Pub Date : 2024-04-01DOI: 10.1016/S1091-8531(24)00178-2
{"title":"Access to JAAPOS online","authors":"","doi":"10.1016/S1091-8531(24)00178-2","DOIUrl":"https://doi.org/10.1016/S1091-8531(24)00178-2","url":null,"abstract":"","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1091853124001782/pdfft?md5=28bff1360a0e013ed9206a3e8361b35f&pid=1-s2.0-S1091853124001782-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140350106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-01DOI: 10.1016/j.jaapos.2024.103830
David L. Rogers MD , Emily De Los Reyes MD , Thomas A. Mendel MD, PhD , Brian Caprul , Sarah Podlasiak RN , Catherine O. Jordan MD
Classically, peripheral vascular changes in the retina in patients with neuronal ceroid lipofuscinosis type 2 (CLN2) are described as vascular attenuation seen in the late stages of disease on the Weill Connell Ophthalmic Severity Score (WCOSS) staging system. We describe isolated, mild, peripheral vasculitis with peripheral arteriolar dropout identified by fluorescein angiography in patients with a WCOSS grade of stage 2. We believe this vasculitis represents an early vasodegenerative phase of disease that leads to the vascular attenuation seen in later stages of the disease.
{"title":"Peripheral retinal finding on fluorescein angiography in neuronal ceroid lipofuscinosis type 2 (CLN2)","authors":"David L. Rogers MD , Emily De Los Reyes MD , Thomas A. Mendel MD, PhD , Brian Caprul , Sarah Podlasiak RN , Catherine O. Jordan MD","doi":"10.1016/j.jaapos.2024.103830","DOIUrl":"10.1016/j.jaapos.2024.103830","url":null,"abstract":"<div><p>Classically, peripheral vascular changes in the retina in patients with neuronal ceroid lipofuscinosis type 2 (CLN2) are described as vascular attenuation seen in the late stages of disease on the Weill Connell Ophthalmic Severity Score (WCOSS) staging system. We describe isolated, mild, peripheral vasculitis with peripheral arteriolar dropout identified by fluorescein angiography in patients with a WCOSS grade of stage 2. We believe this vasculitis represents an early vasodegenerative phase of disease that leads to the vascular attenuation seen in later stages of the disease.</p></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1091853124000302/pdfft?md5=3bdd00aa0f41dfd81d64fa2b0e1c9d6a&pid=1-s2.0-S1091853124000302-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139716578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-01DOI: 10.1016/j.jaapos.2024.103867
Muhammad Z. Chauhan MD, MS , Taher K. Eleiwa MD, PhD , Salah Abdelnaem , Alexander Kwok MD, MPH , David G. Hunter MD, PhD , Paul H. Phillips MD , Ahmed B. Sallam MD, PhD , Abdelrahman M. Elhusseiny MD, MSc
Purpose
To investigate the prevalence and risk of new-onset abducens nerve palsy and acute-onset diplopia following mRNA COVID-19 vaccination.
Methods
In this retrospective, population-based study, patient data from the COVID-19 Research Network of TriNetX was searched via the TriNetX Analytics platform for patients who received specific vaccinations based on Common Procedural Technology codes. We recorded instances of newly diagnosed abducens nerve palsy and diplopia within 21 days following each vaccination event.
Results
Of the 3,545,224 patients (mean age at vaccination, 46.2 ± 21.3 years) who received the mRNA COVID-19 vaccine, 12 (<0.0001%) patients had a new diagnosis of abducens nerve palsy and 453 (0.013%) had acute-onset diplopia within 21 days of first dose of COVID-19 vaccination. After propensity score matching, the relative risk for new abducens nerve palsy diagnosis after the first dose of COVID-19 vaccination was not significantly different from that after influenza (RR, 0.77), Tdap (RR, 1.0), or the second dose of the COVID-19 vaccinations (RR, 1.00). Furthermore, there was a lower risk of abducens nerve palsy diagnosis after the first dose of the COVID-19 vaccination compared with the risk after COVID-19 infection (RR, 0.15).
Conclusions
The risk of a new abducens nerve palsy diagnosis following the first dose of the COVID-19 vaccine is lower than the risk associated with COVID-19 infection itself. There is no evidence to suggest a causal relationship between COVID-19 vaccination and the development of abducens nerve palsy.
