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Cheryl Guttman Krader
Limp raises suspicion for juvenile arthritis
There are a number of entities to consider in the differential diagnosis when a child presents with a limp, including autoimmune diseases, musculoskeletal disorders, infection, and cancer. Here's why juvenile arthritis is high on the list.
Evaluation for early puberty: When, why, and how
A workup is indicated for a child with signs of puberty starting before the normal lower age limits to determine whether the developmental changes represent normal variation or a pathologic process.
Evaluate thyroid nodules for possible cancer
Thyroid cancer is one of the most frequently diagnosed cancers in pediatric patients. Here's practical information on diagnosing and managing a child with new thyroid nodules.
Autoimmune diseases as noninfectious causes of fever
Fever without infection can be a manifestation of a number of different disorders in children, including various autoimmune and autoinflammatory diseases.
Vaccine education project focuses on the pediatric population
Enhancing parental knowledge about vaccine science is one strategy for promoting vaccination adherence and overcoming vaccine hesitancy. An alternative approach is to target school-aged children as they are the parents of the future.
How femtosecond laser anterior capsulotomy can preserve capsular integrity in IOL exchange
When performing IOL exchange in eyes with anterior capsule phimosis, use of a femtosecond laser to create a secondary anterior capsulotomy can allow in-the-bag placement of the new IOL.
What to do when the rhexis won’t tear
Metabolic insult from silicone oil exposure can cause lens epithelial cells to undergo fibrous metaplasia, making the lens capsule resistant to tearing. Instead of persisting in trying to initiate a tear, surgeons should use an instrument to cut through the fibrotic material. This non-standard approach for opening the capsule recognizes potential for capsular fibrosis in eyes filled with silicone oil.
Managing the growing burden of glaucoma
The number of patients with glaucoma will rise dramatically in the future because of growth in both the size of the aged population and in demographic groups at high-risk for the disease. Ophthalmology, however, is not equipped to handle the increasing demand for services considering workforce projections and current models of care.
Accelerated CXL rivals conventional technique
Results from 2 years of follow-up in a large, prospective comparative study show that conventional corneal crosslinking (C-CXL) and accelerated CXL (A-CXL) are similarly safe and effective for stabilizing keratoconus progression in eyes with mild-to-moderate disease, said Tulika Chauhan, MD, at AAO 2016.
Small pupils: Maneuvers, medications, mechanical devices
Thomas A. Oetting, MD, MS, shared five pearls for operating in eyes with small pupils. In the follow-up discussion, panel members commented on their experiences with newer options for small pupil management.

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