Does atropine use increase intraocular pressure in myopic children?

Purpose: Because pupillary dilation caused by muscarinic antagonists is a predisposing factor for glaucoma, we examined the effects of long-term atropine treatment for myopia on intraocular pressure (IOP) and studied the risk factors of elevated IOP among myopic children.

Methods: A retrospective chart review was conducted in 621 myopic children (aged 6 to 15 years) whose spherical equivalent refractive error ranged from -1.00 to -6.

Quantitative optical coherence tomography findings in a 4-year-old boy with typical morning glory disk anomaly.

Morning glory disk anomaly (MGDA) is a congenital malformation of the optic disk that is usually unilateral. It has characteristic fundus findings, including enlarged optic disk opening and funnel-shaped excavation of the peripapillary fundus. Optical coherence tomography (OCT) with micrometer resolution and cross-sectional imaging capabilities can provide detailed information about the structure of the living eye.

Magnetic resonance imaging demonstrates neuropathology in congenital inferior division oculomotor palsy.

Isolated inferior division oculomotor nerve palsy (ONP) is rare. Acquired cases have been associated with neurologic or systemic disease. To our knowledge, congenital inferior division ONP is previously unreported.

Severe strabismus after scleral buckling: multiple mechanisms revealed by high-resolution magnetic resonance imaging.

Purpose: Strabismus occurring after scleral buckling for retinal detachment typically is attributed to scarring, but this is not the only mechanism. We investigated use of magnetic resonance imaging (MRI) to identify a spectrum of mechanisms of strabismus occurring after scleral buckling.

Design: Prospective, noncomparative, observational case series in an academic referral setting.