{"title":"Risk of abducens nerve palsy following COVID-19 vaccination","authors":"Muhammad Z. Chauhan MD, MS , Taher K. Eleiwa MD, PhD , Salah Abdelnaem , Alexander Kwok MD, MPH , David G. Hunter MD, PhD , Paul H. Phillips MD , Ahmed B. Sallam MD, PhD , Abdelrahman M. Elhusseiny MD, MSc","doi":"10.1016/j.jaapos.2024.103867","DOIUrl":"10.1016/j.jaapos.2024.103867","url":null,"abstract":"<div><h3>Purpose</h3><p>To investigate the prevalence and risk of new-onset abducens nerve palsy and acute-onset diplopia following mRNA COVID-19 vaccination.</p></div><div><h3>Methods</h3><p>In this retrospective, population-based study, patient data from the COVID-19 Research Network of TriNetX was searched via the TriNetX Analytics platform for patients who received specific vaccinations based on Common Procedural Technology codes. We recorded instances of newly diagnosed abducens nerve palsy and diplopia within 21 days following each vaccination event.</p></div><div><h3>Results</h3><p>Of the 3,545,224 patients (mean age at vaccination, 46.2 ± 21.3 years) who received the mRNA COVID-19 vaccine, 12 (<0.0001%) patients had a new diagnosis of abducens nerve palsy and 453 (0.013%) had acute-onset diplopia within 21 days of first dose of COVID-19 vaccination. After propensity score matching, the relative risk for new abducens nerve palsy diagnosis after the first dose of COVID-19 vaccination was not significantly different from that after influenza (RR, 0.77), Tdap (RR, 1.0), or the second dose of the COVID-19 vaccinations (RR, 1.00). Furthermore, there was a lower risk of abducens nerve palsy diagnosis after the first dose of the COVID-19 vaccination compared with the risk after COVID-19 infection (RR, 0.15).</p></div><div><h3>Conclusions</h3><p>The risk of a new abducens nerve palsy diagnosis following the first dose of the COVID-19 vaccine is lower than the risk associated with COVID-19 infection itself. There is no evidence to suggest a causal relationship between COVID-19 vaccination and the development of abducens nerve palsy.</p></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140066158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-01DOI: 10.1016/j.jaapos.2024.103853
Rita Rodrigues MD, R. Santos Silva MD, Susana Penas PhD, Ana Moleiro MD, S. Estrela Silva MD, Olinda Faria MD, Augusto Magalhães MD
We report the case of an otherwise healthy 6-year-old girl presenting with poor visual acuity, photophobia, and abnormal eye and head movements who was initially diagnosed with spasmus nutans. A remote history of presumed viral cardiomyopathy and further electroretinography testing raised suspicion for Alström syndrome. She was diagnosed with a novel ALMS1 variant.
{"title":"Alström syndrome mimicking spasmus nutans: report of a novel ALMS1 variant","authors":"Rita Rodrigues MD, R. Santos Silva MD, Susana Penas PhD, Ana Moleiro MD, S. Estrela Silva MD, Olinda Faria MD, Augusto Magalhães MD","doi":"10.1016/j.jaapos.2024.103853","DOIUrl":"10.1016/j.jaapos.2024.103853","url":null,"abstract":"<div><p>We report the case of an otherwise healthy 6-year-old girl presenting with poor visual acuity, photophobia, and abnormal eye and head movements who was initially diagnosed with spasmus nutans. A remote history of presumed viral cardiomyopathy and further electroretinography testing raised suspicion for Alström syndrome. She was diagnosed with a novel <em>ALMS1</em> variant.</p></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139913981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-01DOI: 10.1016/j.jaapos.2024.103862
Seongyong Jeong MD , So Young Han MD , Sunghyuk Moon MD , Donghun Lee MD , Sook Young Kim MD , Mirae Kim MD , Jihyun Park MD , Myung Mi Kim MD , Won Jae Kim MD
Purpose
To evaluate parental perspectives and concerns regarding exotropia surgery and compare them with clinicians’ predictions of parental responses in Korean pediatric patients with intermittent exotropia.
Methods
This survey study included the parents of pediatric patients with intermittent exotropia who underwent surgery and clinicians at five hospitals from June 2022 to February 2023, who participated in the Survey of Parental Attitude and Concerns of Exotropia surgery (SPACE) study 1. Parental attitudes and concern about exotropia surgery were assessed using a questionnaire. Clinicians’ estimation of each item corresponding to the parental questionnaire was also assessed and compared with parental responses.
