Monday, February 2, 2015

Risks of Strabismus Surgery

What information can we give to the patient about the risks of strabismus surgery




".......60 completed reports of adverse events and complications were received during the study period. .... ∼24,000 strabismus surgeries were carried out ... an overall incidence of 1 in 400 operations [reported complications]. The most commonly reported complication was perforation of the globe, followed by a ...slipped muscle, severe infection, scleritis and lost muscle. Overall, complications were reported in adults and children in equal numbers; ...., scleritis was significantly more common in adults. .... there was an almost certain under reporting of cases. Complications with the potential for a poor outcome are relatively common, ......"

Comments: Strabismus surgery outcome information can  be found here as well.  DM

Sunday, February 1, 2015

An App for Presbyopia

An App for Presbyopia: Glasses Off




Throw those reading glasses away?  Maybe.  See the video here: http://www.Video.foxbusiness.com/v/4023020534001/app-to-retrain-your-brain-to-eliminate-reading-glasses/?intcmp=obnetwork#sp=show-clips

From the website: "The vast majority of users who were found suitable for the program and closely follow its protocol will be able to exercise the visual cortex of the brain to achieve comfortable reading without the use of glasses most of the time (e.g. for reading short text, menus, the time, etc.) but may require glasses when reading lengthy and small text or when in a dark environment...."





Here's an article that seems to support vision therapy for presbyopia: https://uripolat.files.wordpress.com/2012/06/srep00278.pdf

Interesting! Anyone want to try this? DM



Smoking During Pregnancy and Vision Difficulties in Children

Smoking During Pregnancy and Vision Difficulties in Children


"...Cigarette smoking during pregnancy is a major public health concern. Intra-uterine exposure to maternal cigarette smoking is associated with increased risks of growth and neurodevelopmental problems during childhood and later life. Few studies have focused on visual difficulties in children in the context of maternal smoking during pregnancy. .... there were higher rates of strabismus, refractive errors and retinopathy among children of women who smoked during pregnancy. These findings suggest that fetal exposure to cigarette smoke is a significant risk factor for visual problems during later life and that certain visual faculties, such as the intraocular muscles and retinal neurons, are more affected than others. ...."

Comments: Read the full paper (PDF) by clicking on the title above. DM

Saturday, January 31, 2015

Brain Injury Conferences

Annual Children's Neuroscience Symposium

The 19th Annual Children's Neuroscience Symposium will be held on March 1-4, 2015 at the Ritz Carlton Hotel in Phoenix, Arizona. 
Our symposium features nationally prominent faculty and guest speakers presenting topics and case studies that will provide pediatric providers with a toolkit that includes the latest information to assess neurological conditions, manage patient care and tips on how to work collaboratively with the specialist in providing the most comprehensive continuum of care.....


4th Annual Current Topics in Sports Medicine

Join us at the Concussions: 2015 Conference, held in conjunction with the CACTIS Foundation. The symposium will be held on Saturday February 28, 2015 at the Arizona Biltmore Hotel in Phoenix.
The meeting is designed to educate and inform physicians, certified athletic trainers (ATC's), health care providers and all specialists managing sports injuries and concussions. It includes morning and afternoon lectures, breakout sessions where attendees can choose the topic of interest for an interactive workshop, trade exhibits and a complimentary cocktail hour for networking and discussions. ....
Comments: Click the links above to learn more: DM










Rutstein’s Atlas of Binocular Vision, Robert P. Rutstein

Rutstein’s Atlas of Binocular Vision, Robert P. Rutstein


"...Rutstein’s Atlas of Binocular Vision is an easily accessible, concise, and interactive textbook, intended for students and clinicians in optometry and ophthalmology. It can be downloaded with the iBooks application to a Mac or iPad and with iTunes to a PC. This is a multitouch book, with the interactive features working best with an iPad. The iBooks application on a Mac requires OS X 10.9 or later...."

Coment: Read this book review buy clicking on the title above. Dr. Rutstein never disappoints....read this text! DM

Friday, January 30, 2015

Current guidelines to limit kids' screen-based media use 'may not be tenable'

Current guidelines to limit kids' screen-based media use 'may not be tenable'


"...The year 2015 is here, and we are still awaiting the Hover Board, as shown in Back to the Future Part II. Instead, we have an array of screen-based media devices, such as smartphones, tablets and computers. Today's children and adolescents are growing up with this technology and its use is becoming embedded in their daily routines. As such, researchers of a new study say pediatric recommendations to limit the use of screen-based technology need to be revised..."

Thursday, January 29, 2015

Lead's effect on brain is worse for boys than girls

Lead's effect on brain is worse for boys than girls


"...A new study suggests that the female hormones estrogen and estradiol may protect the brain against the toxic effects of lead. It found that young boys with higher levels of lead in their blood performed worse on cognition tests than those with lower levels, while this was not the case for girls, who appeared hardly affected by the chemical element...."

Wednesday, January 28, 2015

Child neglect linked with changes to brain's white matter

Child neglect linked with changes to brain's white matter


"...Past studies have shown that traumatic experiences in childhood can have negative implications for brain development. Now, a new study published in JAMA Pediatricsfinds severe childhood neglect may cause structural changes to white matter in the brain, but that early intervention could reverse such changes...."

Monday, January 26, 2015

Video-based therapy may help babies at risk of autism - study

Video-based therapy may help babies at risk of autism - study


"...Video-based therapy for families with babies at risk of autism improves infants' engagement, attention and social behaviour, and might reduce their risk chances of developing the condition, the findings of a small scientific study show.

Researchers publishing the findings in The Lancet Psychiatry journal said they showed that using video feedback-based therapy to help parents understand and respond to their baby's early communication style might help modify emerging autism symptoms....."
Comments: Read all about it by clicking on the title above. DM

Friday, January 23, 2015

Mobile game may have lasting benefit for 'lazy' eye

Mobile game may have lasting benefit for 'lazy' eye


".....Children who had their “lazy” eye treated with an experimental mobile game continued to benefit for an entire year, according to a new study....."