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Journal of AAPOS : the official publication of the... 36건

  1. [해외논문]   The accuracy of wide-field ultrasound biomicroscopy in localizing extraocular rectus muscle insertions in strabismus reoperations   SCIE

    Mirmohammadsadeghi, Arash (Correspondence: Mohammad Reza Akbari, MD, Farabi Eye Hospital, Ghazvin square, Tehran, Iran) , Manuchehri, Vahideh , Akbari, Mohammad Reza
    Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus v.21 no.6 ,pp. 463 - 466.e1 , 2017 , 1091-8531 ,

    초록

    Purpose To compare the accuracy of widefield ultrasound biomicroscopy (UBM) with mechanical intraoperative measurements of the distance between rectus muscle insertions and the corneal limbus in strabismus reoperations. Methods Subjects with a history of horizontal rectus muscle surgery who required further surgery on horizontal rectus muscle(s) were recruited prospectively. All widefield UBM measurements were carried out under topical anesthesia using a 50 MHz linear probe without immersion cup and external caliper. The insertion angle distance was measured using the caliper tool of the UBM device; the actual muscle insertion distance from the limbus was considered to be the measured distance plus 1 mm. The distance from muscle insertion to the limbus was also measured intraoperatively. The results of UBM and surgical measurements were compared. Results A total of 28 subjects were recruited, and 53 horizontal muscles (30 medial rectus, and 23 lateral rectus muscles) were included. The longest distance of the muscle insertion from limbus detectable on UBM was 13 mm for the medial rectus muscle and 15 mm for the lateral rectus muscle. In 38 muscles (71.7%) UBM and surgical measurements were within 1 mm of each other. Only in 1 muscle (1.9%) was the difference between measurements >2 mm (2.3 mm). The intraclass correlation coefficient was 0.87, demonstrating excellent agreement between measurements. Limit of agreement analysis demonstrated better agreement between measurements of medial rectus muscles and in consecutive exotropia cases. Conclusions This study demonstrated good agreement between intraoperative and widefield UBM measurements of the muscle insertion–limbus distance in our patient cohort.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  2. [해외논문]   Protective effects of biodegradable collagen implants on thinned sclera after strabismus surgery: a paired-eye study  

    Yoo, Tae Keun , Han, Sueng-Han , Han, Jinu
    Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus v.21 no.6 ,pp. 467 - 471.e1 , 2017 , 1091-8531 ,

    초록

    Purpose To compare the accuracy of widefield ultrasound biomicroscopy (UBM) with mechanical intraoperative measurements of the distance between rectus muscle insertions and the corneal limbus in strabismus reoperations. Methods Subjects with a history of horizontal rectus muscle surgery who required further surgery on horizontal rectus muscle(s) were recruited prospectively. All widefield UBM measurements were carried out under topical anesthesia using a 50 MHz linear probe without immersion cup and external caliper. The insertion angle distance was measured using the caliper tool of the UBM device; the actual muscle insertion distance from the limbus was considered to be the measured distance plus 1 mm. The distance from muscle insertion to the limbus was also measured intraoperatively. The results of UBM and surgical measurements were compared. Results A total of 28 subjects were recruited, and 53 horizontal muscles (30 medial rectus, and 23 lateral rectus muscles) were included. The longest distance of the muscle insertion from limbus detectable on UBM was 13 mm for the medial rectus muscle and 15 mm for the lateral rectus muscle. In 38 muscles (71.7%) UBM and surgical measurements were within 1 mm of each other. Only in 1 muscle (1.9%) was the difference between measurements >2 mm (2.3 mm). The intraclass correlation coefficient was 0.87, demonstrating excellent agreement between measurements. Limit of agreement analysis demonstrated better agreement between measurements of medial rectus muscles and in consecutive exotropia cases. Conclusions This study demonstrated good agreement between intraoperative and widefield UBM measurements of the muscle insertion–limbus distance in our patient cohort.

