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The paediatric cataract: an overview of the embryology and pathophysiology

In the first of the two articles (see Part 2 here) on paediatric cataracts, Samuel Aryee reviews the aetiology of this condition. Cataracts arise from opacification of the natural transparent lens, which can cause partial or total blindness. Although the...

Incidence and clinical characteristics of paediatric keratitis

This is a retrospective, population-based study of a 10-year period from Mayo Clinic, USA between January 2000 and December 2009 of patients <19 years diagnosed with keratitis. Two-hundred and eight-five children were identified. An incidence of 78 per 100,000 and...

Issues relating to declining numbers of paediatric ophthalmologists

The authors consider the economic decline of paediatric ophthalmology with a discussion of declining interest among medical graduates and in paediatric ophthalmology fellow numbers. Consideration is given to workforce issues in relation to poor revenue and an increase in the...

Impact of COVID-19 pandemic on US paediatric ophthalmology

The authors designed and distributed a survey to assess the economic impact of the pandemic on US paediatric ophthalmologists over the sustained lockdown period of 18 months in 2020/21. They captured information on clinical and surgical revenue, staff hiring and...

You want to do paediatric ophthalmology? Seriously?

Completion of Core Training is approaching fast and you begin to wonder three things. One, where do you want to live? Two, is anyone going to be retiring there soon? Three, what subspecialty do you want to do? In an...

Sensorimotor outcomes following paediatric ocular trauma

A retrospective assessment of sensorimotor outcomes was conducted in paediatric patients after ocular trauma to evaluate potential predictors of poor outcome including time of treatment deprivation, Paediatric Ocular Trauma score (POTS) and patient characteristics. The review was from 2006-2020 and...

Guideline considerations for management of paediatric traumatic cataract

This study aimed to develop guidelines for preoperative decision-making and perioperative management of paediatric traumatic cataract patients. A 24-question survey was designed to assess surgeon background, preoperative planning and testing, surgical timing, intraoperative techniques and postoperative management. Anonymous responses were...

Suture versus sutureless paediatric cataract surgery

This was a prospective study comparing the outcomes, feasibility and safety of clear corneal cataract surgery with or without sutures in children with paediatric cataract. There were 85 eyes in each group (170 eyes of 110 patients). Each eye was...

Review of paediatric open globe injuries in the US

This study used the Nationwide Inpatient Sample (NIS) database to describe the trends in types, demographics and incidence of paediatric open globe injuries in the US. The NIS database covers about 97% of the US population and about 20% of...

Long-term corneal crosslinking results in paediatric eyes

This prospective longitudinal study examined patients 18 years of age or less with progressive keratoconus, who underwent corneal crosslinking and completed 10 years of follow-up. Crosslinking protocol involved removal of epithelium, 10 minutes of riboflavin soaking, followed by 30 minutes...

Secondary glaucoma post paediatric cataract surgery

This retrospective observational consecutive case series assessed the incidence and risk factors associated with developing glaucoma after paediatric cataract surgery with primary intraocular lens (IOL) implantation. They reviewed 136 children (199 eyes) who underwent paediatric cataract surgery before the age...

Ocular Trauma Scores in paediatric open globe injuries

This is a retrospective case series of 71 open globe injuries in children of less than 18 years of age, with a minimum follow-up period of one year, between 1 September 1992 to 31 July 2011, from the Eye Department...