Purpose: To evaluate the prevalence and risk factors for pediatric myopia in a contemporary American cohort. Methods: A cross-sectional study of patients enrolled Kaiser Permanente Southern California health plan was done. Eligible were 5- to 19-years old between January 1, 2008, through December 31, 2013, received an ophthalmologic or optometric refraction. Electronic medical records reviewed demographic data, refraction results, exercise data. Prevalence relative risks (defined as ≤-1.0...

To illustrate that corneal neuralgia may be the basis for refractory dry eye syndrome after laser-assisted in situ keratomileusis (LASIK).The methodology used is of a retrospective medical record review small case series.Three male patients, aged 30 to 48 years, referred 2012 treatment within 1 year LASIK or enhancement are reported. Each patient gave history pain, light sensitivity, and difficulty with visual activities beginning 2 months enhancement. Best-corrected acuity was 20/15 20/20...

A 64-year-old female with mild stage primary open angle glaucoma underwent uncomplicated SLT of the right eye. On post-operative day 1, patient presented pain, discomfort, and photophobia treated eye was found to have microcystic corneal edema, markedly reduced visual acuity, elevated intraocular pressure (IOP) 42 mm Hg. The started on oral acetazolamide topical Brinzolamide/Brimonidine twice a day. 2, IOP improved 15 Hg edema had resolved, but diffuse stromal Descemet’s folds remained...

The purpose of this study was to evaluate the impact prosthetic replacement ocular surface ecosystem (BostonSight PROSE, Boston Foundation for Sight, Needham, MA) treatment, utilizing customized scleral devices, on visual acuity, function, and changes in patients with chronic graft-versus-host disease (cGVHD). A retrospective analysis performed 79 eyes 40 cGVHD referred University Southern California department ophthalmology between November 2009 July 2013 PROSE treatment. This included an...

Most patients with diabetes have little or no retinopathy on initial examination. Tracking the long-term outcomes of these may increase our understanding how to best provide follow-up treatment.To assess many minimal require retinal intervention within 2 years evaluation.This retrospective cohort study assessed who underwent screening for diabetic a telemedicine program at Kaiser Permanente Southern California and had fundus photographs.Retinal interventions performed photographs.Patients...

To report a case of persistent epithelial defects in patient with ocular chronic graft-versus-host disease that required coordinated modulation systemic immunosuppressive treatment and overnight wear Prosthetic Replacement the Ocular Surface Ecosystem (BostonSight PROSE, Needham, MA) devices to achieve surface healing.The 38-year-old male who presented 2-year history disease, burning, pain, light sensitivity, 3-week bilateral corneal is presented. Standard therapies an initial PROSE...

Purpose: To evaluate the use of Prosthetic Replacement Ocular Surface Ecosystem (PROSE) scleral lens treatment as an alternative to keratectomy in patients with symptomatic Salzmann's nodular degeneration (SND).Methods: A retrospective chart review from July 2009 May 2013 identified 9 SND who were referred for PROSE evaluation.Patients did not complete fitting or had other corneal comorbidities affecting vision excluded study, and 7 eyes 4 included.Three pseudophakic 1 patient was phakic,...

Unused or rarely used instruments in standard surgical trays can unnecessarily increase costs. Prior studies have demonstrated the practicality and cost savings of reduced instrument tray sizes various subspecialties. This study describes results estimated from a for vitrectomy surgery at large, tertiary academic medical center.Common usage patterns by one retina surgeon were reviewed was created implemented successive surgeries. Need opening previously utilized larger recorded. Estimated...

To describe the presentation and management of a patient with epithelial versus fibrous downgrowth following trabeculectomy surgery review relevant literature regarding this complication after intraocular surgery.A 52-year-old monocular African-American woman was referred for presumed surgery. The initially treated intracameral injections 5-fluorouracil (x2) bevacizumab (x1). Cataract extraction, membranectomy, third injection were performed. Intraocular pressure (IOP) elevation subsequently...

To describe a previously unreported method for optimizing early intraocular pressure-lowering in non-valved aqueous shunt surgery, and to report pilot results from case series.We of 30 eyes that underwent Baerveldt-350 implantation with adjunctive goniotomy, addition 3 needle-puncture fenestrations, enhance pressure lowering facilitate higher steroid dosing before spontaneous ligature dissolution.In patients open-angle glaucoma, goniotomy is safe effective procedure when performed...

Since the publication of BEAT-ROP in 2011, intravitreal bevacizumab (IVB) has become increasingly common for treatment posterior type 1 retinopathy prematurity (ROP). However, long-term data on safety and efficacy IVB ROP are lacking. Vitreous hemorrhage following injections have been rarely reported infants with ROP, need these hemorrhages remains question. Here, authors report a case bilateral vitreous premature infant within 2 weeks bevacizumab. These resolved without intervention...

On Being a Doctor4 August 2015First CodeChristos Theophanous, BAChristos BAFrom Keck School of Medicine, University Southern California, Los Angeles, California.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M15-0195 Audio Reading - “First Code” Audio. Michael A. LaCombe, MD, Annals Associate Editor, reads "First Code," C. Theophanous. Your browser does not support the audio element. player progress bar Step backward in current track...

<b><i>Background/Aims:</i></b> To report the case of a 77-year-old male with blind, painful eye, referred for suspected corneal mass, finding choroidal B-cell lymphoma on pathology enucleated globe. <b><i>Methods:</i></b> This is retrospective single patient. <b><i>Results:</i></b> A longstanding history poor vision in left eye was scarred, vascularized mass. The patient had reported occasional mild ocular discomfort and...

Cataracts are among the most common causes of childhood vision loss worldwide. This study seeks to identify differentially expressed proteins in aqueous humor pediatric cataract patients. Samples were collected from and adult patients subjected mass spectrometry-based proteomic analysis. cataracts grouped by subtype compared samples. Differentially each identified. Gene ontology analysis was performed using WikiPaths for subtype. Seven ten included study. Of samples, all seven (100%) male,...

Medical student education on military health topics is critical in ensuring optimal future care for service members and their families.Keck School of Medicine the University Southern California (Keck SOM) students were invited to participate an anonymous, voluntary, online survey ("Pre") rating level interest, awareness, exposure comfort with issues a 5-point Likert scale. A student-organized program four voluntary lectures discussing health-related was then implemented. Students re-take...

Background: Dry eye disease is a multifactorial whose pathogenic mechanisms have not been investigated rigorously. The objective of this study was to evaluate the utility Prosthetic Replacement Ocular Surface Ecosystem (PROSE) treatment in management patients with intrinsic evaporative dry refractory conventional therapies. Design: A retrospective clinical cohort therapies seen between July 1, 2009 and May 31, 2012 at USC Eye Institute, tertiary referral center. Participants: 36 eyes 21 that...

Ad Libitum19 July 2016ten fortyChristos Theophanous, BAChristos BAFrom Keck School of Medicine the University Southern California, Los Angeles, California.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M16-0810 Audio Reading - “ten forty” Audio. Michael A. LaCombe, MD, Annals Associate Editor, reads "ten forty," C. Theophanous. Your browser does not support audio element. player progress bar Step backward in current track Play...