Pub Date : 2025-08-01DOI: 10.1016/j.jaapos.2025.104292
Yoon-Hee Chang, Elisah Huynh, Sanjay Prabhu, Linda Dagi
{"title":"010 Radiographic versus intraoperative indicators of extraocular muscle aberrancy in craniosynostosis","authors":"Yoon-Hee Chang, Elisah Huynh, Sanjay Prabhu, Linda Dagi","doi":"10.1016/j.jaapos.2025.104292","DOIUrl":"10.1016/j.jaapos.2025.104292","url":null,"abstract":"","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":"29 4","pages":"Article 104292"},"PeriodicalIF":1.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145103980","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 : 2025-08-01DOI: 10.1016/j.jaapos.2025.104312
Kaersti Rickels, Muhammad Chauhan, Paul Phillips, Abdelrahman Elhusseiny
{"title":"030 Risk of strabismus and need for surgery in childhood glaucoma patients","authors":"Kaersti Rickels, Muhammad Chauhan, Paul Phillips, Abdelrahman Elhusseiny","doi":"10.1016/j.jaapos.2025.104312","DOIUrl":"10.1016/j.jaapos.2025.104312","url":null,"abstract":"","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":"29 4","pages":"Article 104312"},"PeriodicalIF":1.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145104453","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 : 2025-08-01DOI: 10.1016/j.jaapos.2025.104328
Felicia Adinanto, Amanda French
{"title":"046 Longitudinal changes in strabismus and heterophoria in a 5 year follow-up of Australian school children","authors":"Felicia Adinanto, Amanda French","doi":"10.1016/j.jaapos.2025.104328","DOIUrl":"10.1016/j.jaapos.2025.104328","url":null,"abstract":"","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":"29 4","pages":"Article 104328"},"PeriodicalIF":1.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145104645","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 : 2025-08-01DOI: 10.1016/j.jaapos.2025.104344
Elizabeth Bolton, David Ramirez, Brenda Bohnsack, Summer Baptiste
{"title":"062 Influences of social determinants of health on JIA outcomes","authors":"Elizabeth Bolton, David Ramirez, Brenda Bohnsack, Summer Baptiste","doi":"10.1016/j.jaapos.2025.104344","DOIUrl":"10.1016/j.jaapos.2025.104344","url":null,"abstract":"","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":"29 4","pages":"Article 104344"},"PeriodicalIF":1.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145107919","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}
Oculocardiac reflex activation is a rare potential cause of severe hypotensive and/or bradycardic events that threaten hemodynamic stability. It is typically observed after facial trauma, but it can also result from edema secondary to orbital pseudotumor and myositis, sarcoidosis, IgG4 disease, and Graves’ orbitopathy. A previously healthy 10-year-old girl with no history of trauma presented with a 2-week history of right eyelid swelling, “drooping,” and photophobia, with significant bradycardia on lateral gaze. She did not tolerate initial eye examination because of worsening bradycardia, which required admission. Extraocular muscle biopsy revealed scarring and fibrosis of the right lacrimal gland and medial rectus muscle. She was found to have elevated serum IgG4 level and was treated with intravenous methylprednisolone, with subsequent improvement in her hemodynamic status.
