G:\All Users\Sally\COVD Journal\COVD 37 #3\Maples
Total Page:16
File Type:pdf, Size:1020Kb
Load more
Recommended publications
-
Answer Set Companion Answers to Questions
Case Based Pediatrics For Medical Students and Residents Questions and Answers Editors: Loren G. Yamamoto, MD, MPH, MBA Alson S. Inaba, MD Jeffrey K. Okamoto, MD Mary Elaine Patrinos, MD Vince K. Yamashiroya, MD Department of Pediatrics University of Hawaii John A. Burns School of Medicine Kapiolani Medical Center For Women And Children Honolulu, Hawaii Copyright 2004, Loren G. Yamamoto Department of Pediatrics, University of Hawaii John A. Burns School of Medicine Answer Set Companion Answers to Questions Section I. Office Primary Care Chapter I.1. Pediatric Primary Care 1. False. Proximity to the patient is also an important factor. A general surgeon practicing in a small town might be the best person to handle a suspected case of appendicitis, for example. 2. False. Although some third party payors have standards written into their contracts with physicians, and the American Academy of Pediatrics has created a standard, not all pediatricians adhere to these standards. 3. True. Many factors are involved, including the training of the primary care pediatrician and past experience with similar cases. 4.d 5.e Chapter I.2. Growth Monitoring 1. BMI (kg/m 2) = weight in kilograms divided by the square of the height in meters. 2. First 18 months of life. 3. a) If the child's weight is below the 5th percentile, or b) if weight drops more than two major percentile lines. 4. 85th percentile. 5. 30 grams, or 1 oz per day. 6. At 5 years of age. Those who rebound before 5 years have a higher risk of obesity in childhood and adulthood. -
A Patient & Parent Guide to Strabismus Surgery
A Patient & Parent Guide to Strabismus Surgery By George R. Beauchamp, M.D. Paul R. Mitchell, M.D. Table of Contents: Part I: Background Information 1. Basic Anatomy and Functions of the Extra-ocular Muscles 2. What is Strabismus? 3. What Causes Strabismus? 4. What are the Signs and Symptoms of Strabismus? 5. Why is Strabismus Surgery Performed? Part II: Making a Decision 6. What are the Options in Strabismus Treatment? 7. The Preoperative Consultation 8. Choosing Your Surgeon 9. Risks, Benefits, Limitations and Alternatives to Surgery 10. How is Strabismus Surgery Performed? 11. Timing of Surgery Part III: What to Expect Around the Time of Surgery 12. Before Surgery 13. During Surgery 14. After Surgery 15. What are the Potential Complications? 16. Myths About Strabismus Surgery Part IV: Additional Matters to Consider 17. About Children and Strabismus Surgery 18. About Adults and Strabismus Surgery 19. Why if May be Important to a Person to Have Strabismus Surgery (and How Much) Part V: A Parent’s Perspective on Strabismus Surgery 20. My Son’s Diagnosis and Treatment 21. Growing Up with Strabismus 22. Increasing Signs that Surgery Was Needed 23. Making the Decision to Proceed with Surgery 24. Explaining Eye Surgery to My Son 25. After Surgery Appendix Part I: Background Information Chapter 1: Basic Anatomy and Actions of the Extra-ocular Muscles The muscles that move the eye are called the extra-ocular muscles. There are six of them on each eye. They work together in pairs—complementary (or yoke) muscles pulling the eyes in the same direction(s), and opposites (or antagonists) pulling the eyes in opposite directions. -
EPOS 2021 Vision 2020 - EPOS 2021
EPOS 2021 Vision 2020 - EPOS 2021 Final programme & Abstract book EPOS 2021 Virtual Conference 18 - 19 June 2021 www.epos2021.dk EPOS 2021 Vision 2020 - EPOS 2021 2 Contents Final programme . 3 Invited speaker abstracts . 5 Free paper presentations . 33 Rapid fire presentations . 60 Poster presentations . 70 Local organizing Committee: Conference chair: Lotte Welinder Dept. of Ophthalmology, Aalborg University Hospital Members: Dorte Ancher Larsen Dept. of Ophthalmology, Aarhus University Hospital Else Gade Dept. of Ophthalmology, University Hospital Odense Lisbeth Sandfeld Dept. of Ophthalmology, Zealand University Hospital, Roskilde Kamilla Rothe Nissen Dept. of Ophthalmology, Rigshospitalet, University Hospital of Copenhagen Line Kessel Dept. of Ophthalmology, Rigshospitalet (Glostrup), University Hospital of Copenhagen Helena Buch Heesgaard Copenhagen Eye and Strabismus Clinic, CFR Hospitals EPOS Board Members: Darius Hildebrand President Eva Larsson Secretary Christina Gehrt-Kahlert Treasurer Catherine Cassiman Anne Cees Houtman Matthieu Robert Sandra Valeina EPOS 2021 Programme 3 Friday 18 June 8.50-9.00 Opening, welcome remarks 9.00-10.15 Around ROP and prematurity - Part 1 Moderators: Eva Larsson (SE) and Lotte Welinder (DK) 9.00-9.10 L1 Visual impairment. National Danish Registry of visual Kamilla Rothe Nissen (DK) impairment and blindness? 9.10-9.20 L2 Epidemiology of ROP Gerd Holmström (SE) 9.20-9.40 L3 The premature child. Ethical issues in neonatal care Gorm Greisen (DK) 9.40-9.50 L4 Ocular development and visual functioning -
