Browse All - American Academy of Ophthalmology

Complicated Retinal Detachment Repair In a Pediatric Patient with Ehlers-Danlos Syndrome and Severe Scleromalacia

Mar 10, 2020

We present a case of an 8-year-old child with Ehlers-Danlos Syndrome and a chronic inferior retinal detachment that was repaired with vitrectomy. The patient had a history of prior surgery in that eye related to trauma at the age of 3 and was aphakic. There was severe nasal scleromalacia likely related to his underlying connective tissue disorder and the prior trauma/surgery. A 23-G vitrectomy setup was initiated. There was continuous leakage around the nasal cannula and it failed to remain in position. The sclerotomy then enlarged significantly and caused transient hypotony with additional complications, including choroidal effusions, hyphema, and a large subretinal hemorrhage, that were managed.

Clinical Video

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Views 84

Corneal Topography in Children

Mar 21, 2019

This video discusses 3 main fields for applying corneal topography in the pediatric age group.

Presentations and Lectures Video

Comments 0
Views 249

Managing Orbital Trauma in Pediatric Patients

Dec 10, 2018

In this AAO 2018 interview, Dr. Vikram Durairaj describes how he manages orbital fractures, specifically in pediatric patients.

Interview

Comments 0
Views 350

Differing characteristics of retinal hemorrhage due to abuse versus vaginal delivery

Jun 05, 2018

This study retrospectively compared retinal hemorrhages (RHs) in infants who experienced abusive head trauma (AHT) versus infants who had normal vaginal deliveries (NVD).

Editors' Choice

Comments 0
Views 712

Strabismus Following Extraocular Muscle Trauma

May 31, 2018

Trauma to the extraocular muscles will often result directly in specific ocular motility disorders that can pose a real challenge for treatment. Recent advances in orbital imaging, surgical techniques, and new information on different trauma mechanisms have improved the outcome of these complex cases.

Disease Review

Comments 0
Views 6085

Diagnose This: Trauma-induced bilateral superior oblique paresis

Mar 05, 2018

Weekly case challenge

Diagnose This

Comments 0
Views 238

Diagnose This: Bilateral fourth cranial nerve palsy

Aug 28, 2017

Weekly case challenge

Diagnose This

Comments 0
Views 413

A Better E-Nuclear Weapon: A Novel Use of the Tonsil Snare

Aug 21, 2016

This presentation explains the pros and cons of enucleation using a tonsil snare.

Presentations and Lectures Video

Comments 0
Views 94

Vision Deficits in Adolescents Post-Concussion

Jun 27, 2016

In this interview from ARVO 2016, Jameel Kanji, OD, MSc, discusses his study on vision deficits in adolescents who suffered concussion.

Interview

Comments 0
Views 87

Trauma: Posterior Segment Injuries

Nov 04, 2015

Topics include commotio retinae and RPE contusion, traumatic macular hole, choroidal rupture, vitreous hemorrhages, traumatic retinal detachment, and nonaccidental trauma.

Disease Review

Comments 0
Views 2062

Trauma: Visual Rehabilitation

Nov 04, 2015

Management after ocular trauma in children is often challenging due to difficulty in assessment, extensive postoperative inflammation, and occlusion amblyopia.

Disease Review

Comments 0
Views 203

Trauma: Introduction

Nov 04, 2015

Children are particularly susceptible to eye trauma; 52% of all eye trauma affects pediatric patients and trauma is the leading cause of monocular blindness in children.

Disease Review

Comments 0
Views 834

Trauma: Closed-Globe Injuries

Nov 04, 2015

Lesions of the eyelids and ocular adnexa are a frequent manifestation of facial trauma, especially in children. Specifically, canalicular lacerations are more often found in children than adults.

Disease Review

Comments 0
Views 3754

Trauma: Anterior Segment Injuries

Nov 04, 2015

Corneal abrasions are a very common presentation to the outpatient primary care and emergency room physician. Though some differences exist, management is similar to the adult algorithm.

Disease Review

Comments 0
Views 3079

Abusive Head Trauma/Shaken Baby Syndrome - 2015

Mar 11, 2015

A description of Shaken Baby Syndrome to help the ophthalmologist diagnose and identify ocular manifestations.

Clinical Statement

Comments 0
Views 1912

Diagnose This: Orbital floor fracture

Dec 08, 2014

Weekly case challenge

Diagnose This

Comments 0
Views 143

Severe retinal hemorrhage from abuse can occur without severe brain injury

Apr 07, 2014

This study found that during inflicted head injury in children younger than age 3, a type of trauma occurs causing additional hypoxic-ischemic brain injury and severe retinal hemorrhages but not necessarily causing more severe traumatic intracranial injuries.

Editors' Choice

Comments 0
Views 132

Retinal hemorrhages uncommon in children without abusive head trauma

Jan 17, 2014

This prospective study found that retinal hemorrhages were present in 15 percent of critically ill children admitted to a pediatric intensive care unit who were older than six weeks and hadn’t undergone penetrating eye injury or suspected or proven abusive head trauma.

Editors' Choice

Comments 0
Views 867

Diagnose This: Infant develops exotropia after seizure-inducing fall down stairs

Mar 11, 2013

Weekly case challenge

Diagnose This

Comments 0
Views 74

Diagnose This: Infant referred for absence of red reflex in one eye

Dec 17, 2012

Weekly case challenge

Diagnose This

Comments 0
Views 50

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