Herpes simplex keratoconjunctivitis in the immediate postoperative period after strabismus surgery.

The authors describe the case of bilateral herpes simplex keratoconjunctivitis (HSK) following uncomplicated 7 mm bilateral lateral rectus recessions in a 3-year-old child. The recovery was initially unremarkable, and the standard postoperative drops of dexamethasone and chloramphenicol (non-preservative free) were prescribed. The child presented 8 days postoperatively with fever, right upper lid swelling and ptosis.

Multifocal choroiditis with panuveitis in an 8-year-old boy with long-standing idiopathic acute anterior uveitis.

Purpose: To report successful treatment of a rare case of sight-threatening pediatric multifocal choroiditis with panuveitis (MFCPU) and the use of electrophysiology to confirm return of macular function.

Methods: Case report.

Results: An 8-year-old boy with a history of bilateral recurrent non-juvenile idiopathic arthritis acute anterior uveitis (AAU) presented with new-onset blurry vision and floaters in both eyes.

Benign Recurrent Sixth (Abducens) Nerve Palsy following Measles-Mumps-Rubella Vaccination.

Benign, isolated, recurrent sixth nerve palsy is rare in children. It may be associated with febrile viral illness and vaccination in exceptional circumstances although this is a diagnosis of exclusion. Here, we present the case of a 2-year-old Caucasian girl who developed recurrent 6th nerve palsy following vaccination with the measles-mumps-rubella (MMR) vaccine.

Propranolol and periocular capillary hemangiomas: assessment of refractive effect.

Purpose: To assess the effects of systemic propranolol on refractive error in infants with periocular capillary hemangiomas.

Methods: A single-center study of consecutive patients with capillary hemangiomas treated with systemic propranolol. Refractive data were analyzed using Long's matrix formalism and the methods of Harris and Kaye.

Validity and ease of use of a computerized Hess chart.

Purpose: To investigate agreement between computerized and conventional methods for obtaining Hess charts and to compare relative ease of use of both methods.

Methods: Hess charts of 65 patients were obtained by the use of the computerized Assaf Ocular Motility Analyzer (OMA) and the conventional Lees screen method. The Hess charts produced by each method were compared with a previously described scoring system.

Horner's syndrome and sixth nerve paresis secondary to a petrous internal carotid artery aneurysm.

We describe a report of a child with a horner's syndrome and sixth nerve paresis secondary to a petrous internal carotid artery (ICA) aneurysm. Management of this condition involved coiling of the aneurysm and the use of botulinum toxin to manage his strabismus and associated symptoms.

Spontaneous resolution of stage 4B retinopathy of prematurity.

An unfavorable outcome occurs in 31% of cases of treated severe threshold retinopathy of prematurity (ROP) and includes a retinal detachment of the posterior pole. Early treatment with laser of high risk prethreshold or type 1 ROP has significantly reduced this complication. However, despite prompt laser treatment, retinal detachments continue to be seen.

Comparative evaluation of big-bubble deep anterior lamellar keratoplasty and penetrating keratoplasty in a case of macular corneal dystrophy.

Purpose: A case of a 54-year-old patient with macular corneal dystrophy who underwent a penetrating keratoplasty (PK) in the left eye and a deep anterior lamellar keratoplasty (DALK) in the right eye is described. The merits of PK versus DALK for visual rehabilitation in macular corneal dystrophy are discussed.

Methods: After deep lamellar dissection in the left eye, the remaining bed of residual stroma, Descemet membrane, and endothelium was unacceptably hazy and thus converted to PK.

Bilateral combined resection and recession of the medial rectus muscle for convergence excess esotropia.

Five patients with true convergence excess esotropia were surgically managed with combined resection and recession of the medial rectus muscles. This technique was chosen to address the near/distance angle disparity. The use of this surgical technique produced full asymptomatic binocular control at near and distance fixation in four patients.

Traumatic expulsive aniridia after phacoemulsification.

Blunt trauma is usually associated with severe ocular damage particularly in eyes following cataract surgery. Small, self-sealing incision cataract surgery is changing the pattern of presentation of such cases, with relatively favorable outcomes. We describe a case of blunt trauma following phacoemulsification leading to aniridia.