A cohort study on acute ocular motility disorders in pediatric emergency department

Italian Journal of Pediatrics
Umberto RaucciNicola Pirozzi

Abstract

Acute ocular motility disorders (OMDs) in children admitted to Emergency Department (ED) represents a not so rare condition with a wide spectrum of different etiologies. The emergency physician must be skilled in rapidly identifying patients with potentially life threatening (LT) forms, requiring further diagnostic procedures. The aim of the study was to assess characteristics of children with acute Ocular Motility Disorders (OMDs), and to identify "red flags" for recognition of underlying life-threatening (LT) conditions. A retrospective cohort study evaluated children (2 months-17 years) admitted to a tertiary Emergency Department in 2009-2014. A subgroup analysis was performed comparing children with and without LT conditions. Of 192 visits for OMDs, the isolated strabismus occurred most frequently (55.6%), followed by pupil disorders (31.8%), ptosis (5.2%) and combined OMDs (11.5%). The majority of acute OMDs involved no underlying LT conditions (n = 136) and most of them were infants or toddlers (50%). In a multivariable analysis, LT conditions included especially children over 6 years of age, increasing the odds ratio by 2% for each months of age (p = 0.009). LT etiologies were 16 times more likely in combined OMDs (p = 0...Continue Reading

References

Sep 5, 1998·Pediatric Clinics of North America·S E Olitsky, L B Nelson
Mar 11, 1999·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·A V Mudgil, M X Repka
Aug 24, 1999·American Journal of Ophthalmology·L A Schumacher-FeeroA W Biglan
Aug 2, 2000·Ophthalmology·D B Stidham, I J Butler
Jan 5, 2006·Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie·Yvonne S P Ng, Christopher J Lyons
May 17, 2007·Emergency Radiology·Joshua BroderDavid M Warshauer
Feb 6, 2008·Emergency Medicine Clinics of North America·Kimball A Prentiss, David H Dorfman
Oct 25, 2008·Eye·A Berry-Brincat, H Willshaw
Sep 1, 2005·Paediatrics & Child Health·William N Clarke
Dec 9, 2009·Pediatric Annals·Maria Joana OsorioMichael Painter
Sep 24, 2010·The Journal of Headache and Pain·F MaggioniG Zanchin
Oct 7, 2010·JAMA : the Journal of the American Medical Association·Frederick Kofi KorleyThomas Dean Kirsch
Feb 3, 2011·Headache·Jennifer Ault
Apr 19, 2011·Ophthalmology·Gregory J GriepentrogBrian G Mohney
Sep 21, 2012·Oman Journal of Ophthalmology·Vasudha KemmanuBhujanga K Shetty
Jan 26, 2013·JAMA Ophthalmology·Erin P HerlihyAvery H Weiss
Mar 14, 2013·European Journal of Ophthalmology·Rania El Essawy, Mohamed A Elsada
Mar 4, 2014·Neurología : publicación oficial de la Sociedad Española de Neurología·I Martín-SantanaP López-Méndez
Mar 19, 2014·The Journal of Pediatrics·Riddhiben PatelLalitha Sivaswamy
Aug 15, 2014·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Arie Y NemetShlomo Vinker
Oct 5, 2014·The Journal of Emergency Medicine·Joseph A Cahill, Joshua Ross
May 21, 2015·Acta Ophthalmologica·Helena Buch, Troels Vinding
Sep 1, 2015·Primary Care·Kammi B GuntonCaroline DeBenedictis

❮ Previous
Next ❯

Citations

Apr 16, 2021·European Journal of Paediatric Neurology : EJPN : Official Journal of the European Paediatric Neurology Society·Giacomo GaroneUmberto Raucci
Aug 1, 2020·Pediatrics·Giacomo GaroneUmberto Raucci

❮ Previous
Next ❯

Methods Mentioned

BETA
imaging techniques

Software Mentioned

SPSS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

European Journal of Paediatric Neurology : EJPN : Official Journal of the European Paediatric Neurology Society
Umberto RaucciAntonino Reale
Archives of Trauma Research
Nicholas Tobias Johannes RaisonArshad Khaleel
Journal of Child and Family Nursing
G Vellucci-Wetzel
Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology
Brenda ZagarKim Kelly
© 2022 Meta ULC. All rights reserved