RESUMO
Amblyopia is the most common cause of preventable visual impairment in children and occurs as a result of unilateral or bilateral impairment in best-corrected visual acuity. Early diagnosis and proper treatment are crucial to prevent poor visual outcomes in adulthood. Advances in technology have provided more objective diagnostic tools, which can now be used by a wide range of healthcare providers. Here, we highlight tools that have gained popularity in the past two decades and compare clinically relevant parameters to guide primary care providers seeking to incorporate instrumental vision screening in pediatric patient care.
Assuntos
Ambliopia , Seleção Visual , Adulto , Ambliopia/diagnóstico , Criança , Humanos , TecnologiaRESUMO
YouTube.com is a popular, free video platform that parents are increasingly using for medical information. This analysis of pediatric strabismus surgery videos found that many videos lack useful information, and some provide disinformation that may be harmful to pediatric eye care.
Assuntos
Estrabismo , Criança , Humanos , Pais , Mídias Sociais , Gravação em VídeoAssuntos
Neoplasias Palpebrais/tratamento farmacológico , Hemangioma Capilar/tratamento farmacológico , Administração Oral , Antagonistas Adrenérgicos beta/uso terapêutico , Neoplasias Palpebrais/patologia , Feminino , Glucocorticoides/uso terapêutico , Hemangioma Capilar/patologia , Humanos , Lactente , Injeções Intralesionais , Entrevistas como Assunto , Equipe de Assistência ao Paciente , Propranolol/uso terapêuticoRESUMO
Sphenoid sinus mucoceles (SSMs) are rare, benign lesions that can expand, often presenting with ocular symptoms-decreased vision, diplopia, visual field defects, proptosis, and external ophthalmoplegia. Reported cases are few, visual compromise varies, and factors affecting visual prognosis are poorly characterized. We investigate whether prompt surgical intervention (within 2 weeks of visual symptom onset) affects best-corrected visual acuity (BCVA) regained in patients with vision loss secondary to compressive SSM. We present a retrospective review of three cases and published literature to date. Our primary outcome was BCVA regained after surgical intervention; secondary outcomes included change in visual field defect and ophthalmological symptoms other than vision loss. Our three cases of SSM varied in onset, ranging from several hours to several months with patients aged from 13 to 80 years. All patients had severe vision loss to light perception (LP) or worse. Rapid neuro-imaging and urgent surgical intervention improved vision to count fingers at best. Of the two patients who underwent prompt decompression, one improved from no LP to LP and the other did not recover any vision. The patient who had visual loss for 3 months before intervention improved from LP to 20/400. Findings from our literature search, which yielded 12 cases of urgent intervention, supported the variability in visual prognosis despite prompt surgical intervention. SSMs are rare, pathologically benign lesions which can expand to cause ocular involvement. Prompt diagnosis and surgical decompression are recommended, but visual recovery may be limited even with urgent intervention.