Results
A total of 266 parents and 41 clinicians were included. More parents responded that information about surgery was most helpful or most commonly received from clinicians than clinicians estimated (P = 0.001). More parents reported actively communicating with the child about surgery than clinicians estimated (P < 0.001). Parents showed a higher level of concern for general anesthesia and the hospital environment than clinicians thought they would (P = 0.002 and P < 0.001, resp.). In the postoperative follow-up items, parents showed high levels of concern regarding postoperative infection (P < 0.001), conjunctival redness (P = 0.040), persistent overcorrection (P < 0.001), and glasses wearing (P = 0.019).
Conclusions
Parental perspectives and concerns regarding pediatric intermittent exotropia surgery differed from clinicians’ estimations thereof. More parents obtain information on exotropia surgery from clinicians and actively talk about surgery with their child than estimated by clinicians. Parents had a higher level of concern regarding general anesthesia, hospital environment, postoperative infection, conjunctival redness, persistent overcorrection, and glasses wearing compared with clinician estimations.
{"title":"Parental perspectives and concerns regarding exotropia surgery and comparison with clinicians’ predictions","authors":"Seongyong Jeong MD , So Young Han MD , Sunghyuk Moon MD , Donghun Lee MD , Sook Young Kim MD , Mirae Kim MD , Jihyun Park MD , Myung Mi Kim MD , Won Jae Kim MD","doi":"10.1016/j.jaapos.2024.103862","DOIUrl":"10.1016/j.jaapos.2024.103862","url":null,"abstract":"<div><h3>Purpose</h3><p>To evaluate parental perspectives and concerns regarding exotropia surgery and compare them with clinicians’ predictions of parental responses in Korean pediatric patients with intermittent exotropia.</p></div><div><h3>Methods</h3><p>This survey study included the parents of pediatric patients with intermittent exotropia who underwent surgery and clinicians at five hospitals from June 2022 to February 2023, who participated in the Survey of Parental Attitude and Concerns of Exotropia surgery (SPACE) study 1. Parental attitudes and concern about exotropia surgery were assessed using a questionnaire. Clinicians’ estimation of each item corresponding to the parental questionnaire was also assessed and compared with parental responses.</p></div><div><h3>Results</h3><p>A total of 266 parents and 41 clinicians were included. More parents responded that information about surgery was most helpful or most commonly received from clinicians than clinicians estimated (<em>P</em> = 0.001). More parents reported actively communicating with the child about surgery than clinicians estimated (<em>P</em> < 0.001). Parents showed a higher level of concern for general anesthesia and the hospital environment than clinicians thought they would (<em>P</em> = 0.002 and <em>P</em> < 0.001, resp.). In the postoperative follow-up items, parents showed high levels of concern regarding postoperative infection (<em>P</em> < 0.001), conjunctival redness (<em>P</em> = 0.040), persistent overcorrection (<em>P</em> < 0.001), and glasses wearing (<em>P</em> = 0.019).</p></div><div><h3>Conclusions</h3><p>Parental perspectives and concerns regarding pediatric intermittent exotropia surgery differed from clinicians’ estimations thereof. More parents obtain information on exotropia surgery from clinicians and actively talk about surgery with their child than estimated by clinicians. Parents had a higher level of concern regarding general anesthesia, hospital environment, postoperative infection, conjunctival redness, persistent overcorrection, and glasses wearing compared with clinician estimations.</p></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1091853124000909/pdfft?md5=97a8cf3d8062cd847fa13132441ec36d&pid=1-s2.0-S1091853124000909-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140066156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-01DOI: 10.1016/j.jaapos.2024.103872
Sylvia H. Yoo MD, Damian K.L. Archer MD, José A. Caro MD, Rodrigo Monterrey MPA
{"title":"Words matter in strabismus surgery too: on terminology used for adjustable strabismus surgery","authors":"Sylvia H. Yoo MD, Damian K.L. Archer MD, José A. Caro MD, Rodrigo Monterrey MPA","doi":"10.1016/j.jaapos.2024.103872","DOIUrl":"10.1016/j.jaapos.2024.103872","url":null,"abstract":"","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140095070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-01DOI: 10.1016/j.jaapos.2024.103858