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    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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    Fig. 1 이미지
  3. [해외논문]   Protective effects of biodegradable collagen implants on thinned sclera after strabismus surgery: a paired-eye study   SCIE

    Yoo, Tae Keun (Correspondence: Jinu Han, MD, Institute of Vision Research, Department of Ophthalmology, Gangnam Severance Hospital, Yonsei University College of Medicine, 211 Eonju-ro, Gangnam-gu, Seoul, 06273, South Korea) , Han, Sueng-Han , Han, Jinu
    Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus v.21 no.6 ,pp. 467 - 471.e1 , 2017 , 1091-8531 ,

    초록

    Purpose To determine the efficacy of a biodegradable Ologen (Aeon Astron Europe BV, Leiden, The Netherlands) collagen matrix in reducing the blue color change due to exposed thinned sclera after strabismus surgery. Methods Fourteen patients with intermittent exotropia undergoing symmetric bilateral lateral rectus recession surgery were included in this prospective, randomized, paired-eye controlled study. In each patient, Ologen was implanted at the original rectus insertion site in one randomly selected eye; the other eye underwent conventional surgery. Ologen was inserted under the conjunctiva without suturing, covering the muscle insertion site. Conjunctival color change was analyzed using computer-based image analysis immediately and 1 week, 1 month, and 3 months postoperatively. Slit-lamp photographs of each eye were evaluated using contrast limited adaptive histogram equalization (CLAHE), Canny edge, and the RGB (red-green-blue) model. Secondary outcomes were conjunctival and sclera thickness 3 months postoperatively determined by anterior segment optical coherence tomography. Results Immediately and 1 week postoperatively all color models showed no significant differences between Ologen-implanted and control eyes. Three months postoperatively, Ologen-implanted eyes exhibited significantly lower CLAHE ( P = 0.041) and RGB model blue color ( P = 0.008) values than control eyes. Canny edge ( P = 0.061) and RGB model red color ( P = 0.152) values did not differ between eyes. Conjunctival stroma and episcleral complex thickness was greater in Ologen-implanted eyes than in controls ( P = 0.001). Conclusions Blue color change was significantly less noticeable in Ologen-implanted eyes than in controls. Thus, Ologen implantation helps prevent visible blue sclera at the original rectus insertion site after lateral rectus recession.▪

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  4. [해외논문]   CHN1 gene mutation analysis in patients with Duane retraction syndrome   SCIE

    Biler, Elif Demirkilinc (Department of Ophthalmology, Ege University Faculty of Medicine, Izmir, Turkey ) , Ilim, Orhan (Department of Ophthalmology, Ege University Faculty of Medicine, Izmir, Turkey ) , Onay, Huseyin (Department of Molecular Genetics, Ege University Faculty of Medicine, Izmir, Turkey ) , Uretmen, Onder (Department of Ophthalmology, Ege University Faculty of Medicine, Izmir, Turkey)
    Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus v.21 no.6 ,pp. 472 - 475.e2 , 2017 , 1091-8531 ,

    초록

    Purpose To investigate CHN1 (chimerin 1) gene mutations in patients with isolated nonsyndromic Duane syndrome and accompanying positive familial history, bilaterality, or various systemic disorders. Methods Patients with Duane retraction syndrome (DRS) and a positive family history of congenital ocular motility disturbance or bilateral involvement or accompanying any congenital disorder(s) seen consecutively at a single center from 2013 to 2016 were enrolled. All subjects underwent full ophthalmologic examination, including refraction, best-corrected visual acuity, ocular alignment and motility, globe retraction, and biomicroscopic or fundus evaluation. DNA samples were investigated by direct sequencing of the coding regions of the CHN1 gene. Results A total of 30 patients (15 males) were included (mean age, 11.8 ± 10.4 years; range, 2-45 years): 8 cases presented with bilateral DRS; 22, with unilateral DRS. Family history of ocular motility abnormality was positive in 16 patients. Eleven cases had an additional congenital disorder. In 2 patients, 2 different mutations were detected in the CHN1 gene: p.E313K (c.937G>A) and p.N224S (c.671A>G). Conclusions CHN1 mutations were identified in 2 bilateral cases and in 1 parent of 1 affected case. One mutation is novel and occurred with additional vertical gaze abnormalities. Additional genetic studies evaluating chimerin 1 ( CHN1 ) and its role in the development of the ocular motor axis are needed to provide new data about these mutations and phenotypic variations.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  5. [해외논문]   Graded versus ungraded inferior oblique anterior transposition in patients with asymmetric dissociated vertical deviation   SCIE

