Prophylactic juxtapapillary laser photocoagulation in pediatric morning glory syndrome
AIM: To determine the anatomic and visual outcomes of prophylactic juxtapapillary laser photocoagulation treatment alone in the prevention of retinal detachment (RD) in a cohort of pediatric patients diagnosed with morning glory syndrome (MGS). METHODS: A total of 24 eyes of 22 consecutive patients...
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| Language: | English |
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Press of International Journal of Ophthalmology (IJO PRESS)
2022-05-01
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| Series: | International Journal of Ophthalmology |
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| Online Access: | http://ies.ijo.cn/en_publish/2022/5/20220512.pdf |
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| author | Yi-Hua Zou Kai-Qin She Jia-Ning Ren Ting-Yi Liang Ping Fei Yu Xu Jing Li Xiang Zhang Jie Peng Pei-Quan Zhao |
| author_facet | Yi-Hua Zou Kai-Qin She Jia-Ning Ren Ting-Yi Liang Ping Fei Yu Xu Jing Li Xiang Zhang Jie Peng Pei-Quan Zhao |
| author_sort | Yi-Hua Zou |
| collection | DOAJ |
| description | AIM: To determine the anatomic and visual outcomes of prophylactic juxtapapillary laser photocoagulation treatment alone in the prevention of retinal detachment (RD) in a cohort of pediatric patients diagnosed with morning glory syndrome (MGS). METHODS: A total of 24 eyes of 22 consecutive patients aged 0-15y diagnosed with MGS treated with prophylactic juxtapapillary laser photocoagulation alone were reviewed. Data including demographics, ocular examination, anatomic and visual outcomes, following treatment and complications were collected. RESULTS: Two patients had bilateral laser treatment and 20 had monocular laser treatment. The age at treatment of 13 (59.1%) patients was less than 12mo. The presenting symptoms included strabismus (6/22, 27.3%), decreased vision (2/22, 9.1%), and routine fundus screening (14/22, 63.6%). Fifteen (68.2%) patients underwent cranial magnetic resonance imaging (MRI) examinations, and 3 of those 15 (20.0%) had abnormal findings in the nervous system. Based on preoperative wide-field fundus photography and B-scan echography, all (100.0%) eyes had no obvious RD. On postoperative 1mo and 6mo and the following follow-ups, the anatomic outcomes of all eyes remained stable. The mean follow-up duration was 27.7±17.5mo. No severe complications were found. Preoperative visual acuity acquired from 2 (9.1%) patients ranged from light perception to 20/200. Postoperative acuity acquired from 11 (50.0%) patients ranged from light perception to 20/125. CONCLUSION: The preliminary anatomic and visual outcomes of prophylactic juxtapapillary laser treatment alone in pediatric MGS patients are relatively stable in a short-term follow-up. Further long-term clinical observation will be needed to confirm its efficacy and safety. |
| first_indexed | 2024-04-13T23:36:12Z |
| format | Article |
| id | doaj.art-66b73eb163594f42a41bef4127bc0dc5 |
| institution | Directory Open Access Journal |
| issn | 2222-3959 2227-4898 |
| language | English |
| last_indexed | 2024-04-13T23:36:12Z |
| publishDate | 2022-05-01 |
| publisher | Press of International Journal of Ophthalmology (IJO PRESS) |
| record_format | Article |
| series | International Journal of Ophthalmology |
| spelling | doaj.art-66b73eb163594f42a41bef4127bc0dc52022-12-22T02:24:43ZengPress of International Journal of Ophthalmology (IJO PRESS)International Journal of Ophthalmology2222-39592227-48982022-05-0115576677210.18240/ijo.2022.05.1220220512Prophylactic juxtapapillary laser photocoagulation in pediatric morning glory syndromeYi-Hua Zou0Kai-Qin She1Jia-Ning Ren2Ting-Yi Liang3Ping Fei4Yu Xu5Jing Li6Xiang Zhang7Jie Peng8Pei-Quan Zhao9Pei-Quan Zhao and Jie Peng. Department of Ophthalmology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China. zhaopeiquan@xinhuamed.com.cn; pengjie918@126.comDepartment of Ophthalmology, West China Hospital, Sichuan University, Chengdu 610000, Sichuan Province, ChinaDepartment of Ophthalmology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, ChinaDepartment of Ophthalmology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, ChinaDepartment of Ophthalmology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, ChinaDepartment of Ophthalmology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, ChinaDepartment of Ophthalmology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, ChinaDepartment of Ophthalmology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, ChinaDepartment of Ophthalmology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, ChinaDepartment of Ophthalmology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, ChinaAIM: To determine the anatomic and visual outcomes of prophylactic juxtapapillary laser photocoagulation treatment alone in the prevention of retinal detachment (RD) in a cohort of pediatric patients diagnosed with morning glory syndrome (MGS). METHODS: A total of 24 eyes of 22 consecutive patients aged 0-15y diagnosed with MGS treated with prophylactic juxtapapillary laser photocoagulation alone were reviewed. Data including demographics, ocular examination, anatomic and visual outcomes, following treatment and complications were collected. RESULTS: Two patients had bilateral laser treatment and 20 had monocular laser treatment. The age at treatment of 13 (59.1%) patients was less than 12mo. The presenting symptoms included strabismus (6/22, 27.3%), decreased vision (2/22, 9.1%), and routine fundus screening (14/22, 63.6%). Fifteen (68.2%) patients underwent cranial magnetic resonance imaging (MRI) examinations, and 3 of those 15 (20.0%) had abnormal findings in the nervous system. Based on preoperative wide-field fundus photography and B-scan echography, all (100.0%) eyes had no obvious RD. On postoperative 1mo and 6mo and the following follow-ups, the anatomic outcomes of all eyes remained stable. The mean follow-up duration was 27.7±17.5mo. No severe complications were found. Preoperative visual acuity acquired from 2 (9.1%) patients ranged from light perception to 20/200. Postoperative acuity acquired from 11 (50.0%) patients ranged from light perception to 20/125. CONCLUSION: The preliminary anatomic and visual outcomes of prophylactic juxtapapillary laser treatment alone in pediatric MGS patients are relatively stable in a short-term follow-up. Further long-term clinical observation will be needed to confirm its efficacy and safety.http://ies.ijo.cn/en_publish/2022/5/20220512.pdfprophylactic juxtapapillary laser photocoagulationmorning glory syndromeretinal detachment |
| spellingShingle | Yi-Hua Zou Kai-Qin She Jia-Ning Ren Ting-Yi Liang Ping Fei Yu Xu Jing Li Xiang Zhang Jie Peng Pei-Quan Zhao Prophylactic juxtapapillary laser photocoagulation in pediatric morning glory syndrome International Journal of Ophthalmology prophylactic juxtapapillary laser photocoagulation morning glory syndrome retinal detachment |
| title | Prophylactic juxtapapillary laser photocoagulation in pediatric morning glory syndrome |
| title_full | Prophylactic juxtapapillary laser photocoagulation in pediatric morning glory syndrome |
| title_fullStr | Prophylactic juxtapapillary laser photocoagulation in pediatric morning glory syndrome |
| title_full_unstemmed | Prophylactic juxtapapillary laser photocoagulation in pediatric morning glory syndrome |
| title_short | Prophylactic juxtapapillary laser photocoagulation in pediatric morning glory syndrome |
| title_sort | prophylactic juxtapapillary laser photocoagulation in pediatric morning glory syndrome |
| topic | prophylactic juxtapapillary laser photocoagulation morning glory syndrome retinal detachment |
| url | http://ies.ijo.cn/en_publish/2022/5/20220512.pdf |
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