Saturday, April 6, 2013

Specific health-related quality of life concerns in children with intermittent exotropia

Specific health-related quality of life concerns in children with intermittent exotropia (IXT)

....Highest impact Child IXTQ items were: "It bothers me that I have to shut one eye when it is sunny," "I worry about my eyes," and "It bothers me because I have to wait for my eyes to clear up." Highest impact Proxy IXTQ items were: "It bothers my child because he/she has to shut one eye when it is sunny" and "My child worries about his/her eyes." Lowest impact Child and Proxy items were "My eyes make it hard to make friends" and "Kids tease me because of my eyes." Ranking of items was similar for younger and older children.....

Comments: Intermittent exotropes tend to have convergence insufficiency (CI). NEI clinical trials have shown that optometric vision therapy is the best treatment for this binocular vision problem. If you have CI or IXT go to http://www.covd.org, http://www.oepf.org, and/or http://www.aoa.org to find a doctor who can help. Fellow of the College of Optometrists in Vision Development are Board Certified in this area of diagnosis and treatment. DM

Dr. Maino's Colleague Explains Brain Injury

Dr. Maino's Colleague Explains Brain Injury. To all my students: Please listen carefully. There is a test later....





Friday, April 5, 2013

The Prevalence of Reoperation and Related Risk Factors Among Patients With Congenital Esotropia

The Prevalence of Reoperation and Related Risk Factors Among Patients With Congenital Esotropia

....Reoperation was indicated in 32.4% of children who had residual esotropia greater than 15 PD after 3 months following their first operation. Congenital esotropia greater than 30 PD ... and lateral rectus muscle underaction of −1 to −2 ... were statistically different between the two groups.....

Comments: Once again it appears no matter the type of strabismus present or the surgical technique used, it appears that approximately 1/3 of those who have had strabismus surgery often require a second surgery. I urge all to refer for non-surgical intervention prior to recommending surgery and that once the surgery is completed that optometric vision therapy be offered to improve successful outcomes. DM

Thursday, April 4, 2013

Newborn retinal hemorrhages: A systematic review.


Newborn retinal hemorrhages (RH): A systematic review

Thirteen studies were included, representing 1,777 infants. The studies revealed that 25.6% of newborns born via spontaneous vaginal deliveries had RH. In contrast, infants delivered by vacuum extraction had a 42.6% rate of RH and infants delivered by  ...forceps and vacuum... had a 52% rate of RH. The hemorrhages are commonly bilateral, of varying severity,  ... and predominantly intraretinal and in the posterior pole. The majority ... resolved within 10 days; ....

I'm gonna Pop some Adds!


Illinois College of Optometry students put this video together. It's music for the new millennium....all about what they learn, what they do....and a sense of humor.....



Monday, April 1, 2013

Blueberries, Bagels and Gravity

Evidenced-based clinical care should be used as often as possible. It should not be ignored or misused just because you might disagree with it. But....


Sunday, March 31, 2013

Articles about Optometric Vision Therapy


  • Vision Therapy, Information for Health Care and Other Allied Professionals - A Joint Organization Policy Statement by the American Academy of Optometry and the American Optometric Association
  • Learning Related Visual Problems Education and Evaluation - National PTA Resolution Adopted June 1999
  • Vision, Learning, and Dyslexia - A Joint Organization Policy Statement by the American Academy of Optometry and the American Optometric Association
  • All About Me - by Jess Oppenheimer; a writer, director and producer telling his life story as an adult strabismic patient who was helped by vision therapy.
  • Easier and More Productive Study and Desk Work - by Amiel W. Francke, OD & Walter J. Kaplan, OD