{"title":"A pediatric case of significant oculocardiac reflex activation with orbital edema","authors":"Brenna Kincaid BS , Mallika Chauhan BS, MPH , Stephanie Goei MD , Renuka Mehta MBBS","doi":"10.1016/j.jaapos.2025.104225","DOIUrl":"10.1016/j.jaapos.2025.104225","url":null,"abstract":"<div><div><span><span>Oculocardiac reflex activation is a rare potential cause of severe hypotensive and/or bradycardic events that threaten </span>hemodynamic<span><span> stability. It is typically observed after facial trauma, but it can also result from edema secondary to orbital pseudotumor and myositis, </span>sarcoidosis<span><span><span>, IgG4 disease, and Graves’ orbitopathy. A previously healthy 10-year-old girl with no history of trauma presented with a 2-week history of right eyelid swelling, “drooping,” and </span>photophobia, with significant bradycardia on lateral gaze. She did not tolerate initial eye examination because of worsening bradycardia, which required admission. </span>Extraocular muscle<span> biopsy revealed scarring and fibrosis of the right lacrimal gland<span> and medial rectus muscle. She was found to have elevated serum IgG4 level and was treated with intravenous </span></span></span></span></span>methylprednisolone, with subsequent improvement in her hemodynamic status.</div></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":"29 4","pages":"Article 104225"},"PeriodicalIF":1.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175547","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 : 2025-08-01DOI: 10.1016/j.jaapos.2025.104252
Sajedeh Uzbak OC(C), MSc , Leah Walsh OC(C), MSc , David Smith MD, FRCSC , Michael J. Wan MD, FRCSC
Background
The prolonged monocular occlusion (PMO) test is used to eliminate tenacious proximal fusion in patients with divergence excess intermittent exotropia. The minimum necessary duration of PMO is unknown. This study was designed to determine whether 15 minutes of PMO test is comparable to 45 minutes of PMO.
Methods
This prospective, randomized, observational study included 22 patients (5-14 years of age) diagnosed with divergence excess intermittent exotropia. The main outcome measure was the subclassification of divergence excess intermittent exotropia. The secondary outcomes were the effect of 15 minutes and 45 minutes of PMO on the size of the deviation, the near-distance disparity, and the accommodative convergence–accommodation (AC/A) ratio estimates.
Results
The number of patients classified as simulated, high AC/A ratio, and true divergence excess intermittent exotropia were identical following 15 minutes and 45 minutes of PMO. There were no statistically or clinically significant differences in the size of the near and distance deviations, the near-distance disparity, or the AC/A ratio following 15 and 45 minutes of PMO.
Conclusions
In our patient cohort, a period of 15 minutes of PMO was sufficient to unmask the true underlying deviation at near and properly subclassify divergence excess intermittent exotropia patients.
{"title":"Fifteen-minute monocular occlusion test compared with 45-minute monocular occlusion test in the evaluation of divergence excess intermittent exotropia","authors":"Sajedeh Uzbak OC(C), MSc , Leah Walsh OC(C), MSc , David Smith MD, FRCSC , Michael J. Wan MD, FRCSC","doi":"10.1016/j.jaapos.2025.104252","DOIUrl":"10.1016/j.jaapos.2025.104252","url":null,"abstract":"<div><h3>Background</h3><div>The prolonged monocular occlusion (PMO) test is used to eliminate tenacious proximal fusion in patients with divergence excess intermittent exotropia. The minimum necessary duration of PMO is unknown. This study was designed to determine whether 15 minutes of PMO test is comparable to 45 minutes of PMO.</div></div><div><h3>Methods</h3><div>This prospective, randomized, observational study included 22 patients (5-14 years of age) diagnosed with divergence excess intermittent exotropia. The main outcome measure was the subclassification of divergence excess intermittent exotropia. The secondary outcomes were the effect of 15 minutes and 45 minutes of PMO on the size of the deviation, the near-distance disparity, and the accommodative convergence–accommodation (AC/A) ratio estimates.</div></div><div><h3>Results</h3><div>The number of patients classified as simulated, high AC/A ratio, and true divergence excess intermittent exotropia were identical following 15 minutes and 45 minutes of PMO. There were no statistically or clinically significant differences in the size of the near and distance deviations, the near-distance disparity, or the AC/A ratio following 15 and 45 minutes of PMO.</div></div><div><h3>Conclusions</h3><div>In our patient cohort, a period of 15 minutes of PMO was sufficient to unmask the true underlying deviation at near and properly subclassify divergence excess intermittent exotropia patients.</div></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":"29 4","pages":"Article 104252"},"PeriodicalIF":1.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144369489","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}
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