Anterior segment ischemia (ASI) can occur following strabismus surgery on multiple muscles. Procedures such as modified Nishida procedure (MNP) have been developed to reduce the risk of ASI. We report the case of a 68-year-old patient presenting with traumatic bilateral abducens nerve palsies who required surgical intervention.
View Article and Find Full Text PDFJ Pediatr Ophthalmol Strabismus
August 2020
Large angle sensory strabismus in the form of esotropia and exotropia often calls for bilateral surgery to correct the primary angle deviation. However, considering patients' reluctance to have surgery on the good eye, such large deviations may be managed with true muscle transplantation. The authors present a case series of four patients with large angle esotropia and exotropia who underwent unilateral true muscle transplantation as a single-stage procedure.
View Article and Find Full Text PDFButton batteries are commonly used in many household electronic items and are a potential health hazard, especially in children. We present the case of a 2-year-old girl presented with swelling and redness of her right eye of 3 hours' duration. Examination revealed a button battery that had became lodged in the superior fornix of her right eye.
View Article and Find Full Text PDFWhen fluorescein angioscopy or angiography is required in an infant, it is usually performed in the operating theater or neonatal unit. We report a case of an infant with incontinentia pigmenti in whom we were able to acquire angiographic information in an office setting by using an ultra-widefield non-contact system with oral fluorescein.
View Article and Find Full Text PDFTissue glues are commonly used in emergency departments to treat straight-edged lacerations and are advocated for use on the face or head. Although application is relatively quick and easy, this can potentially lead to inadvertent eyelid involvement, with potential medicolegal implications. We present 2 cases of such eyelid gluing with tissue glue after it was used on children for closure of supraorbital lacerations.
View Article and Find Full Text PDFPlast Reconstr Surg
April 2007
Background: At Great Ormond Street Hospital for Children, patients with periocular hemangiomas are assessed in a multidisciplinary team setting using a protocol developed in 1999. As part of this protocol, surgery is indicated for lesions that continue to cause amblyopia despite treatment with systemic or intralesional steroids or both. Surgery is performed by one of the authors (D.
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