Title : Rapid fire round: Management of challenging cases in pediatric ophthalmology and strabismus
Abstract:
Title: Rapid Fire Round: Management of challenging cases in pediatric ophthalmology and Strabismus
Purpose: To highlight the variety of presentations, assessment and management of challenging cases in pediatric ophthalmology. Special attention was given to the squint and reops in strabismus.
Methodology: A variety of pediatric eye diseases were selected for the above mentioned purpose. After recording a detailed history, complete anterior and posterior segment examinations were performed using age appropriate pediatric eye examination equipment. Preoperatively, at least two orthoptic assessments were performed in reops and strabismus cases. Detailed counseling was done with the parents. Appropriate surgical techniques were used to manage the cases.
Conclusion: Pediatric eye is not a small adult eye. The growing eye of the child requires frequent assessments. Restoring vision makes a huge difference in their lives and they become more productive .A variety of pediatric eye diseases are seen in our set up. Timely diagnosis and appropriate management are the most important components of this subspecialty. Pediatric ophthalmology services are essential to prevent our children from visual impairment.
The presentation will contain pre-operative and post-operative pictures of the following pediatric eye diseases and Strabismus cases. Surgical Management of all the cases will be shown in the presentation.
Case 1: Secondary Iris cyst in a 4 year old child. Pre-operative case presentation and postoperative pic
Case 2: Post traumatic disengagement of iris fixated artisan aphakic IOL in a child with history of subluxated lenses
Case 3: Traumatic cataract in a child with history of tube shunt surgery in a 4 year old child with glaucoma
Case 4: Unilateral buphthalmos in an infant.
Case 5: Intravitreal chemotherapy in an only eyed child with retinoblastoma
Case 6: Recurrent orbital implant exposure in a child after enucleation
Case 7: Inferior oblique anteriorization in a child with congenital 4th nerve palsy.
Case 8: Consecutive XT in a child with history of infantile esotropia
Case 9: Surgical treatment of a child with mono ocular elevation deficiency (Absent superior rectus)
Case 10: Congenital third nerve palsy in a young lady.
Case 11: Re op in a child with history of Knapp transposition for Mono ocular elevation deficiency.
Audience take away:
- Audience will see the challenging clinical presentations of different pediatric eye diseases.
- Clinical pictures of variety of eye diseases in pediatric age group will be presented followed by the clinical assessment of all the challenging cases, their management and final outcome will also be discussed. The audience will be able to apply this knowledge in their clinical practice. This presentation will provide practical solutions to the challenging clinical presentations seen in pediatric ophthalmology clinics. This presentation also highlights the significance of pediatric ophthalmology eye care services in ophthalmology units. This presentation may guide residents to consider pursuing pediatric ophthalmology as a subspecialty.