Pediatric Ophthalmology/Strabismus 2017-2019
Academy MOC Essentials® Practicing Ophthalmologists Curriculum 2017–2019 Pediatric Ophthalmology/Strabismus *** Pediatric Ophthalmology/Strabismus 2 © AAO 2017-2019 Practicing Ophthalmologists Curriculum Disclaimer and Limitation of Liability As a service to its members and American Board of Ophthalmology (ABO) diplomates, the American Academy of Ophthalmology has developed the Practicing Ophthalmologists Curriculum (POC) as a tool for members to prepare for the Maintenance of Certification (MOC) -related examinations. The Academy provides this material for educational purposes only. The POC should not be deemed inclusive of all proper methods of care or exclusive of other methods of care reasonably directed at obtaining the best results. The physician must make the ultimate judgment about the propriety of the care of a particular patient in light of all the circumstances presented by that patient. The Academy specifically disclaims any and all liability for injury or other damages of any kind, from negligence or otherwise, for any and all claims that may arise out of the use of any information contained herein. References to certain drugs, instruments, and other products in the POC are made for illustrative purposes only and are not intended to constitute an endorsement of such. Such material may include information on applications that are not considered community standard, that reflect indications not included in approved FDA labeling, or that are approved for use only in restricted research settings. The FDA has stated that it is the responsibility of the physician to determine the FDA status of each drug or device he or she wishes to use, and to use them with appropriate patient consent in compliance with applicable law. -
Sixth Nerve Palsy
COMPREHENSIVE OPHTHALMOLOGY UPDATE VOLUME 7, NUMBER 5 SEPTEMBER-OCTOBER 2006 CLINICAL PRACTICE Sixth Nerve Palsy THOMAS J. O’DONNELL, MD, AND EDWARD G. BUCKLEY, MD Abstract. The diagnosis and etiologies of sixth cranial nerve palsies are reviewed along with non- surgical and surgical treatment approaches. Surgical options depend on the function of the paretic muscle, the field of greatest symptoms, and the likelihood of inducing diplopia in additional fields by a given procedure. (Comp Ophthalmol Update 7: xx-xx, 2006) Key words. botulinum toxin (Botox®) • etiology • sixth nerve palsy (paresis) Introduction of the cases, the patients had hypertension and/or, less frequently, Sixth cranial nerve (abducens) palsy diabetes; 26% were undetermined, is a common cause of acquired 5% had a neoplasm, and 2% had an horizontal diplopia. Signs pointing aneurysm. It was noted that patients toward the diagnosis are an who had an aneurysm or neoplasm abduction deficit and an esotropia had additional neurologic signs or increasing with gaze toward the side symptoms or were known to have a of the deficit (Figure 1). The diplopia cancer.2 is typically worse at distance. Measurements are made with the Anatomical Considerations uninvolved eye fixing (primary deviation), and will be larger with the The sixth cranial nerve nuclei are involved eye fixing (secondary located in the lower pons beneath the deviation). A small vertical deficit may fourth ventricle. The nerve on each accompany a sixth nerve palsy, but a side exits from the ventral surface of deviation over 4 prism diopters the pons. It passes from the posterior Dr. O’Donnell is affiliated with the should raise the question of cranial fossa to the middle cranial University of Tennessee Health Sci- additional pathology, such as a fourth fossa, ascends the clivus, and passes ence Center, Memphis, TN. -
Ocular Manifestations in Children with Delayed
