• By Justin H. Arbuckle, MD; Jeffrey D. Colburn, MD; Derek T. Sprunger, MD
    There is no clear consensus on the optimal treatment of patients with nasolacrimal duct obstruction (NLDO) following failed nasolacrimal duct probing. Clinicians currently choose between repeat nasolacrimal duct probing, intubation of the nasolacrimal duct, balloon catheter…
    Current Insight
    By Ronald G.W. Teed, MD
    Duane retraction syndrome (DRS) is best thought of as a special type of ocular dysmotility caused by improper innervation, or dysinnervation, of one or more extraocular muscles. A classification scheme for DRS is established in the literature; however, variability of dysinne…
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    By Brian G. Mohney, MD; Sarah R. Hatt, DBO
    Intermittent exotropia is a common form of strabismus for which surgery is often performed when there appears to be evidence of poor control or loss of stereoacuity. But these indications are either poorly defined or have yet to be vigorously studied. This article discusses…
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    By Cintia F. Gomi, MD; David B. Granet, MD FACS FAAP FAAO
    How important are the eyes in reading and learning disabilities? This specific question is asked often by parents in pediatric ophthalmology practices. It is certainly true that the development of reading skills forms the basis for a strong education. It has been said that c…
    Current Insight
    By Michael F. Chiang, MD
    Retinopathy of prematurity (ROP) continues to be a leading cause of childhood blindness in the United States and throughout the world, despite major advances in diagnosis and treatment. The international classification of ROP has established a standardized system for describ…
    Current Insight
    By Helen Mintz-Hittner, MD
    IntroductionThe role of vascular endothelial growth factor (VEGF) in the pathogenesis of retinopathy of prematurity (ROP) has been well described, and destruction of the cellular elements that release VEGF in the peripheral retina has proven to be an effective treatment. Cur…
    Current Insight
    By David K. Wallace, MD, MPH
    In recent years, several studies have found an association between lower target oxygen saturation levels in the first few weeks of life and a reduction in the incidence of severe retinopathy of prematurity (ROP). As a result, many neonatal nurseries now routinely aim for oxy…
    Current Insight
    By Daniel E. Neely, MD
    Endoscopic cyclophotocoagulation (ECP) has become an invaluable tool in the management of pediatric glaucoma patients. This revolutionary technology permits the controlled destruction of ciliary body processes with minimal risk of inducing hypotony, the most feared and irrev…
    Current Insight
    By David A. Plager, MD
    Intraocular lens (IOL) implantation has become the standard of care for the optical rehabilitation of children with cataract from the toddler age group and up. The use of IOLs in the infant age group, however, remains controversial. Factors that make the use of IOLs less opt…
    Current Insight
    By Darius M. Moshfeghi, MD
    The twin financial disincentives of large malpractice awards and low reimbursement have precipitated a crisis for retinopathy of prematurity (ROP) screening in the United States. Talented individuals with the training necessary to monitor at-risk infants are leaving this fie…
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    By Douglas Fredrick, MD, FACS
    It is impossible to listen to AM radio or surf the Internet without coming across advertisements from companies promising to prevent or even reverse the progression of myopia. This is because the prevalence of myopia is increasing throughout the world, and myopia is occurrin…
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    By M. Edward Wilson Jr., MD; Rupal H. Trivedi, MD, MSCR
    In young children who undergo pediatric cataract surgery, visual axis opacification (VAO) is rapid and virtually inevitable if the posterior capsule is left intact.1-4 To prevent VAO, posterior capsulectomy and vitrectomy are recognized as essential surgical steps. The need…
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    By Michael T. Trese, MD
    In the experience of many seasoned ophthalmologists who have followed eyes afflicted with advanced retinopathy of prematurity (ROP), vitreous organization is believed to be a harbinger of bad news in the form of a tractional retinal detachment. Although the exact rate of pro…
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    By Evelyn A. Paysse, MD
    Anisometropia is a common cause of amblyopia and is traditionally treated with refractive correction combined with occlusion therapy or penalization. However, traditional therapy for severe anisometropia with or without associated amblyopia is frequently unsuccessful, and a…
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