    Rajavi, Zhale (Ophthalmic Epidemiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran ) , Feizi, Mohadeseh (Department of Ophthalmology, Torfeh Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran ) , Naderi, Ali (Ophthalmic Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran ) , Sabbaghi, Hamideh (Ophthalmic Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran ) , Behradfar, Narges (Department of Optometry, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran ) , Yaseri, Mehdi (Department of Epidemiology and Biostatistics, Tehran University of Medical Sciences, Tehran, Iran ) , Faghihi, Mohammad (Department of Ophthalmology, Torfeh Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran)
    Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus v.21 no.6 ,pp. 476 - 479.e1 , 2017 , 1091-8531 ,

    초록

    Purpose To report the surgical outcomes of graded versus ungraded inferior oblique anterior transposition (IOAT) in treatment of patients with asymmetric dissociated vertical deviation (DVD) and bilateral inferior oblique overaction (IOOA). Methods A total of 74 eyes of 37 patients with asymmetric DVD (interocular difference of ≥5 Δ ) and bilateral IOOA of > +1 were included in this randomized clinical trial. In the ungraded group (n = 18), both inferior oblique muscles were sutured at the inferior rectus level; in the graded group (n = 19), the inferior oblique muscles of eyes with more DVD were sutured at the level of the inferior rectus and inferior oblique muscles of eyes with less DVD were sutured 2 mm posterior to the level of the inferior rectus muscle. Results DVD was significantly reduced in each group ( P P = 0.001]), the absolute amounts of reduction of DVD asymmetry were similar (4.3 ± 2.3 vs 4.4 ± 3.1 [ P = 0.78]). IOOA and V patterns were also reduced postoperatively. Conclusions Each method of IOAT was effective in reducing DVD, asymmetry, IOOA, and V patterns.

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    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  6. [해외논문]   Response to correction of refractive errors and hypoaccommodation in children with congenital Zika syndrome   SCIE

    Ventura, Liana O. (Department of Ophthalmology, Altino Ventura Foundation (FAV), Recife, PE, Brazil ) , Lawrence, Linda (Private Ophthalmology practice, Salina, Kansas ) , Ventura, Camila V. (Department of Ophthalmology, Altino Ventura Foundation (FAV), Recife, PE, Brazil ) , Dutton, Gordon N. (Department of Optometry and Visual Science, Glasgow Caledonian University, Glasgow, United Kingdom ) , Marinho, Polyana (Department of Ophthalmology, Altino Ventura Foundation (FAV), Recife, PE, Brazil ) , Ferro, Priscila F. (Department of Ophthalmology, Altino Ventura Foundation (FAV), Recife, PE, Brazil ) , Gois, Adriana L. (Department of Ophthalmology, Altino Ventura Foundation (FAV), Recife, PE, Brazil ) , Dias, Natalia C. (Department of Ophthalmology, Altino Ventura Foundation (FAV), Recife, PE, Brazil ) , Ventura, Larissa (Department of Ophthalmology, Altino Ventura Foundation (FAV), Recife, PE, Brazil ) , Moore, Cynthia A. (National Office of Public Health Genomics Centers for Disease Control and Prevention, Atlanta, Georgia ) , Hyvä (Faculty of Rehabilitation Sciences, University of Dortmund, Germany) , rinen, Lea
    Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus v.21 no.6 ,pp. 480 - 484.e1 , 2017 , 1091-8531 ,

