Anchor Center for Blind Children’s Post

Glad to share our latest systematic review titled: Pediatric and Adolescent Traumatic Macular Hole: A Systematic Review The optimal management of pediatric traumatic macular holes (TMH) is unclear from lack of prospective randomized trials. The literature is divided into early (≤1month post-trauma), delayed (>1 month) pars plana vitrectomy (PPV), and observation. To the best of our knowledge, our study is the first systematic review to analyze the anatomic and visual outcome in pediatric TMH. Current surgical intervention yields fast closure of TMH with consequent visual improvement. Clinicians may opt for surgery or adopt a close observation approach using periodic weekly OCT imaging to detect the presence of OCT biomarkers of healing.

Did you know? A new study, “Prevalence of Glaucoma Among U.S. Adults in 2022” was just published in JAMA Ophthalmology! Researchers from NORC at the University of Chicago, the Institute for Health Metrics and Evaluation at the University of Washington (Seattle), The Department of Ophthalmology and Visual Sciences, University of Michigan, and the Institute for Social Research, University of Michigan, Glaucoma Center of Excellence, Massachusetts Eye and Ear and the Centers for Disease Control and Prevention’s Vision Health Initiative authored the study. More details at: Prevalence of Glaucoma Among U.S. Adults Is Higher Than Previously Estimated, New Study Finds - Vision Monday Magazine https://lnkd.in/dt3kBPuX

Sociodemographic and clinical variables may play a role in amblyopia resolution disparities among children with the disorder, according to a single-center investigation published in Ophthalmology (American Academy of Ophthalmology). Identifying these factors and enabling early access to vision screenings may help to mitigate these disparities and improve amblyopia outcomes for all children, the report suggests. Read here: https://bit.ly/4dzHF5E #SociodemographicFactors #ClinicalVariables #Amblyopia #EyeHealth #VisionScreening #AmblyopiaResolutionDisparities #Optometry #EyeCare

Ophthopedia Update:Continuous Wave Transscleral Cyclophotocoagulation and Endoscopic Cyclophotocoagulation in Childhood Glaucoma: A Meta-Analysis: Précis: Transscleral cyclophotocoagulation (TS-CPC) and endoscopic cyclophotocoagulation (ECP) were effective in reducing intraocular pressure (IOP) and glaucoma medications in childhood glaucoma. Objective: To report the outcomes of continuous wave TS-CPC and ECP in childhood glaucoma. Materials and Methods: We performed a systematic search of relevant databases. We collected data on age, follow-up duration, type of glaucoma, previous surgical interventions, preoperative and postoperative IOP, preoperative and postoperative number of glaucoma medications, adverse events, number of sessions, and success rates at different time points. The main outcome measures are the amount of IOP and glaucoma medication reduction. Results: We included 17 studies studying 526 patients (658 eyes); 11 evaluated the effectiveness of TS-CPC (268 patients, 337 eyes), 5 evaluated ECP (159 patients, 197 eyes), and one study compared both techniques (56 patients, 72 eyes for TS-CPC vs 43 patients, 52 eyes for ECP). The median duration of follow-up was 28 months in the TS-CPC group and 34.4 months in the ECP group. The mean number of treatment sessions was 1.7 in the TS-CPC and 1.3 in the ECP. In the TS-CPC group, the mean IOP was significantly reduced from 31.2 ± 8 to 20.8 ± 8 mm Hg at the last follow-up (P < 0.001). The mean number of glaucoma medications was reduced from 2.3 ± 1.3 to 2.2 ± 1.3 (P = 0.37). In the ECP group, there was also a significant reduction in the mean IOP from 32.9 ± 8 mm Hg with a mean of 1.7 ± 0.7 glaucoma medications to 22.6 ± 9.8 mm Hg (P < 0.0001) on 1.2 ± 1.1 medications (P = 0.009) at the last follow-up. Conclusion: Both TS-CPC and ECP were effective in reducing the IOP and glaucoma medications in childhood glaucoma. Multiple treatment sessions were required. #Ophthalmology #Eye #Ophthotwitter