A DISSERTATION ON “OCULAR MANIFESTATIONS IN CHILDREN WITH DELAYED MILESTONES-A CLINICAL STUDY” Submitted to THE TAMIL NADU DR. M. G. R. MEDICAL UNIVERSITY In partial fulfilment of the requirements For the award of degree of M.S. ( Branch III ) --- OPHTHALMOLOGY GOVERNMENT STANLEY MEDICAL COLLEGE & HOSPITAL THE TAMIL NADU DR. M.G.R. MEDICAL UNIVERSITY CHENNAI, TAMIL NADU MAY 2018 CERTIFICATE This is to certify that the study entitled “OCULAR MANIFESTATIONS IN CHILDREN WITH DELAYED MILESTONES- A CLINICAL STUDY” is the result of original work carried out by DR.SOUNDARYA.B, under my supervision and guidance at GOVT. STANLEY MEDICAL COLLEGE, CHENNAI. The thesis is submitted by the candidate in partial fulfilment of the requirements for the award of M.S Degree in Ophthalmology, course from 2015 to 2018 at Govt.Stanley Medical College, Chennai. PROF. DR. PONNAMBALANAMASIVAYAM, PROF.DR.B.RADHAKRISHNAN,M.S.,D.O M.D.,D.A.,DNB. Unit chief and H.O.D. Dean Department of Ophthalmology Government Stanley Medical College Govt. Stanley Medical College Chennai - 600 001. Chennai - 600 001. DECLARATION I hereby declare that this dissertation entitled “OCULAR MANIFESTATIONS IN CHILDREN WITH DELAYED MILESTONES- A CLINICAL STUDY” is a bonafide and genuine research work carried out by me under the guidance of PROF. DR.B.RADHAKRISHNAN M.S. D.O., Unit chief and Head of the Department, Department of Ophthalmology, Government Stanley Medical college and Hospital, Chennai – 600001. Date : Signature Place:Chennai Dr. Soundarya.B ACKNOWLEDGEMENT I express my immense gratitude to The Dean, Prof. Dr. PONNAMBALANAMASIVAYAM M.D,D.A.,DNB., Govt.Stanley Medical College for giving me the opportunity to work on this study. -
Causing and Curing Infantile Esotropia in Primates
Washington University School of Medicine Digital Commons@Becker Open Access Publications 2007 Causing and curing infantile esotropia in primates: The oler of decorrelated binocular input (an American Ophthalmological Society thesis) Lawrence Tychsen Washington University School of Medicine in St. Louis Follow this and additional works at: https://digitalcommons.wustl.edu/open_access_pubs Recommended Citation Tychsen, Lawrence, ,"Causing and curing infantile esotropia in primates: The or le of decorrelated binocular input (an American Ophthalmological Society thesis)." Transactions of the American Ophthalmological Society.105,. 564-593. (2007). https://digitalcommons.wustl.edu/open_access_pubs/3298 This Open Access Publication is brought to you for free and open access by Digital Commons@Becker. It has been accepted for inclusion in Open Access Publications by an authorized administrator of Digital Commons@Becker. For more information, please contact [email protected]. CAUSING AND CURING INFANTILE ESOTROPIA IN PRIMATES: THE ROLE OF DECORRELATED BINOCULAR INPUT (AN AMERICAN OPHTHALMOLOGICAL SOCIETY THESIS) BY Lawrence Tychsen, MD ABSTRACT Purpose: Human infants at greatest risk for esotropia are those who suffer cerebral insults that could decorrelate signals from the 2 eyes during an early critical period of binocular, visuomotor development. The author reared normal infant monkeys, under conditions of binocular decorrelation, to determine if this alone was sufficient to cause esotropia and associated behavioral as well as neuroanatomic deficits. Methods: Binocular decorrelation was imposed using prism-goggles for durations of 3 to 24 weeks (in 6 experimental, 2 control monkeys). Behavioral recordings were obtained, followed by neuroanatomic analysis of ocular dominance columns and binocular, horizontal connections in the striate visual cortex (area V1). -
Botulinum Toxin in the Treatment of Strabismus. a Review of Its Use and Effects
Disability and Rehabilitation, December 2007; 29(23): 1823 – 1831 Botulinum Toxin in the treatment of strabismus. A review of its use and effects LIONEL KOWAL1,2, ELAINE WONG1,2 & CLAUDIA YAHALOM3 1Ocular Motility Unit, Royal Victorian Eye and Ear Hospital, Melbourne, 2Centre for Eye Research, Australia, and 3Ophthalmology, Hadassah Hospital, Jerusalem, Israel Abstract Botulinum Toxin as a medical therapy was introduced by Dr Alan Scott more than 20 years ago. The first clinical applications of Botulinum Toxin type A (BT-A) were for the treatment of strabismus and for periocular spasms. Botulinum Toxin type A is often effective in small to moderate angle convergent strabismus (esotropia) of any cause, and may be