    초록

    Purpose To describe the immediate response to correction of refractive errors and hypoaccommodation in children with congenital Zika syndrome (CZS). Methods Children born between May and December 2015 with a confirmed diagnosis of CZS and enrolled in a multidisciplinary early intervention program were included in this study. All children received a comprehensive ophthalmic examination, including dynamic retinoscopy and cycloplegic refraction. Children were prescribed their full correction if they met the criteria for refractive error, and additional plus 3.00 overcorrection for strabismus, accommodative dysfunction, and/or low vision. Monocular and binocular visual responses to Lea Grating Test at 30 cm, with and without eyeglasses, were measured on day 1 of glasses wear. Results A total of 60 children were evaluated (mean age at evaluation, 11.5 ± 1.1 months; range, 9.0-16.0 months). Lea Grating Test responses were abnormal in all children prior to spectacle correction. Hypoaccommodation was present in 17 of 21 children (81%). Overcorrection was prescribed for all children. Visual responses were subnormal even with glasses use; however, immediate improvement in binocular vision was found in 37 children (62%) and in 74 of 119 eyes (62.2%). For the monocular visual improvement, 27 of 115 eyes (23.5%) had structural abnormalities, and 44 of 115 eyes (38.3%) were structurally normal. There was a statistical difference between the cycloplegic refraction of the children in August and in November, including emmetropia ( P = 0.001), hyperopia ( P = 0.000), myopia ( P = 0.007), and astigmatism ( P = 0.004). Conclusions Eyeglasses can improve visual acuity in children with CZS. Significant changes in their refractive status over time requires periodic updates.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

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  7. [해외논문]   Etiology of pediatric acquired blepharoptosis   SCIE

    Rasiah, Sulakshan (Royal Victorian Eye and Ear Hospital, East Melbourne, VIC Australia ) , Hardy, Thomas G. (Royal Victorian Eye and Ear Hospital, East Melbourne, VIC Australia ) , Elder, James E. (Royal Children's Hospital, Parkville, VIC Australia ) , Ng, Cheng Yi (Royal Children's Hospital, Parkville, VIC Australia ) , McNab, Alan (Royal Victorian Eye and Ear Hospital, East Melbourne, VIC Australia)
    Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus v.21 no.6 ,pp. 485 - 487 , 2017 , 1091-8531 ,

    초록

    Purpose To describe the etiology of acquired pediatric blepharoptosis in a large clinical series and to elucidate the causes of the disease. Methods The medical records of all patients presenting with acquired blepharoptosis at two specialist ocular plastics practices and a pediatric ophthalmology practice during a period of up to 25 years were reviewed retrospectively and classified according to their diagnosis. Patients were grouped into children ( 40 years). Results A total of 268 patients Conclusions The etiology of pediatric acquired blepharoptosis can frequently be determined by history and examination; additional diagnostic tests are sometimes required. A high percentage of pediatric patients have blepharoptosis of unknown cause.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

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  8. [해외논문]   Retinal vascular changes in preterm infants: heart and lung diseases and plus disease   SCIE

    Arriola-Lopez, Andrea Elizabeth (Retina Department, Asociación para Evitar la Ceguera en México, Hospital “Luis Sánchez Bulnes”, Mexico City ) , Martinez-Perez, M. Elena (Department of Computer Science, Institute of Research in Applied Mathematics and Systems, Universidad Nacional Autónoma de Mexico, Mexico City ) , Martinez-Castellanos, Maria Ana (Retina Department, Asociación para Evitar la Ceguera en México, Hospital “Luis Sánchez Bulnes”, Mexico City)
    Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus v.21 no.6 ,pp. 488 - 491.e1 , 2017 , 1091-8531 ,

    초록

    Purpose To report the retinal vascular features of preterm infants with congenital heart disease (CHD), lung disease (pulmonary hypertension [PH] and bronchopulmonary dysplasia [BPD]), and ROP with plus disease to determine whether these disease entities are distinguishable on the basis of retinal vessel morphology. Methods The medical records of preterm infants with CHD, lung disease, and ROP with plus disease were reviewed retrospectively. Qualitative vascular findings were validated using computer-based software to analyze 25 representative images, each corresponding to one infant's eye. The images were organized into five groups, based on clinical information. Vessel diameter (d) and tortuosity index (TI) were measured. Results A total of 106 infants (mean gestational age, 30.5 ± 2.22 weeks) were initially included. Ophthalmologic evaluation of preterm infants with CHD and lung diseases showed vascular tortuosity without vasodilation at the posterior pole as well as in the periphery. Quantitative analysis showed that venular diameter was significantly increased in the plus disease group ( P = 0.0022) compared to other groups. There was significantly less tortuosity in both arterioles and venules in BPD ( P P = 0.0453) compared with plus group. Conclusions The patterns of retinal vascular tortuosity observed in preterm infants may be unique to different systemic congestive conditions and could have therapeutic implications.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

