Saturday, May 26, 2012

Incidence of strabismus and amblyopia in preverbal children previously diagnosed with pseudoesotropia

Incidence of strabismus and amblyopia in preverbal children previously diagnosed with pseudoesotropia

 ....Of children initially diagnosed with pseudoesotropia under age 3 who returned for follow-up, 12% were later found to have strabismus or mild refractive amblyopia. The ultimate prevalence of strabismus or amblyopia was higher in children diagnosed with pseudoesotropia than would be expected in the general population.....

Comments: Watch all pseudoesotropes very closely for the development of strabismus and amblyopia. DM


1 in 88 children have Autism

Operation Autism reports that: On March 29, the Centers for Disease Control and Prevention (CDC) released the new prevalence data indicating that about 1 in 88 children in the United States has been identified with an autism spectrum disorder (CDC, 2012).....

Comment: I find this number to be highly suspicious and over reaching. There is something wrong with how we define autism and the prevalence data generated because of this definition. I wonder how many we will cure when the new ICD 10 diagnostic codes come out. DM

JRRD Volume 49, Issue 3 is now available

JRRD Volume 49, Issue 3 is now available.

Guest editorial by David P. Sniezek, DC, MD, FAAIM, FAAMA, ABQUARP - Community-Based Wounded Warrior Sustainability Initiative (CBWSI): An integrative medicine strategy for mitigating the effects of PTSD

·         Preventive services in veterans in relation to disabilityAlyson J. Littman, PhD, MPH; Thomas D. Koepsell, MD, MPH; Christopher W. Forsberg, MS; Jodie K. Haselkorn, MD, MPH; Edward J. Boyko, MD, MPH
o   Veterans with disabilities may be at increased risk of diseases, yet those with a disability may be less likely to receive preventive healthcare such as vaccinations and screening tests.

·         Who are the women and men in Veterans Health Administration’s current spinal cord injury population?Catherine M. Curtin, MD; Paola A. Suarez, MPH; Lisa A. Di Ponio, MD; Susan M. Frayne, MD, MPH
o   The Veterans Health Administration is committed to providing comprehensive care to Veterans with spinal cord injury. This population is changing as today’s veterans are living longer, bringing new medical challenges.

·         Plasma variations of biomarkers for muscle damage in male nondisabled and spinal cord injured subjectsSandra Loerakker, MSc; Elise S. Huisman, MSc; Henk A. M. Seelen, PhD; Jan F. C. Glatz, PhD; Frank P. T. Baaijens, PhD; Cees W. J. Oomens, PhD; Dan L. Bader, PhD
o   Early detection of pressure ulcers -- a potentially chronic condition that causes much suffering for veterans and their family members -- would improve chances for successful treatment.

·         Insulin growth factors may explain relationship between spasticity and skeletal muscle size in men with spinal cord injuryAshraf S. Gorgey, MPT, PhD, FACSM; David R. Gater, MD, PhD
o   Understanding the factors that place veterans with spinal cord injuries at a lifelong risk of increasing obesity and continuing metabolic disorders may improve their longevity and reduce their burdens.

·         Impact of adding artificially generated alert sound to hybrid electric vehicles on their detectability by pedestrians who are blindDae Shik Kim, PhD; Robert Wall Emerson, PhD; Koorosh Naghshineh, PhD; Jay Pliskow, MS; Kyle Myers, MS
o   Quieter vehicles (hybrid electric or 100% battery electric) on the roadways may affect blind pedestrians’ ability to travel safely since they often rely on hearing vehicles to successfully navigate and cross streets.

·         Standard task set for evaluating rehabilitation interventions for individuals with arm paralysisAndrew S. Cornwell, PhD; James Y. Liao; Anne M. Bryden, OTR; Robert F. Kirsch, PhD
o   Functional electrical stimulation can restore functional movements to individuals with arm paralysis by applying small amounts of electricity to muscles in the arm.
This article details the creation of a list of tasks feasible for someone using an FES system in one arm that can be used to evaluate this and other rehabilitation interventions.

