The flipped-classroom approach to teaching horizontal strabismus in ophthalmology residency: a pilot study.

Purpose: To compare the flipped classroom (home pre-taped lectures followed by in-class group exercise) to the traditional classroom (home reading assignment followed by in-class lecture) for horizontal strabismus didactics in ophthalmology residency.

Methods: All PGY2-4 residents from four U.S.

Icare ONE Home Tonometry in Children With and Without Known Glaucoma.

Purpose: The Icare ONE (Finland Oy) rebound tonometer may have promise for home tonometry in children with glaucoma. The purpose of this study was: (1) to assess the feasibility of Icare ONE home tonometry in a small number of children with and without glaucoma and (2) to characterize diurnal intraocular pressure (IOP) variations in children with and without glaucoma.

Methods: Patients were recruited from Duke pediatric ophthalmology clinic.

Treatment of neuro-ophthalmic and orbitofacial manifestations of neurofibromatosis type 1.

Purpose Of Review: Optic pathway gliomas (OPGs) and orbitofacial plexiform neurofibromas are two of the more common ophthalmic manifestations of neurofibromatosis type 1. This article reviews recent advances in the treatment of these challenging lesions.

Recent Findings: Recent advances in the treatment of OPGs include chemotherapeutic, radiation-based, and surgical interventions.

Sildenafil for pediatric orbital lymphangioma.

Importance: Orbital lymphangiomas, congenital hamartomas of the lymphovascular tissue, are often associated with significant ocular complications and can be challenging to treat. To date, therapeutic approaches have demonstrated variable results and have significant ocular and systemic risks. We present 2 cases of pediatric orbital lymphangioma that responded to treatment with oral sildenafil.

Longitudinal reproducibility of optical coherence tomography measurements in children.

Purpose: To evaluate the longitudinal reproducibility of optical coherence tomography (OCT) measurements in normal and glaucomatous eyes of children.

Methods: In this 2-setting prospective study, OCT-3 was used to obtain fast retinal nerve fiber layer (RNFL) and macular thickness scans. In the first study setting, the normal eyes of healthy children were scanned on presentation, at 2 weeks, and 3 years, with axial length measured at the first and last examinations.

Icare ONE rebound versus Goldmann applanation tonometry in children with known or suspected glaucoma.

Purpose: To compare Icare ONE tonometry by clinic examiner and parent/guardian to Goldmann applanation in children with known/suspected glaucoma; to evaluate the trend in intraocular pressure (IOP) with 4 repeated measurements using Icare ONE; and to evaluate the feasibility of instructing parents on the use of the Icare ONE device in the clinic setting.

Design: Nonrandomized, prospective clinical study.

Methods: Patients with known or suspected glaucoma were recruited from the Duke pediatric glaucoma clinic.

Periodic unilateral eyelid retraction in a pediatric patient.

A healthy 11-year-old girl presented with right upper eyelid retraction since birth. An evaluation including thyroid function studies and neuroimaging was negative, and the patient was scheduled for a right levator recession to address the eyelid malposition. Intraoperatively, after the induction of inhalational general anesthesia, the patient displayed cyclic right upper eyelid retraction.