The recent updates to cornea Preferred Practice Pattern (PPP) guidelines bring notable changes for ophthalmologists, especially concerning pediatric patients with corneal diseases. Ophthalmology Times conducted a Q&A interview with Daniel S. Choi, MD, a member of the Cornea/External Disease Panel of the PPP Committee, to discuss key revisions, including the acknowledgment of dry eye syndrome in younger patients, risks of microbial keratitis linked to orthokeratology, and recommendations for monitoring rapid progression of keratoconus in patients younger than 18 years. In this discussion, Choi highlights the importance of these evidence-based guidelines, revised every 5 years, and their role in guiding clinical practice, although they do not establish strict standards of care. Read More: https://ow.ly/1JiC50UbIPG

Shaping the Priorities for Clinical Eye Research in the UK 👁️ 🌟   Professor Faruque Ghanchi, Consultant Ophthalmologist at Bradford Teaching Hospitals NHS Foundation Trust, has made a significant contribution to the recently published article, "The UK Clinical Eye Research Strategy: Refreshing Research Priorities for Clinical Eye Research in the UK."   Its results have identified the most important research questions across different eye specialist areas, ranging from vision problems in young children to age-related eye diseases like macular degeneration. This helps lay the groundwork for targeted research proposals to address those key questions.   🔗 Check out the full article: https://lnkd.in/grCW9tCF   🔗 Read more about our Ophthalmology research here: https://lnkd.in/eu4ymkUS

Sociodemographic and clinical variables may play a role in amblyopia resolution disparities among children with the disorder, according to a single-center investigation published in Ophthalmology (American Academy of Ophthalmology). Identifying these factors and enabling early access to vision screenings may help to mitigate these disparities and improve amblyopia outcomes for all children, the report suggests. Read here: https://bit.ly/4dzHF5E #SociodemographicFactors #ClinicalVariables #Amblyopia #EyeHealth #VisionScreening #AmblyopiaResolutionDisparities #Optometry #EyeCare

On May 28, PhD candidate Jacqueline ter Stege defended her thesis on an online patient decision aid for women with breast cancer who are considering immediate breast reconstruction. The tool offers support during decision-making under time pressure during a difficult time. Jacqueline and her promotor Eveline Bleiker explain: “Thanks to our tool, women feel more informed when talking to the plastic surgeon.” The online patient decision aid has been available for a few years now. “Initially it was an idea from Australia that we brought to the Netherlands,” Jacqueline explains. “It wasn’t just a matter of translating texts: everything has been developed and tested exclusively for the Dutch situation. Of course we have flyers available, and the internet provides plenty of information, but it’s useful to offer one reliable source containing information about their decision, options, and experiences from other patients.” Because, Jacqueline explains, there usually are decisions to be made. “Women can often choose between an immediate breast reconstruction or opt-out. Women who don’t have a reconstruction done, can have one done later, after their treatment. There are plenty of reconstructive options nowadays, all with their own pros and cons that have a different impact on everyone’s life.” Read more about the way this patient decision aid can help patients, and future research on this topic ➡️ https://bit.ly/3R6C0eS

📢 Excited to Share Our Latest Publication! 🎉 I am thrilled to announce the publication of our recent article 📝 Title: Alternative Way to Make Good Memories Out of Bad Ones: Piercing Placement During Surgery in Children with Cancer 📚 Journal: Pediatric Blood & Cancer 🌟 What It’s About: In our study, we proposed a novel approach to reduce surgical anxiety and turn a challenging experience into a positive memory for children with cancer. By offering the option to have piercings (such as ear or umbilical piercings) placed during surgery under anesthesia, we aimed to involve children in decisions about their bodies and boost their post-surgical morale. 👩⚕️ Why It Matters: • Enhances the patient experience by alleviating fear and anxiety. • Promotes self-esteem and positive dialogue in the postoperative period. • Opens new avenues for integrating esthetic and psychological support into pediatric surgical care. We believe this simple yet impactful intervention has the potential to reshape how we approach pediatric oncology care. Future studies will help evaluate its broader implications. 💬 I would love to hear your thoughts or experiences with similar initiatives! Let’s continue to innovate and improve the care we provide to our pediatric patients. Burak Ardiçli

Patients with glaucoma experience more severe decreases in their quality of life (QOL) and worse fear of falling (FOF) as time goes on, according to research published in Ophthalmology Glaucoma (American Academy of Ophthalmology, American Glaucoma Society). Read more: https://bit.ly/3YeelgC #Glaucoma #QualityOfLife #FearOfFalling #Ophthalmology #EyeCare