Publications by authors named "Michael Langue"
Synergistic divergence, sometimes identified as type IV Duane syndrome, belongs to a group of congenital disorders characterized by aberrant extraocular muscle innervation. In synergistic divergence, there is paradoxical abduction of both eyes on attempted gaze to one side. There is no consensus on surgical management of this rare disorder.
View Article and Find Full Text PDFPilot Study Assessing the Effect of Exam Room Length on the Measurement of Strabismus.
J Binocul Vis Ocul Motil
July 2024
Purpose: Our study aims to investigate the effect of decreasing distance from the patient to the fixation target on the measurement of strabismus with a known distance-near disparity.
Methods: Strabismus measurements were taken by one pediatric ophthalmologist at our standard distance of 18 feet and compared to those taken at 16, 14, 12, and 10 feet from the fixation target. A clinically meaningful difference was defined as >2.
A child with unilateral abducens nerve palsy and neurovascular compression in Chiari malformation type 1 resolved with posterior fossa decompression: illustrative case.
J Neurosurg Case Lessons
May 2024
Article Synopsis
- * A 3-year-old boy showed signs of a left CN VI palsy without other neurological problems, and imaging revealed CM1 and a nearby AICA vessel loop affecting the nerve.
- * The child underwent posterior fossa decompression surgery to relieve potential nerve compression, leading to complete resolution of his symptoms post-operatively.
We introduce a portable retinoscopy device designed to allow simultaneous views of the retinoscope's reflex. With built-in Wi-Fi, it allows for viewing from any phone, tablet, or computer. The device easily attaches to a Welch Allyn retinoscope and could facilitate the teaching of retinoscopy for students, ophthalmic technicians, residents, and physicians.
View Article and Find Full Text PDFBackground: The Pediatric Examination Assessment Rubric (PEAR) toolkit consists of an examination sheet and rubric designed to assess ophthalmology residents' performance on the pediatric eye examination. The purpose of this study was to evaluate the reliability of the PEAR toolkit.
Methods: Six ophthalmology residents (2 PGY-2, 4 PGY-3) at a single ACGME-accredited US program participated in 11 video-recorded pediatric ophthalmology patient encounters.
Purpose: To report the results of bilateral lateral rectus muscle recession for recurrent exotropia in cases where the primary surgery was a bilateral medial rectus resection.
Methods: Retrospective chart review of 15 subjects who completed 6 months of follow-up. Data collected included patients' demographics and pre- and post-operative measurements of ocular alignment and motility.
Article Synopsis
- The study aimed to assess the safety of collecting vitreous samples in an office setting and to analyze these samples using a multiplex cytokine approach.
- A total of 59 sampling attempts were made, yielding sufficient fluid without any major complications, although 3% of patients experienced posterior vitreous detachments.
- Results showed that certain cytokine levels were significantly higher in patients with proliferative diabetic retinopathy compared to those with diabetic macular edema and controls, indicating that office-based vitreous sampling is a safe and valuable method for understanding vitreoretinal diseases.