Anne B. Kim BS , Brian T. Cheng MD
The American Academy of Pediatrics recommends annual testing in children beginning at 3 years of age to detect vision problems and prevent amblyopia. However, rates of vision testing in children from non-English primary language (NEPL) households are not well delineated. This study analyzed the 2018-2020 National Survey of Children’s Health to examine patterns and predictors of vision testing among children from NEPL households. In this nationally representative cohort of 89,697 children 3-17 years of age, 70.9% of children received vision testing during the previous 12 months. Children from non-English-speaking households were less likely to undergo vision testing (64.3% vs 72.0%; aOR [95% CI] = 0.83 [0.72-0.95], P = 0.008). Decreased vision testing among children from NEPL households was driven by lower rates of testing at school (16.1% vs 21.0%; 0.72 [0.57-0.89], P = 0.009) or from an ophthalmologist or optometrist (49.0% vs 54.0%; 0.72 [0.61-0.85], P = 0.0004), whereas children from NEPL households were more likely to receive vision testing at health clinics (14.4% vs 3.1%; 3.25 [2.40-4.39], P < 0.0001). No differences were observed in rates of testing by a pediatrician (41.1% vs 44.0%; 1.05 [0.89-1.23], P = 0.69). Interventions to improve language services and health literacy are warranted to increase rates of vision testing among children from NEPL households.
美国儿科学会建议从 3 岁开始每年对儿童进行视力检测,以发现视力问题并预防弱视。然而,非英语母语(NEPL)家庭儿童的视力检测率并不十分明确。本研究分析了 2018-2020 年全国儿童健康调查,以研究非英语母语家庭儿童视力检测的模式和预测因素。在这批具有全国代表性的 89,697 名 3-17 岁儿童中,70.9% 的儿童在过去 12 个月中接受了视力检测。非英语家庭的儿童接受视力检测的可能性较低(64.3% vs 72.0%;aOR [95% CI] = 0.83 [0.72-0.95],P = 0.008)。非符合条件的家庭的儿童视力检测率下降的原因是在学校(16.1% vs 21.0%;0.72 [0.57-0.89],P = 0.009)或眼科医生或视光师(49.0% vs 54.0%;0.72 [0.61-0.85],P = 0.0004),而非符合条件的家庭的儿童更有可能在医疗诊所接受视力检测(14.4% vs 3.1%;3.25 [2.40-4.39],P <0.0001)。由儿科医生进行检测的比例没有差异(41.1% vs 44.0%;1.05 [0.89-1.23],P = 0.69)。因此,有必要采取干预措施,改善语言服务和卫生知识普及,以提高来自非符合条件家庭的儿童的视力检测率。
{"title":"Association of household language and vision screening among children in the United States","authors":"Anne B. Kim BS , Brian T. Cheng MD","doi":"10.1016/j.jaapos.2024.103858","DOIUrl":"10.1016/j.jaapos.2024.103858","url":null,"abstract":"<div><p>The American Academy of Pediatrics recommends annual testing in children beginning at 3 years of age to detect vision problems and prevent amblyopia. However, rates of vision testing in children from non-English primary language (NEPL) households are not well delineated. This study analyzed the 2018-2020 National Survey of Children’s Health to examine patterns and predictors of vision testing among children from NEPL households. In this nationally representative cohort of 89,697 children 3-17 years of age, 70.9% of children received vision testing during the previous 12 months. Children from non-English-speaking households were less likely to undergo vision testing (64.3% vs 72.0%; aOR [95% CI] = 0.83 [0.72-0.95], <em>P</em> = 0.008). Decreased vision testing among children from NEPL households was driven by lower rates of testing at school (16.1% vs 21.0%; 0.72 [0.57-0.89], <em>P</em> = 0.009) or from an ophthalmologist or optometrist (49.0% vs 54.0%; 0.72 [0.61-0.85], <em>P</em> = 0.0004), whereas children from NEPL households were more likely to receive vision testing at health clinics (14.4% vs 3.1%; 3.25 [2.40-4.39], <em>P</em> < 0.0001). No differences were observed in rates of testing by a pediatrician (41.1% vs 44.0%; 1.05 [0.89-1.23], <em>P</em> = 0.69). Interventions to improve language services and health literacy are warranted to increase rates of vision testing among children from NEPL households.</p></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140029466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Duane retraction syndrome (DRS) is a rare congenital nonprogressive restrictive strabismus. The absence/hypoplasia of the abducens nerve and the aberrant innervation of the lateral rectus muscle by the oculomotor nerve have been hypothesized as causes of DRS, although the phenomenon of globe retraction can also occur in the setting of mechanical factors, such as congenital abnormal orbital structures or orbital trauma. We present the cases of 2 DRS patients with absent abducens nerve and abnormal muscular bands connecting the superior rectus and inferior rectus muscles on the temporal side of the optic nerve.