·         Strength evaluation of prosthetic check sockets, copolymer sockets, and definitive laminated socketsMaria J. Gerschutz, PhD; Michael L. Haynes, MS; Derek Nixon, BS; James M. Colvin, MS
o   Without established standards, prosthetic sockets -- the connecting feature between an amputee and his or her prosthesis -- are not consistent and vary between and within facilities.

·         Validity of method to quantify transtibial amputees’ free-living prosthetic wearing times and physical activity levels when using suction suspension socketsKit Tzu Tang, EngD; William D. Spence; Douglas Maxwell; Benedict William Stansfield, PhD
o   A new method exists for monitoring amputees’ activity and prosthetic wearing timeline.

·         Assessment of upper-body dynamic stability during walking in patients with subacute strokeMarco Iosa, PhD; Augusto Fusco, MD; Giovanni Morone, MD; Luca Pratesi, MD; Paola Coiro, MD; Vincenzo Venturiero, MD, PhD; Domenico De Angelis, MD; Maura Bragoni, MD, PhD; Stefano Paolucci, MD
o   New methodology developed for analyzing accelerometric data to quantitatively assess dynamic balance during walking.

·         Single session of brief electrical stimulation immediately following crush injury enhances functional recovery of rat facial nerveEileen M. Foecking, PhD; Keith N. Fargo, PhD; Lisa M. Coughlin, MD; James T. Kim, MD; Sam J. Marzo, MD; Kathryn J. Jones, PhD
o   A single 30-minute session of electrical stimulation applied immediately following a facial nerve injury is sufficient to significantly improve the recovery time from facial nerve paralysis.

·         Is it important to position foot in subtalar joint neutral position during non–weight-bearing molding for foot orthoses?Winson C. C. Lee, PhD; Christina K. L. Lee, MPhil; Aaron K. L. Leung, PhD; Stephen W. Hutchins, PhD
o   Different factors affect the quality of a foot orthosis.

·         Accelerometer output and its association with energy expenditure in persons with multiple sclerosisBrian M. Sandroff; Robert W. Motl, PhD; Yoojin Suh, MS
o   Accurate measurement is critical when the relationships between physical activity and beneficial outcomes for multiple sclerosis patients are linked with disease progression, symptom management, and rehabilitation.

JRRD offers a variety of value-added content on our Web site. All articles are offered in PDF cid:image001.jpg@01CD29D4.7FD2F630 and HTML versions free of charge. We also provide the JRRD At a Glance for each article, summarizing the main ideas and relevance to Veterans and other stakeholders in plain language. The JRRD At a Glance section is presented in English, Spanish, and Traditional and Simplified Chinese effective the first issue of 2012!

Friday, May 25, 2012

Optometry & Vision Development vol 43 #2 Now Available

Read OVD 43-2 Online Right Now!

Optometry & Vision Development (OVD) is the official journal of the College of Optometrists in Vision Development.


An American Optometrist in Edinburgh 
by Dominick M. Maino, OD, MEd, FAAO, FCOVD-A, Editor


Informed Consent by Proxy in Pediatric Optometry 
by Paul Abplanalp, PhD, OD, Richard T. Hull, PhD

Considerations of binocular parameters in the spectacle correction of anisometropic amblyopia: A Case Report 
by William R. Bobier OD, PhD, FAAO, MBCO, Peter J. Shaw, OD

Literature Review 

Current Eye & Vision Science Literature Review
 by David A. Goss, OD, PhD, FAAO, FCOVD-A

 Book Review
Learning to Learn: How to use Tooties to teach basic learning skills and self-generated learning abilities through movement Review
by Kathleen O'Leary, OD

Practice Management 

The "Surprise" Second Opinion
by Toni Bristol

Building the Ideal OVT Practice: EMyth Lesson #1: Don't Fit the Job to a Person
by Thomas and Amee Lecoq, Lecoq Practice Development


....and more!

Lyons Family Eye Care: Gets it Right!

