblyopia.
CONCLUSIONS: PlusoptiX with modified Arthur referral criteria can be a highly
specific screening device detecting amblyopia risk factors without missing
children with moderate/severe amblyopia. [J Pediatr Ophthalmol Strabismus.
2015;52(6):364-370.].

Copyright 2015, SLACK Incorporated.

PMID: 26393478   [PubMed - in process]


14. J Pediatr Ophthalmol Strabismus. 2015 Nov 1;52(6):360-3. doi:
10.3928/01913913-20150901-02. Epub 2015 Sep 9.

Eyelid Lacerations Due to Dog Bite in Children.

Sadiq MA, Corkin F, Mantagos IS.

PURPOSE: To evaluate the nature and extent of lacrimal apparatus injury in
children after eyelid laceration from a dog bite.
METHODS: A retrospective chart review of all eyelid lacerations treated between
1990 and 2012 at Boston Children's Hospital, Boston, Massachusetts, was
conducted. Seventy-three patients who sustained an eyelid laceration due to dog
bite were identified and were matched 5:1 with a randomly selected cohort of 365 
patients from the group of 1,177 patients who had sustained eyelid lacerations
from other causes during the same time period.
RESULTS: Of the 73 patients who sustained an eyelid laceration due to a dog bite,
26 (35.62%) had damage to the lacrimal apparatus. This was statistically
significant when compared to patients who sustained eyelid lacerations from other
causes, in which 13 (3.56%) patients had damage to the lacrimal apparatus (P <
.000001). The inferior canaliculus was the most commonly involved site of
lacrimal apparatus trauma as a result of a dog bite. Success was defined as lack 
of epiphora at the time of the last follow-up. Early surgical management of
eyelid lacerations with lacrimal apparatus involvement had a success rate of 82%.
CONCLUSIONS: Eyelid lacerations due to dog bites have a greater prevalence of
involvement of the lacrimal apparatus and especially the inferior canaliculus
than lacerations due to other causes in children. Clinicians should have a high
index of suspicion for lacrimal apparatus involvement and be prepared for
surgical repair, if indicated. [J Pediatr Ophthalmol Strabismus.
2015;52(6):360-363.].

Copyright 2015, SLACK Incorporated.

PMID: 26371465   [PubMed - in process]


15. J Pediatr Ophthalmol Strabismus. 2015 Sep 9;52 Online:e45-7. doi:
10.3928/01913913-20150901-01.

Visual Acuity Improvement of Amblyopia in an Adult With Levodopa/Carbidopa
Treatment.

Orge FH, Dar SA.

Amblyopia is the leading cause of visual loss in children, affecting 2% to 3% of 
the population. Occlusion of the dominant eye is the primary and best treatment, 
although efficacy decreases after 6 years of age. As a result, levodopa/carbidopa
has been explored as an adjunct to conventional therapy and has been shown to
have an immediate impact on visual acuity. Several studies to date have shown
mixed results on the benefit of supplementing occlusion therapy with
levodopa/carbidopa, although they have primarily studied children. The authors
describe the oldest patient (46 years old) documented in the literature to have
shown improvement in visual acuity using levodopa/carbidopa. He was given a
16-week course at a dose in line with previous studies while being effectively
occluded full time due to a glaucomatous right eye with no light perception. On
3-month follow-up, his left eye improved two lines and stabilized at 6 months.

Copyright 2015, SLACK Incorporated.

PMID: 26352209   [PubMed - in process]