{"title":"Two cases of Duane retraction syndrome with abnormal orbital structures","authors":"Ranran Zhang MM , Hongyan Jia MD, PhD , Qinglin Chang MD , Zongrui Zhang MD , Yonghong Jiao MD, PhD","doi":"10.1016/j.jaapos.2024.103855","DOIUrl":"10.1016/j.jaapos.2024.103855","url":null,"abstract":"<div><p>Duane retraction syndrome (DRS) is a rare congenital nonprogressive restrictive strabismus. The absence/hypoplasia of the abducens nerve and the aberrant innervation of the lateral rectus muscle by the oculomotor nerve have been hypothesized as causes of DRS, although the phenomenon of globe retraction can also occur in the setting of mechanical factors, such as congenital abnormal orbital structures or orbital trauma. We present the cases of 2 DRS patients with absent abducens nerve and abnormal muscular bands connecting the superior rectus and inferior rectus muscles on the temporal side of the optic nerve.</p></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139991618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
To investigate the correlation between swept-source anterior segment optical coherence tomography (AS-OCT) and ultrasound biomicroscopy (UBM) in congenital corneal opacity (CCO).
Methods
All children with unilateral or bilateral congenital corneal opacities who underwent examination under anesthesia (EUA) and anterior segment optical coherence tomography (AS-OCT) imaging from January 1, 2022, to December 31, 2022, were included. Main outcome measures were corneal and anterior segment evaluation and correlation of UBM and AS-OCT findings.
Results
A total of 22 eyes of 15 patients were imaged using both technologies. The age at first EUA ranged from 11 days to 4 years. Different phenotypes were classified based on the clinical examination, UBM, and AS-OCT findings. Fourteen eyes were diagnosed with Peters anomaly, congenital corneal staphyloma was observed in 4 eyes, 2 eyes had coloboma, 1 eye had peripheral sclerocornea, and 1 eye was diagnosed with congenital primary aphakia. AS-OCT and UBM findings were closely correlated in 18 of 22 eyes (82%) but AS-OCT failed to provide detailed information in 4 eyes (18%) where UBM revealed more details.
Conclusions
Although AS-OCT offers valuable preliminary data for initial assessment and counseling, it may not consistently provide precise assessments in all cases. Therefore, UBM should be considered for definitive evaluation.
{"title":"Correlation of anterior segment optical coherence tomography and ultrasound biomicroscopy in congenital corneal opacity","authors":"Sonam Yangzes MS, Sushmita Kaushik MS, Chintan Malhotra MS, Anchal Thakur MS, Amit Gupta MS, Arun Kumar Jain MS, Jitender Jinagal MS, Surinder Singh Pandav MS","doi":"10.1016/j.jaapos.2024.103863","DOIUrl":"10.1016/j.jaapos.2024.103863","url":null,"abstract":"<div><h3>Purpose</h3><p>To investigate the correlation between swept-source anterior segment optical coherence tomography (AS-OCT) and ultrasound biomicroscopy (UBM) in congenital corneal opacity (CCO).</p></div><div><h3>Methods</h3><p>All children with unilateral or bilateral congenital corneal opacities who underwent examination under anesthesia (EUA) and anterior segment optical coherence tomography (AS-OCT) imaging from January 1, 2022, to December 31, 2022, were included. Main outcome measures were corneal and anterior segment evaluation and correlation of UBM and AS-OCT findings.</p></div><div><h3>Results</h3><p>A total of 22 eyes of 15 patients were imaged using both technologies. The age at first EUA ranged from 11 days to 4 years. Different phenotypes were classified based on the clinical examination, UBM, and AS-OCT findings. Fourteen eyes were diagnosed with Peters anomaly, congenital corneal staphyloma was observed in 4 eyes, 2 eyes had coloboma, 1 eye had peripheral sclerocornea, and 1 eye was diagnosed with congenital primary aphakia. AS-OCT and UBM findings were closely correlated in 18 of 22 eyes (82%) but AS-OCT failed to provide detailed information in 4 eyes (18%) where UBM revealed more details.</p></div><div><h3>Conclusions</h3><p>Although AS-OCT offers valuable preliminary data for initial assessment and counseling, it may not consistently provide precise assessments in all cases. Therefore, UBM should be considered for definitive evaluation.</p></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140066155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-01DOI: 10.1016/j.jaapos.2024.103865
Tessnim R. Ahmad MD , Karla J. Lindquist PhD , Julius T. Oatts MD , Alejandra G. de Alba Campomanes MD, MPH , Robert C. Kersten MD , Dylan K. Chan MD, PhD , Maanasa Indaram MD
Purpose
To compare outcomes and complications of three surgical techniques for the treatment of congenital dacryocystoceles: nasolacrimal probing and irrigation (P+I), P+I plus nasal endoscopy (NE) with intranasal cyst marsupialization, and primary NE with intranasal cyst marsupialization.
