Pediatrics Strabismus News

Propranolol treatment significantly reduced refractive error and anisometropia in infants with periocular capillary hemangiomas, according to study findings.

Smartphone use was associated with an increased risk of dry eye disease in children, according to a study.

Controlled oxygen administration and improved neonatal care reduced the incidence of severe retinopathy of prematurity and mortality in very low birth weight infants, according to a study. The retrospective study included 1,359 very low birth weight infants treated at one center in Italy from 1999 to 2004 (first group, 545 patients) and 2005 to 2012 (second group, 814 patients). Mean gestational age, birth weight and hospital stay were similar in both groups.

Case No. 1: Mr. Smith is a 50-year-old man who presents to the adult motility clinic with the complaint of new-onset horizontal binocular double vision. On exam, he has an esotropia that increases in left gaze and resolves in right gaze. He also has abduction deficit on the left side.

ORLANDO, Fla. — In a study involving 946 young adults, researchers found that increasing serum concentration of vitamin D was associated with a decreasing prevalence of myopia and that a higher vitamin D status decreased the risk of myopia.

This issue of Ocular Surgery News features the varied opinions of OSN Pediatrics/Strabismus board members convened in a round table format at the American Association for Pediatric Ophthalmology and Strabismus annual meeting. Led by Section Editor Robert S. Gold, MD, the participants agreed — and did not — on patient selection, patching protocols and timing of surgical correction for intermittent exotropia. As well, the panel opined their institution protocols for preventing epidemic keratoconjunctivitis infection in the neonatal intensive care unit, particularly for physicians conducting retinopathy of prematurity screening.

Exotropia occurs in about 1% of the population. The most common form is intermittent exotropia, representing more than 75% of cases. Most of us have a small exophoria, and when fusion is broken, this can manifest as an exotropia with temporary diplopia. It can be induced at will, and it also occurs in many under the influence of alcohol or other sedatives.

Three-muscle surgery yielded good short- and medium-term outcomes in patients with large-angle infantile esotropia, according to a study. The retrospective study included 18 patients with large-angle infantile esotropia who underwent bilateral medial rectus muscle recession and one lateral muscle resection. Median patient age was 22 months. Patients had onset of esotropia earlier than 6 months of age, 5/10 or better visual acuity or ability to fixate in each eye, no previous ocular muscle surgery, no neurological abnormalities or developmental delay, no organic ocular disease and preoperative esotropia of at least 55 ∆D at distance with spectacles.

Prevalence of color vision deficiency was greater among non-Hispanic white boys than among other ethnic groups of preschool-aged children, according to a Southern California-based study. Black children were least affected. Of the children aged 30 months to 72 months in the Multi-Ethnic Pediatric Eye Disease Study, a population-based, cross-sectional study, 4,177 completed color vision testing: 1,265 were black, 812 were Asian, 1,280 were Hispanic and 820 were non-Hispanic white.

Data are accumulating regarding the ocular benefit of select foods and nutritional supplements on disorders such as cataract, dry eye and macular degeneration, but research results vary, and more than just the eye is affected by nutrition.