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Dr. Laura Enyedi discusses congenital glaucomas, pediatric cataracts, ocular tumors and trauma.

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.

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

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.

Weekly case challenge

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

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

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.

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