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Assessing and treating achromatopsia

This literature review considers clinical characteristics (pendular nystagmus, poor visual acuity, lack of colour vision and marked photophobia), genetics (autosomal recessive disease, with CNGA3, CNGB3, GNAT2, PDE6C, PDE6H and ATF6 gene mutations), diagnostic options (OCT and fundus auto fluorescence), and...

Screening with PlusoptiX

This study compared the PlusoptiX A12 to a comprehensive ophthalmic investigation. This was a three-month study of 219 (438 eyes) subjects with a mean age of 72 months. The A12 referred 101 of 219 (46%) patients for potential amblyopia. Ophthalmic...

D-EYE device versus direct ophthalmoscope

D-EYE digital ophthalmoscope is a fundus camera device that attaches to a smartphone and is used in conjunction with a HIPAA-compliant app. The authors conducted a study in which 25 medical students examined the fundi of two undilated patients with...

One muscle surgery

This is a review of current literature on unilateral strabismus surgery for small to moderate angle esotropia, exotropia, residual and consecutive strabismus and convergence or divergence insufficiency. The review considers recession surgery for eso / exotropia of angles up to...

Medial rectus spontaneous reattachment after surgery

The authors report necropsy findings following free tenotomy of the medial rectus (MR) muscle in six postnatal monkeys. Bilateral MR tenotomy was performed producing alternating exotropia of 30-70 degrees with no adduction beyond primary position. Over follow-up, all showed reduction...

Congenital monocular strabismus fixus

The authors describe three cases of congenital monocular strabismus fixus with limited ocular motility in all directions. These were three boys aged two, two and 10 years. The right eye was affected in all with primary deviation angles of 30PD...

Smartphone use in screening

This prospective study aimed to determine the positive predictive value (PPV) of patients referred to a pediatric ophthalmic practice in Alaska. Young children were photoscreened with Gobiquity app on a Nokia model 1020 smartphone; 217 children were referred. Time from...

LASIK for myopia progression

The authors hypothesise that corneal reshaping with refractive surgery could have an effect on myopic progression similar to that of orthokeratology because it results in changes to the central cornea and not to the peripheral cornea. This was a retrospective...

Inferior oblique adherence syndrome

A case is reported of a 14-year-old with inferior oblique muscle adherence and fat adherence following unilateral inferior oblique (IO) anteriorisation. Following surgery, the patient developed consecutive esotropia, ptosis and marked limitation of laevoelevation. Forced duction test was positive for...

Healthcare insurance influence on surgical outcome

This study sought to determine whether outcomes for simple horizontal strabismus surgery differed for children with supported medical assistance (MA) compared to children with private healthcare insurance, with an assumption of lower socioeconomic status (SES) in the MA group. This...

Quality of life measurement in amblyopia

This study aimed to explore the psychometric properties of the CATQoL instrument and to determine the ability of it to measure the impact of amblyopia treatment from a child’s perspective. A total of 342 children were recruited with analysis presented...

Risk factors for surgical failure in nasolacrimal duct obstruction

This study considered possible associated patient anatomic or physiologic factors for initial surgical failure of nasolacrimal duct obstruction (NLDO). This was a retrospective study analysing risk factors for patients with successful initial surgery in comparison to patients requiring multiple surgeries....