Pulsed mode versus near-continuous mode delivery of diode laser photocoagulation for high-risk retinopathy of prematurity.

Objective: To compare structural and functional outcomes and efficiency of diode laser photocoagulation for retinopathy of prematurity (ROP) when delivered in a pulsed mode versus a near-continuous mode.

Methods: A retrospective study was conducted of 138 patients who underwent diode laser photocoagulation for threshold ROP using either pulsed or near-continuous delivery. Laser-related complications and structural and functional outcomes were analyzed.

Involution of retinopathy of prematurity after laser treatment: factors associated with development of retinal detachment.

Purpose: To identify specific features during the process of involution of retinopathy of prematurity after treatment at threshold that are associated with development of a retinal detachment.

Design: Retrospective case series.

Methods: The evolution of retinal detachments over time was analyzed retrospectively in 262 treated eyes of 138 infants.

Corneal thickness in children.

Objective: To determine normal central and paracentral corneal thickness measurements in the pediatric population and to determine if these measurements are consistent across different pediatric age groups and different racial groups.

Design: Prospective observational case series.

Methods: Pachymetry measurements were performed on 198 eyes of 108 children.

Involution of threshold retinopathy of prematurity after diode laser photocoagulation.

Objective: To characterize the process of involution of threshold retinopathy of prematurity after transpupillary diode laser photocoagulation.

Design: Retrospective case series.

Participants: Neonates with threshold retinopathy who underwent diode laser photocoagulation of the peripheral avascular retina.

Successful implementation of a protocol for photorefractive keratectomy in children requiring anesthesia.

Purpose: To describe a protocol for treating children with photorefractive keratectomy (PRK) under general anesthesia and to review intraoperative and postoperative complications.

Setting: Institutional academic practice.

Methods: Nine patients between 3 years and 9 years of age were treated with PRK under general anesthesia for anisometropia with unilateral high myopia or high hyperopia and amblyopia of the affected eye.

Nasolacrimal outflow drainage anomalies in Down's syndrome.

Purpose: To describe structural abnormalities of the lacrimal drainage system and outcomes after treatment for lacrimal outflow obstruction in children with Down's syndrome.

Design: Retrospective comparative interventional case series.

Participants: Thirty-eight eyes of 22 consecutive Down's syndrome patients who underwent surgical treatment for nasolacrimal drainage obstruction (mean age, 32 months) and 59 eyes of 44 non-Down's syndrome patients who underwent surgical treatment after 2 years of age.

SubTenon's infusion of steroids for treatment of orbital hemangiomas.

Purpose: To introduce an alternate technique for the treatment of infantile orbital hemangiomas.

Design: Non-comparative case series.

Participants: Seven consecutive children with orbital hemangiomas.

Epithelial healing and ocular discomfort after photorefractive keratectomy in children.

Objective: To document the rate of healing of the corneal epithelial defect created by photorefractive keratectomy (PRK) and the degree of discomfort experienced by children treated with PRK.

Setting: Baylor College of Medicine, Texas Children's Hospital, Houston, Texas, USA.

Methods: Ten patients between 3 and 10 years of age were treated with PRK for severe anisometropia.

Up-slanting palpebral fissures and oblique astigmatism associated with A-pattern strabismus and overdepression in adduction in spina bifida.

Purpose: To describe the spectrum of adnexal and ophthalmologic features in spina bifida.

Methods: A retrospective review of the medical records of 73 patients was conducted. Data concerning ocular motility, palpebral fissure orientation, presence and axis of astigmatism, visual acuity, amblyopia, and stereopsis were analyzed.

Acquired cataracts after diode laser photocoagulation for threshold retinopathy of prematurity.

Purpose: To report the incidence of acquired cataract after diode laser photocoagulation for threshold retinopathy of prematurity at our institution.

Design: Retrospective, noncomparative, interventional case series.

Participants: One hundred fifty-three infants (293 eyes) with threshold retinopathy of prematurity.

Use of augmented rectus muscle transposition surgery for complex strabismus.

Purpose: Full tendon rectus muscle transposition surgery augmented with posterior fixation sutures has been shown to be effective in the treatment of abducens palsy and Duane's syndrome. The purpose of this study is to summarize our experience with the use of this procedure and a three fourths partial tendon transposition modification of this procedure for a variety of complex vertical and horizontal paralytic eye movement disorders.

Design: Retrospective noncomparative interventional consecutive case series.

Surgical management of the lens and retrolenticular fibrotic membranes associated with persistent fetal vasculature.

Purpose: To evaluate a surgical technique that allows safe, effective, near-total removal of retrolenticular fibrotic membranes in eyes with persistent fetal vasculature syndrome (PFVS).

Setting: Pediatric ophthalmologist's academic practice.

Methods: This retrospective review comprised 5 children (6 eyes) who had excision of a retrolenticular fibrovascular membrane during cataract surgery over a 6-month period.

Spontaneous intracranial hypotension with unique strabismus due to third and fourth cranial neuropathies.

Purpose: To report an atypical case of Spontaneous Intracranial Hypotension (SIH) with bilateral trochlear nerve palsies and an oculomotor nerve palsy.

Design & Method: Case report and literature review. RESULTS (CASE REPORT): A 42 year old man was treated for SIH.