As many of you know, I recently moved my private practice to Lyons Family Eye Care (LFEC). There were many reasons I did this, but one of them was the state of the art technology we use. LFEC frequently surveys our patients...and although we frequently get wonderful comments....the use of technology to make all things easier is always at the top of the commentary list. Recently our patients said....  
-The most technologically advanced medical office I have ever visited. Patient forms are on iPads, and everything is integrated! Makes everything run smoothly and efficiently. All of the staff are friendly, helpful, and knowledgeable. I will absolutely be recommending Lyons Family Eye Care to family and friends! 

-I loved the IPAD to get all my information. The follow up was nice. I liked the advice on frames. ....

I found the use of the iPads in the office so remarkable, that I (along with co-author Dr. Geoffrey Goodfellow) have written a column about using this technology in the office. This will appear in an AOANews Eye On Technology future issue.....and as you can see can even use the iPad as an occulder in a pinch! DM

Thursday, May 24, 2012

Psychiatric Illness and Associated Oculovisual Anomalies

Dominick M. Maino, OD, MEd (left) and Robert C. Jepersen, MD (Medical Director at Neumann Family Services); co-authored a chapter in Dr. Maino's new book, Visual Diagnosis and Care of the Patient with Special Needs.

The text book was edited by Drs. Taub, Bartuccio & Maino and the chapter Psychiatric Illness and Associated Oculovisual Anomalies was written by Drs. Schnell, Maino and Jespersen.

Dr. Maino is a professor of Pediatrics/Binocular Vision at the Illinois Eye Institute/Illinois College of Optometry and a leading authority of the eye and vision problems of those with disability. He is also in private practice at Lyons Family Eye Care in Chicago.

Tuesday, May 22, 2012

Informed Consent & Amblyopia Treatment....and more!

Optometry & Vision Development volume 43 #2 ready for you to read...

Start with these articles....


Informed Consent by Proxy in Pediatric Optometry
by Paul Abplanalp, PhD, OD, Richard T. Hull, PhD

A consideration of binocular parameters in the spectacle correction of anisometropic amblyopia: A Case Report
by William R. Bobier OD, PhD, FAAO, MBCO, Peter J. Shaw, OD

An American Optometrist in Edinburgh

Optometry & Vision Development volume 43 #2 ready for you to read....start with this editorial by 
Dr. Dominick Maino.....

Do ya hear it laddie? Do ya? C’mon lassie, do ya hear it?
The pipes. The pipes be playin’. They be playin’ faint, but
lissen careful….the pipes be playin!

Monday, May 21, 2012

UV Protection Critical for Eye Health

UV Protection Critical for Eye Health

  AOA's annual American Eye-Q® survey shows only 47 percent of Americans say UV protection is most important factor when purchasing sunglasses

ST. LOUIS, May 8, 2012 /PRNewswire-USNewswire/ -- Summer is on its way, but most Americans don't recognize the importance of ultraviolet (UV) protection for their eyes to prevent damage and visual impairment.  In fact, according to the American Optometric Association's (AOA) recent American Eye-Q® survey,  only 47 percent of Americans said UV protection is the most important factor when purchasing sunglasses. Additionally, less than one-third (28 percent) of Americans indicated that wearing sunglasses and sunscreen should always go hand in hand.....

Read more here:

People Who Hate 3D Movies Should have their Eyes Examined

People Who Hate 3D Movies Should have their Eyes Examined

...This is not intended as an insult – it’s a legitimate suggestion because we all experience 3D movies differently, and many of us have vision problems that can affect the quality and way we experience 3D. We’re all aware of some film critics who have declared that they don’t like 3D movies in general or that the 3D in a particular movie is flat or the 3D adds nothing to the story. I would be interested in knowing if some of these critics have deficits in binocular vision that limit their appreciation of 3D if not their entire movie-going experience. An optometrist or ophthalmologist who is schooled in binocular vision can determine if a person has vision problems that prevent them from optimally seeing 3D movies. There are also some easy tests you can try online that can assess the quality of your 3D vision. .... 