an alternative to surgery in these cases. Botulinum Toxin type A may have a role in acute or chronic fourth and sixth nerve palsy, childhood strabismus and thyroid eye disease. The use of BT-A for strabismus varies enormously in different cities and countries for no apparent reason. Botulinum Toxin type A may be particularly useful in situations where strabismus surgery is undesirable. This may be in elderly patients unfit for general anaesthesia, when the clinical condition is evolving or unstable, or if surgery has not been successful. Botulinum Toxin type A can give temporary symptomatic relief in many instances of bothersome diplopia irrespective of the cause. Ptosis and acquired vertical deviations are the commonest complications encountered. Vision-threatening complications are rare. Repeated use of BT-A is safe. Keywords: Strabismus, Botulinum Toxin type A, ocular Motility disorders There are a small number of centres where BT-A is Introduction used frequently in the treatment of strabismus. -
Eye Position Changes Under General Anesthesia in Infantile Strabismus
Fariselli C, et al., J Ophthalmic Clin Res 2020, 7: 072 DOI: 10.24966/OCR-8887/100072 HSOA Journal of Ophthalmology & Clinical Research Research Article may be suspected in ET and IXT, particularly regarding the role Eye Position Changes Under of esotonus, that is the baseline innervation to the extraocular muscles which opposes the position of rest in the awake state and General Anesthesia in Infantile which is suppressed under narcosis. While esotonus is increased in ET, it could be even decreased in IXT where other innervational Strabismus: Differences phenomena, like active divergence, may be involved in determining the deviation. Between Esotropia and Keywords: Exotropia; Esotropia; Esotonus; General anesthesia; Exotropia Interlimbal distance Chiara Fariselli1*, Giulia Calzolari2, Matilde Roda2 and Introduction Costantino Schiavi2 Pathogenesis of childhood concomitant strabismus is still little 1 Ophthalmology Unit, Santa Maria della Scaletta Hospital, Imola (Bologna), known, though various studies have investigated its primum movens Italy postulating new hypotheses [1], and several possible risk factors 2Ophthalmology Unit, Santa Orsola-Malpighi University Hospital, University have been identified [2,3]. In the onset and development of infantile of Bologna, Bologna, Italy concomitant strabismus there is a sharing of both hereditary and environmental factors. Accommodative and non-accommodative innervational causes have been thought to be somehow implicated Abstract in the pathogenesis of concomitant strabismus a long time ago [4]. Purpose: To study the different trends of eye position changes The innervational factors which may concur to ocular misalignment under narcosis in Infantile Intermittent Exotropia (IXT) compared include: accommodation that may be over- or under- stimulated to Infantile Esotropia (ET). -
Diplopia and Torticollis in Adult Strabismus
Case Report JOJ Ophthal Volume 1 Issue 5 - January 2017 DOI: 10.19080/JOJO.2017.01.555572 Copyright © All rights are reserved by Dora D Fdez-Agrafojo Diplopia and Torticollis in Adult Strabismus Dora D Fdez-Agrafojo1*, Hari Morales2 and Marta Soler2 1Doctor in medicine and surgery, Teknon Medical Center, Spain 2Optometrist, Teknon Medical Center, Spain Submission: November 11, 2016; Published: January 16, 2017 *Corresponding author: Dora D Fdez-Agrafojo, INOF Center, Teknon Medical Center, Barcelona, Spain, Tel: 933933156; Email: Abstract Objective: To expose the diagnosis of an adult patient with vertical and unilateral divergent strabismus and to approach the surgical treatment in order to remove the symptoms of diplopia and signs of torticollis. Method: The measurement of the angle of deviation, the Lancaster test, the Bielchowsky test and the study of ocular motility, both in resolvingexamination the room deviation (versions) of both and directions in the surgery in only room one surgical (test of intervention.ductions), demonstrated the diagnosis: right eye hipertropia (HTR) and right eye exotropia (XTR). Surgical intervention was performed on the right upper rectus muscle and on the right inferior oblique muscle, with the aim of Results: The intervention was satisfactory for both the patient and the medical team, because we were minimized the signs and symptoms. After 4 months the residual deviation angle was minimal and allowed the ability of fusion. Conclusion: The diagnostic and treatment protocol performed in this case show the optimal resolution of the diplopia and torticollis that the patient suffered. Keywords: Strabismus; Torticollis; Diplopia; Lancaster test Introduction c. Refraction (cycloplegic) right eye = +1.50-0.50x170° We believe that, in some cases, in strabismus surgery there may be more than one option in the choice of surgical protocol, d. -
