This report describes the longest case of a retained metallic intraorbital foreign body with no complications and development delayed sensory exotropia following traumatic sclopetaria in childhood. A 9-year-old girl suffered BB gun injury to left eye, leading chorioretinitis loss vision. The visual acuity was 20/800 relative afferent pupillary defect choroidal rupture subretinal hemorrhage that evolved over time. Computed tomography orbit demonstrated body. 30 prism diopters developed...

Annually, several million patients in the United States visit emergency room (ER) with symptoms of vertigo or dizziness. Rapidly distinguishing between benign causes, such as inner ear disease, and more severe conditions, like strokes, necessitates performing interpreting a three-step bedside head eye movement assessment called HINTS (head impulse, nystagmus, test skew). This is accurate than state-of-the-art brain imaging, especially early disease's course when there limited window for...

This JAMA Patient Page describes the eye condition of strabismus, its signs and symptoms, causes, diagnosis, treatment.

Vision therapy, also known as behavioral is theorized by its practitioners to treat a variety of visual disorders, including learning disability in children. However, the utility vision therapy various disabilities challenged American Academy Pediatrics, Ophthalmology, Association for Pediatric Ophthalmology and Strabismus, Certified Orthoptists. The purpose this review (1) provide an overview (2) evaluate evidence (3) give practical recommendations pediatric primary care providers regarding...

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To report a case of saccadic intrusions in 9-month-old under the context non-accidental trauma.A female presented with eye finding intermittent ocular flutter. Upon imaging for neuroblastoma, she was discovered to have bilateral supratentorial subdural hematomas internal septations, moderate mass effect on adjacent cerebral parenchyma, pachymeningeal and tentorial enhancement, cortical vein thrombosis. This constellation findings concerning trauma.Although an extremely rare occurrence,...

To report a unique case of bilateral horizontal pontine gaze palsy with concurrent esotropia, surgical management, and post-operative follow-up.A 39-year-old male presented diplopia history neurocysticercosis. He was found to have R > L. Classic bimedial rectus recess-resect surgery done include resection the right lateral muscle. Follow-up three months post-op demonstrates markedly improved diplopia.We present recommended therapeutic approach for rare which should be further evaluated in...

Purpose; To report a case of successfully treated convergence insufficiency type exotropia (CI-XT) in the context bilateral internuclear ophthalmoplegia (BINO) using only exercises.
 Observations; A 17-year-old male with history resected posterior fossa pilocytic astrocytoma presented constant diplopia since craniotomy. Patient and his parents were adamant pursuing surgical treatment for new onset strabismus. With appropriate counseling management exercises only, CI-IXT was without...

Isolated medial rectus fracture with entrapment is an extremely rare injury, but can have a delayed presentation.We present case of traumatic due to wall blowout in teenage boy.The patient presented nearly two weeks after the event complaining inability adduct his right eye.Physical exam revealed affected eye and CT scan showed orbital isolated entrapment.The underwent surgical repair improvement extraocular motility.Providers should high degree suspicion for refer these patients immediate repair.

Purpose: To report a case ofpinguecula in an otherwise healthy pediatric patient with no significant risk factors.Observations: A 7-year-old male past medical history presented unilateral, painless lesion of theleft temporal conjunctiva accompanied by injection and chemosis for the few months. Conclusions Importance:Although extremely rare population, pinguecula should be considered differential diagnosis patients presenting conjunctival lesions.Patients counseled on importance sun...

Background: Patients frequently go to eye care providers without knowing the prescription of their glasses.Progressive addition lenses can already be difficult measure, especially when is unknown and lens markings are not visible.With ground-in prism, this problem further compounded, there no standard methodology minimize user error.Purpose: This paper emphasizes problems inherent in measuring such spectacle lenses, describes a technique that best approximates prism power situation....