Guide Pediatric Retina: Medical and Surgical Approaches

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Retina Subspecialty Day

Favourites You may wish to add programme items to your favourites so that you can see them later. Thu 05 View Programme IC. View Programme SYM. View Programme. Posterior Uveitis on the move: basics and new developments Room: Vitreoretinal Surgery Show more details IC.

June 13-15, 12222

Expected and not expected adverse effects of the medical devices used in intraocular surgery Room: Amphitheatre Bordeaux. AI in Retina Show more details KEY. Fri 06 All of these advances have benefitted retinal surgery in adults, but they are also beneficial in pediatric retinal surgery. The term pediatric comprises a wide age range, from birth to 18 years.

There are far fewer indications for retinal surgery in this age group than in adults. Indications in the newborn include congenital causes and tractional retinal detachments related to retinopathy of prematurity ROP , persistent fetal vasculature, or familial exudative vitreoretinopathy. With increasing age, trauma becomes another etiologic factor. There are special considerations—preoperative, intraoperative, and postoperative—for surgery in a pediatric eye. The proportions of the pediatric eye are different from those of the adult eye, with a shorter axial length and a larger lens relative to the size of the globe.

Ryan's Retina - 6th Edition

There are more adherent vitreoretinal attachments, and the eye may be affected by congenital anatomic abnormalities. In this article we offer some tips for performing successful pediatric retinal surgery. Furthermore, if the child is in the amblyopic age range, the caregiver or caregivers should understand the potential for refractive issues, such as the need for patching, contact lens wear, and refraction changes.

If examination and imaging in the office are not possible, there should be a low threshold for examination under anesthesia. For pediatric patients, it is imperative to have a well-trained anesthesia team prepared to manage children of any age and to address any issues the child may have Figure 1. Figure 1. A well-trained anesthesia team should be prepared to handle complications that arise in patients of any age. Figure 2. Access to imaging equipment including ultrasonography, fluorescein angiography, OCT, and color fundus photography, is useful for diagnosis and documentation.

Imaging technology that should be available includes ultrasonography, fluorescein angiography, OCT, and color fundus photography Figure 2. All of these tests are useful for diagnosis and documentation.


  • Magical Practice in the Latin West. Papers from the International Conference held at the University of Zaragoza, 30 Sept.-1 Oct. 2005 (Religions in the Graeco-Roman World 168);
  • Retina Today - Pearls for Pediatric Retinal Surgery (July/August ).
  • McGraw-Hills SAT, 2010 Edition.

On many occasions the findings on examination under anesthesia can alter the surgical plan, and parents need to know this ahead of time. Once a decision to proceed with surgery is made, consideration of the following factors becomes important.

Introduction to Pediatric Ophthalmology

Figure 3. Main article: Anaesthesia for ocular surgery. Main article: Cataract surgery. Main article: Glaucoma surgery. Main article: Refractive surgery. Main article: Strabismus surgery. Main article: Oculoplastics. The Irish Times. Optical Express.

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Archived from the original on Retrieved March 6, Medill Reports Chicago, Northwestern University. March 8, History of ophthalmology at Baylor University Medical Center. Archived from the original PDF on Pioneer of retinal detachment surgery.

Introduction

Surgical approach to lamellar sclerouvectomy for posterior uveal melanomas: the Schoenberg lecture. Ophthalmic Surg.


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