Synergistic divergence: a distinct ocular motility dysinnervation pattern.

Purpose: To summarize the clinical, neuroradiologic, and genetic observations in a group of patients with unilateral synergistic divergence (SD).

Methods: Five unrelated patients with unilateral SD underwent ophthalmic and orthoptic examinations; three of them also had magnetic resonance imaging of the brain and orbits. Three patients underwent genetic evaluation of genes known to affect ocular motility: KIF21A, PHOX2A, HOXA1, and ROBO3.

Gauze retrieval of probes in pediatric nasolacrimal intubation.

The authors describe a novel technique that facilitates retrieval of lacrimal probes from the nasal fossa during silicone intubation of the lacrimal drainage system in children. Gauze preplaced in the nasal fossa is used to retrieve the lacrimal intubation probes with no need for visual or mechanical identification of the probe intranasally.

Scleral thinning after transcleral diode laser cycloablation.

Background And Objective: To highlight the occurrence of scleral thinning after transcleral diode laser cycloablation therapy.

Patients And Methods: A retrospective chart review was done of consecutive patients from the glaucoma and pediatric ophthalmology clinics of a tertiary eye care center in whom the presence of scleral thinning was noted after transcleral diode laser cycloablation therapy.

Results: Eleven eyes of 9 patients with various types of glaucoma (traumatic, congenital, juvenile, steroid induced, uveitic, and secondary angle closure) were found to have scleral thinning after undergoing transcleral diode laser cycloablation therapy for refractory glaucoma.