Tuesday, May 21, 2013

Anisometropia and amblyopia in nasolacrimal duct obstruction

Kipp MA, Kipp MA Jr, Struthers W. Anisometropia and amblyopia in nasolacrimal duct obstruction. 2013 Apr 18. pii: S1091-8531(13)00079-7. doi: 10.1016/j.jaapos.2012.11.022. [Epub ahead of print]
 
....Anisometropia occurred at a greater rate in unilateral NLDO patients compared with bilateral NLDO patients and occurred at a greater rate in this NLDO cohort than expected in the general pediatric population. Several patients with anisometropia developed clinical amblyopia. Measurement of cycloplegic refraction in all NLDO patients at initial examination should be considered. Periodic follow-up is appropriate for patients with NLDO and anisometropia....
 
Comments: I have worked with D. Kipp (the younger). He is an outstanding pediatric ophthalmologist and surgeon. This article certainly suggests that any child with unilateral nasolacrimal duct obstruction should be watched for other eye and vision problems developing as they become more mature. Thanks to Drs Kipp, Kipp and Struthers for a fine study!! DM

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