Global Case Report Quiz

Global Case Report Quiz

In every Newsletter, we present a Survey Based quiz to our members. We request them to answer the question(s) asked by selecting one of the options provided at the end of the presentation. The case presentation is also sent to a few established / renowned ophthalmologists asking them for their opinion.

We would like to introduce our Experts. Click here for more.

As both sets of these opinions are important, we compile them for each case and include it in the next newsletter. We have been archiving all these cases & their Experts’ Opinions & are even contemplating publishing a compilation of our Global Case Report Quiz Cases at the end of each year.

WSPOS has a partnership with the journal, Revista de Estrabismo & Oftalmologia Pediátrica (REOP) for sharing of difficult strabismus cases. We have received 2 cases from them so far. We also have a partnership with the Strabos Institute, in São Paulo, Brazil & they have sent us 1 case so far. Additionally, even Dr. Monica P. Samant from the Laxmi Eye Institute, Panvel, Mumbai, India has sent us 3 cases.

We would like you to meet the ophthalmologists who have sent us these cases. Click here for more.

 

CASE 1

We sent the 1st Case of the Global Case Report Quiz out to all our members as a part of our 5th July, 2016 Newsletter. This is a case of a 3-year-old female, who presented with decreased vision in her left eye. She had a history of OD s/p repair for penetrating trauma performed one month ago.

Members’ Responses :
Out of the members who responded to our Global Case Report Quiz, 19.40% would perform a YAG Laser followed by a Trabeculectomy, 27.80% would perform a Trabeculectomy followed by a YAG Laser & while 52.80% would perform a YAG Laser followed by some other procedure to treat Glaucoma.

Experts’ opinion :
We have compiled five Experts’ Opinions for the 1st Case of the Global Case Report Quiz.
Click here for more

CASE 2

We sent the 2nd Case of the Global Case Report Quiz out to all our members as a part of our 22nd August, 2016 Newsletter. This case is about a 24-day old male child presented to the clinic with the parents complaining of a large left eye since birth.

Members’ Responses :
Out of the members who responded to our Global Case Report Quiz, 14.3% preferred a Medical approach, while 85.7% preferred a Surgical approach for the control of the IOP in this case.

Out of the members who preferred a Surgical approach, 63.9% preferred to perform a Trabeculotomy with Trabeculectomy, while 36.1% preferred to Use a Valve.

38.9% out of the members who preferred a Surgical approach opted for Immediate Surgical Intervention, 36.1% chose to intervene surgically After Medical Management Failure; while 25% preferred to wait till After Neurosurgical Intervention to intervene surgically.

Experts’ opinion :
We have compiled three Experts’ Opinions for the 2nd Case of the Global Case Report Quiz.
Click here for more

CASE 3

We sent the 3rd Case of the Global Case Report Quiz out to all our members as a part of our 5th October, 2016 Newsletter.

Members’ Responses :
When asked ‘How they would compensate for the function deficit of a traumatically detached left inferior rectus muscle that cannot be found’ 42.11% replied saying they would perform an Inferior Transposition (Total / Half) of both left horizontal rectus muscles, 15.79% said they would opt for Weakening of left superior rectus muscle, 10.53% preferred Weakening of right inferior rectus muscle, while 31.58% would perform an Anterior transposition of the left inferior oblique muscle, as was done here.

63.16% of our members would have carried out a surgery(s), despite not obtaining a good quality MRI, while 36.84% would refrain from performing a surgery without being able to obtain a good quality MRI.

Experts’ opinion :
We have compiled three Experts’ Opinions for the 3rd Case of the Global Case Report Quiz.
Click here for more

CASE 4

We sent the 4th Case of the Global Case Report Quiz out to all our members as a part of our 31st January, 2017 Newsletter. This case is about a 6 year old child who was detected with poor vision in her left eye during a routine eye screening conducted at school.

Members’ Responses :
When asked ‘How would you treat the condition?’ 5.88% of our members replied saying they would Leave the condition untreated / as it is, 76.47% said they would Use Anti-VEGF, 5.88% would Perform Surgery, while the remaining 11.76% would Administer an Intravitreal Steroid.

Experts’ opinion :
We have compiled four Experts’ Opinions for the 4th Case of the Global Case Report Quiz.
Click here for more

CASE 5

We sent the 5th Case of the Global Case Report Quiz out to all our members as a part of our 27th March, 2017 Newsletter. This case is about a 46 year old woman who presented with a complaint of diplopia with inward deviation of her right eye.

Members’ Responses :
When asked (1) ‘Which eye would you operate on??’ 55% of our members replied saying they would operate on the non-dominant eye while 45% said they would operate on both eyes.

When asked (2) Do you feel recommending orbital image studies prior to the surgical procedures in highly myopic strabismus is (a) Indispensable (b) Useful but not indispensable (c) Or you would not recommend prior image studies because muscle path found at surgery is the key to the surgical plan; 40% of our members replied Indispensable, 55% said Useful but not indispensable & the remaining 5% said they would not recommend prior image studies because muscle path found at surgery is the key to the surgical plan.

When asked (3) Which approach would you choose in a downward shift lateral rectus (LR) muscle in cases with no vertical deviation?; 15% replied saying they would perform a Resection or plication of the LR, 10% said they would do a Repositioning the LR muscle belly by a myoscleropexia, 20% said they would carry out a Resection with myoscleropexia of the LR, 0% said they would perform a Harada technique, 45% said they would employ the Yokoyama technique, while 10% of our members said they would perform other procedures.

Experts’ opinion:
We have compiled five Experts’ Opinions for the 5th Case of the Global Case Report Quiz.
Click here for more

CASE 6

We sent the 6th Case of the Global Case Report Quiz out to all our members as a part of our 29th May, 2017 Newsletter. This is the 1st in a series of Strabos Institute & WSPOS collaboration cases. The case is about a 42 year old woman who presented with binocular diplopia and right eye exotropia one day after ENT surgery.

World Society of Paediatric Ophthalmology and Strabismus
Temple House, Temple Road, Blackrock, Co. Dublin, Ireland

Phone:+ 353 1 288 3630
Fax:+353 1 209 1112
Email:wspos@wspos.org

World Society of Paediatric Ophthalmology and Stabismus is a registered Charity with the U.K. Charities Commission (Charity Registration Number ;1144806) (Registered November 2011)

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