Pediatric Anterior Segment Surgery: The Basic, The Complex, The Novel and The Future
Federico G. Velez, MD; Sharon F. Freedman, MD; Deborah K. VanderVeen, MD; Kamiar Miresandari, MBChB, FRCSEd, FRCOphth, PhD
Stein Eye Institute, Doheny Eye Institute, Duke University Eye Center, Boston Children’s Hospital, The Hospital for SickKids
Los Angeles CA, Durham NC, Boston MA, Toronto ON
Purpose/Relevance: To familiarize pediatric ophthalmologists with common and advanced surgical techniques for the treatment of pediatric lens disorders, glaucoma and cornea abnormalities.
Target Audience: Pediatric Ophthalmologists, Fellows and Specialists
Current Practice: Surgical treatment of anterior segment disorders in children is challenging. Conditions are rare and usually managed at referring centers. Extra training and a long-steep learning curve are common in achieving the level of expertise and comfort required to surgical manage these conditions.
Best Practice: Basic and advanced step-by-step techniques will be discussed.
Expected Outcomes: Participants will familiarize with common and advanced anterior segment surgical procedures including techniques, challenges, and management of potential complications.
Format: Video/text describing step-by-step anterior segment surgical techniques.
Summary: Panelist will present and discuss step-by-step surgical procedures including angle surgery, glaucoma drainage devices, and minimally invasive glaucoma techniques, lensectomy and complex intraocular lens implantation, collagen crosslinking and penetrating and lamellar corneal transplant. Audience participation will be expected and encouraged.
References: 1. Margeta MA, Kuo AN, Proia AD, Freedman SF. Staying away from the optic nerve: a formula for modifying glaucoma drainage device surgery in pediatric and other small eyes. J AAPOS. 2017 Feb;21(1):39-43
2. Nihalani BR, VanderVeen DK. Technological advances in pediatric cataract surgery. Semin Ophthalmol. 2010 Sep-Nov;25(5-6):271-4.
3. Elbaz U, Ali A, Mireskandari K. Long-Term Corneal Endothelial Cell Counts After Penetrating Keratoplasty in Infants. Cornea. 2016 Jun;35(6):784-8