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  9. [해외논문]   Diagnostic criteria in pediatric intracranial hypertension  

    Inger, Hilliary E. , Rogers, David L. , McGregor, Mary Lou , Aylward, Shawn C. , Reem, Rachel E.
    Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus v.21 no.6 ,pp. 492 - 495.e2 , 2017 , 1091-8531 ,

    초록

    Purpose To report the retinal vascular features of preterm infants with congenital heart disease (CHD), lung disease (pulmonary hypertension [PH] and bronchopulmonary dysplasia [BPD]), and ROP with plus disease to determine whether these disease entities are distinguishable on the basis of retinal vessel morphology. Methods The medical records of preterm infants with CHD, lung disease, and ROP with plus disease were reviewed retrospectively. Qualitative vascular findings were validated using computer-based software to analyze 25 representative images, each corresponding to one infant's eye. The images were organized into five groups, based on clinical information. Vessel diameter (d) and tortuosity index (TI) were measured. Results A total of 106 infants (mean gestational age, 30.5 ± 2.22 weeks) were initially included. Ophthalmologic evaluation of preterm infants with CHD and lung diseases showed vascular tortuosity without vasodilation at the posterior pole as well as in the periphery. Quantitative analysis showed that venular diameter was significantly increased in the plus disease group ( P = 0.0022) compared to other groups. There was significantly less tortuosity in both arterioles and venules in BPD ( P P = 0.0453) compared with plus group. Conclusions The patterns of retinal vascular tortuosity observed in preterm infants may be unique to different systemic congestive conditions and could have therapeutic implications.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

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  10. [해외논문]   Diagnostic criteria in pediatric intracranial hypertension   SCIE

    Inger, Hilliary E. (Department of Ophthalmology, Nationwide Children's Hospital, The Ohio State University College of Medicine, Columbus, Ohio ) , Rogers, David L. (Department of Ophthalmology, Nationwide Children's Hospital, The Ohio State University College of Medicine, Columbus, Ohio ) , McGregor, Mary Lou (Department of Ophthalmology, Nationwide Children's Hospital, The Ohio State University College of Medicine, Columbus, Ohio ) , Aylward, Shawn C. (Department of Neurology, Nationwide Children's Hospital, The Ohio State University College of Medicine, Columbus, OH ) , Reem, Rachel E. (Department of Ophthalmology, Nationwide Children's Hospital, The Ohio State University College of Medicine, Columbus, Ohio)
    Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus v.21 no.6 ,pp. 492 - 495.e2 , 2017 , 1091-8531 ,

    초록

    Background The modified Dandy criteria and the newer diagnostic criteria for pseudotumor cerebri syndrome (PTCS) are both used to diagnose intracranial hypertension (IH). In comparison to the modified Dandy criteria, the PTCS criteria stratify the IH diagnosis into definite, probable, and suggested categories, exclude clinical symptoms, and use radiologic evidence for diagnosis. There is a lack of consensus on which criteria should be used in the pediatric population. The purpose of this study was to compare the diagnostic criteria for PTCS to the modified Dandy criteria and to identify limitations within both sets of criteria. Methods The PTCS criteria were retrospectively applied to 50 patients originally diagnosed with IH under the modified Dandy criteria. Results Of the 50 patients, 31 (62%) met diagnostic criteria for definite PTCS, 10 (20%) met criteria for probable PTCS, and 9 patients (18%) failed to meet sufficient PTCS criteria for diagnosis. Conclusions Although the PTCS criteria use objective data to make the IH diagnosis, we found subjective symptoms to be useful indicators of disease in this group of patients. Additionally, distinguishing probable from definite IH may not have clinical relevance, because both groups were treated similarly. The absence of radiographic evidence of IH should not preclude a diagnosis of the condition, as it was present in a minority of patients included in this study. Further research is needed to clarify the disease process in patients who present with signs and symptoms of elevated intracranial pressure but lack ocular pathology.

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