Management of Strabismus in Thyroid Eye Disease
Eye (2015) 29, 234–237 & 2015 Macmillan Publishers Limited All rights reserved 0950-222X/15 www.nature.com/eye CAMBRIDGE OPHTHALMOLOGICAL SYMPOSIUM Management of R Harrad strabismus in thyroid eye disease Abstract superior rectus.2 Involvement of extra-ocular muscles may be bilateral or unilateral. Thyroid eye disease is an auto-immune Sometimes only one muscle is affected. It is not condition characterised by an acute known why some muscles are more commonly inflammatory phase followed by a fibrotic involved than others. The inferior rectus is the phase, which sometimes leads to restricted bulkiest and most tonically-active extra-ocular eye movements and diplopia. Medical muscle; it may be that the degree of muscle treatment with systemic steroids with or activity and hence blood supply is a factor. without orbital radiotherapy and immunosuppression can control the inflammatory response. Strabismus surgery should be carried out only after the Clinical assessment and non-surgical inflammation is no longer active and after management any decompression surgery. Surgery The presence of lid-lag or lid retraction in an comprises recession of tight muscles using adult presenting with a recent onset of adjustable sutures so as to maximise the area strabismus is highly suggestive of TED. Thyroid of binocular single vision. There is debate as function tests are usually diagnostic, but a small to whether adjustable sutures should be used proportion of patients with TED have normal for the inferior rectus muscle. Patients should thyroid function tests. Patients with TED are be encouraged to have realistic expectations, assessed for disease severity and activity, and as binocular single vision may not be treatment in the form of immunosuppression is achievable in all directions of gaze and lid given depending on the degree of disease retraction may be made worse by surgery. -
Wiley-Blackwell Handbook of Infant Development Wiley- Blackwell Handbooks of Developmental Psychology
The Wiley-Blackwell Handbook of Infant Development Wiley- Blackwell Handbooks of Developmental Psychology This outstanding series of handbooks provides a cutting - edge overview of classic research, current research, and future trends in developmental psychology. • Each handbook draws together 25 – 30 newly commissioned chapters to provide a comprehensive overview of a subdiscipline of developmental psychology. • The international team of contributors to each handbook has been specially chosen for its expertise and knowledge of each fi eld. • Each handbook is introduced and contextualized by leading fi gures in the fi eld, lending coherence and authority to each volume. The Wiley - Blackwell Handbooks of Developmental Psychology will provide an invaluable overview for advanced students of developmental psychology and for researchers as an authoritative defi nition of their chosen fi eld. Published Blackwell Handbook of Childhood Social Development Edited by Peter K. Smith and Craig H. Hart Blackwell Handbook of Adolescence Edited by Gerald R. Adams and Michael D. Berzonsky The Science of Reading: A Handbook Edited by Margaret J. Snowling and Charles Hulme Blackwell Handbook of Early Childhood Development Edited by Kathleen McCartney and Deborah A. Phillips Blackwell Handbook of Language Development Edited by Erika Hoff and Marilyn Shatz Wiley - Blackwell Handbook of Childhood Cognitive Development, 2nd edition Edited by Usha Goswami Wiley - Blackwell Handbook of Infant Development, 2 nd edition Edited by J. Gavin Bremner and Theodore D. Wachs Forthcoming Blackwell Handbook of Developmental Psychology in Action Edited by Rudolph Schaffer and Kevin Durkin Wiley - Blackwell Handbook of Adulthood and Aging Edited by Susan Krauss Whitbourne and Martin Sliwinski Wiley - Blackwell Handbook of Childhood Social Development, 2nd edition Edited by Peter K.