 Comments: Read more about this by clicking the link above. Next month I will be participating in the Vision Performance Institute's research symposium in Oregon....and will have a great deal more up to date information about 3 D Vision Syndrome (a term I coined a couple of years ago when I was first interviewed on TV news about 3D and folks who have problems). I will also be part of a team of docs and researchers discussing 3D Vision Syndrome in several different venues at the American Optometric Association meeting in Chicago this June as well. DM



Sunday, May 20, 2012

Learning accomodations should not be disregarded by Fisher professors

Blog Says: Learning accomodations should not be disregarded by Fisher professors

 ......I’ve never considered myself as disabled. I’m not even sure if what I have is considered a disability. What I do know is this: for as long as I can remember, I have had a condition known as Convergence Insufficiency (CI), and since I have been old enough to go to school, it has made even the most simple reading and writing almost impossibly difficult.......CI is a disorder that causes your eyes to slowly drift outward while concentrating on tasks like reading and writing, resulting in double vision. Someone who has the disorder must exert extra effort to see straight during the most simple of tasks......According to, and I can verify this from personal experience, symptoms of VI include: “eyestrain (especially with reading) headaches, blurred vision, double vision, inability to concentrate, short attention span, frequent loss of place squinting, rubbing, closing or covering an eye, sleepiness during the activity, trouble remembering what was read, words appear to move, jump, swim or float, problems with motion sickness and/or vertigo.”....

Why 20/20 is Not Enough

My friend and colleague, Dr. Patrick Quaid recently published this article. I thought I would share this with you. It tells the story of how prevalent binocular vision problems are....and why just seeing 20/20 is NOT all that is needed to succeed in this world. DM

Vestibular Processing – a key component of visual function and balance

Do you ever wonder?…

How is the vestibular system intimately involved with vision?
How might vestibular processing affect your therapy outcomes?
What can you add to your therapy program for better results?

The answer is … Vestibular Processing – a key component of visual function and balance

Curtis Baxstrom, OD, FCOVD, FAAO, FNORA and Jason Clopton, OD, FCOVD

A COPE (27118-NO) 12 hour approved course

Three course date options for 2012

June 9-10 in Cookeville, TN
August 11-12 in Manchester, NH
October 13-14 in Plano (Dallas), TX

June will be held at the office of Dr. Jason Clopton. 1080 Neal Street, Suite 300 Cookeville, TN 38501. Call 931.372.2020 for information on travel and lodging.
August will be at the office of Dr. Kevin Chauvette. 2075 South Willow Street Manchester, NH 03103. Call 603.644.6100 for information on travel and lodging.
October will be at the office of Dr. Charles Schidlofsky. 5934 W. Parker Road, Suite 500 Plano, TX 75093. Call 972.312.0177 for information on travel and lodging.

Here is what you will gain with this course -

Day 1 Introduction – 10 minutes Review of the anatomy of the vestibular system -30 minutes Vestibular development/embryology and why it matters – 30 minutes Vestibular functional development, how we got here – 20 minutes Vestibular processing with vision, keys to functional processing – 1 hr Neurology made easy, really it’s just what you need to know– 1 hr Principles of brain processing -1 hr Evaluation of vestibular processing to use Monday for your patients – 1 hr Models of strabismus related to vestibular system, who knew…who knows – 1 hr Duality of the sensory motor systems, we’re all in this together – 30 minutes Vestibular dysfunctions, why therapy does or may not work – 1 hr

Day 2 Management of vestibular processing, we can make it better – 30 minutes Basis of vestibular processing, why we do what we do – 30 minutes Vestibular treatment considerations, you can do it too – 30 minutes Hyper vs. Hypo registration, and how it affects your patient’s development – 30 minutes Traditional medicine, why they do what they do – 10 minutes Multisensory learning programs, how do they do that – 10 minutes Case presentations and discussion, meat and potatoes – 2 hr

For more information please call 931-372-2020 or email Dr. Clopton at