Methods
The medical records of children ≤2 years of age at a single academic center with a diagnosis of dacryocystocele from 2012 to 2022 were retrospectively identified and reviewed. The primary outcome was resolution of the dacryocystocele (ie, elimination of the medial canthal mass and resolution of tearing or discharge) after a single procedure (“primary success”). Surgical techniques were compared using exact logistic regression.
Results
Of 54 patients, 21 (39%) underwent P+I, 23 (43%) underwent P+I plus nasal endoscopy, and 10 (18%) underwent primary NE. Primary success was 76% for P+I and 100% for the other two cohorts. Most patients (89%) who underwent P+I received general anesthesia compared with none who underwent primary nasal endoscopy. Most complications were related to the use of general anesthesia, with a complication rate of 10% for P+I, 48% for P+I plus NE, and 0% for primary NE. Most P+I procedures required hospital admission compared to half of primary NE procedures.
Conclusions
In our study cohort, primary NE provided good outcomes and was associated with a lower complication rate than P+I with or without NE.
{"title":"Probing versus primary nasal endoscopy for the treatment of congenital dacryocystoceles","authors":"Tessnim R. Ahmad MD , Karla J. Lindquist PhD , Julius T. Oatts MD , Alejandra G. de Alba Campomanes MD, MPH , Robert C. Kersten MD , Dylan K. Chan MD, PhD , Maanasa Indaram MD","doi":"10.1016/j.jaapos.2024.103865","DOIUrl":"10.1016/j.jaapos.2024.103865","url":null,"abstract":"<div><h3>Purpose</h3><p>To compare outcomes and complications of three surgical techniques for the treatment of congenital dacryocystoceles: nasolacrimal probing and irrigation (P+I), P+I plus nasal endoscopy (NE) with intranasal cyst marsupialization, and primary NE with intranasal cyst marsupialization.</p></div><div><h3>Methods</h3><p>The medical records of children ≤2 years of age at a single academic center with a diagnosis of dacryocystocele from 2012 to 2022 were retrospectively identified and reviewed. The primary outcome was resolution of the dacryocystocele (ie, elimination of the medial canthal mass and resolution of tearing or discharge) after a single procedure (“primary success”). Surgical techniques were compared using exact logistic regression.</p></div><div><h3>Results</h3><p>Of 54 patients, 21 (39%) underwent P+I, 23 (43%) underwent P+I plus nasal endoscopy, and 10 (18%) underwent primary NE. Primary success was 76% for P+I and 100% for the other two cohorts. Most patients (89%) who underwent P+I received general anesthesia compared with none who underwent primary nasal endoscopy. Most complications were related to the use of general anesthesia, with a complication rate of 10% for P+I, 48% for P+I plus NE, and 0% for primary NE. Most P+I procedures required hospital admission compared to half of primary NE procedures.</p></div><div><h3>Conclusions</h3><p>In our study cohort, primary NE provided good outcomes and was associated with a lower complication rate than P+I with or without NE.</p></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1091853124000934/pdfft?md5=e321abce22f00acd80b5027c64f0bfb5&pid=1-s2.0-S1091853124000934-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140066157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}