Journal of pediatric ophthalmology and strabismus
-
J Pediatr Ophthalmol Strabismus · Jan 2014
Case ReportsSuccessful treatment of macular retinoblastoma with superselective ophthalmic artery infusion of melphalan.
To report our experience with superselective ophthalmic artery infusion of melphalan (SOAIM) for macular retinoblastoma to obtain tumor control while preserving as much useful vision as possible. ⋯ SOAIM can be of value in the treatment of macular retinoblastoma. It may allow the salvage of the residual eyesight with a low rate of complications due to the local and systemic toxicity related to chemotherapy.
-
J Pediatr Ophthalmol Strabismus · May 2013
Comparative StudyIncidence of retinal hemorrhages in abusive head trauma.
To evaluate whether a relationship exists between the presence of retinal hemorrhages and confessions and/or identified perpetrators in cases of abusive head trauma. ⋯ The incidence of retinal hemorrhages in abusive head trauma for identified perpetrators, regardless of a confession, is similar. However, there is a statistically significant decrease in the incidence of retinal hemorrhages in abusive head trauma when comparing identified perpetrators to non-identified perpetrators. This decreased incidence of retinal hemorrhages was statistically correlated to a lower incidence of acute presentation in victims of abusive head trauma without an identified perpetrator.[J Pediatr Ophthalmol Strabismus 2013;50(3):169-172.].
-
J Pediatr Ophthalmol Strabismus · May 2013
Randomized Controlled Trial Comparative StudyClonidine premedication versus placebo: effects on postoperative agitation and recovery time in children undergoing strabismus surgery.
Postoperative agitation is common in adults and children following the use of several anesthetics, particularly inhalation anesthetics. This behavior has detrimental effects both physically for the patient following the procedure and psychologically for the parent or guardian. The authors propose that clonidine, an alpha-2 agonist, would provide a reduction in children's postoperative agitation and, in turn, improve parent satisfaction in children undergoing strabismus surgery. ⋯ Children receiving clonidine prior to undergoing strabismus surgery have a small but noticeable reduction in postoperative agitation, stay slightly longer in the post-anesthesia care unit, and have higher rates of parent satisfaction.
-
J Pediatr Ophthalmol Strabismus · Mar 2012
Case ReportsTwo-dose exposure of intra-arterial chemotherapy for group D retinoblastoma.
The authors present a case of group D unilateral sporadic retinoblastoma treated with only two intra-arterial chemotherapy cycles using melphalan, which resulted in tumor regression, resolution of subretinal fluid, and, most importantly, salvage of the life, and the eye.