Sylvia H. Yoo - Pediatric Ophthalmology Surgery and Procedures

Pediatric Ophthalmology Surgery and Procedures

Tricks of the Trade

Sylvia H. Yoo, MD
Assistant Professor of Ophthalmology
Pediatric Ophthalmology and Strabismus
New England Eye Center
Tufts Medical Center
Boston, Massachusetts, USA

142 illustrations

Thieme
New York Stuttgart Delhi Rio de Janeiro

Library of Congress Cataloging-in-Publication Data is available with the publisher.

2021. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
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Cover design: Thieme Publishing Group
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Printed in USA by King Printing Company, Inc. 5 4 3 2 1

ISBN 978-1-68420-228-7

Also available as an e-book:
eISBN 978-1-68420-229-4

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Sylvia H. Yoo

Sylvia H. Yoo

Sylvia H. Yoo

Sylvia H. Yoo

Sylvia H. Yoo

Sylvia H. Yoo

Catherine S. Choi and Sylvia H. Yoo

Sylvia H. Yoo

Catherine S. Choi and Sylvia H. Yoo

Sylvia H. Yoo

Catherine S. Choi and Maanasa Indaram

Alison B. Callahan

Sylvia H. Yoo

Maanasa Indaram

Helen H. Yeung

Helen H. Yeung

Shilpa J. Desai and Michelle C. Liang

Michelle C. Liang and Shilpa J. Desai

Sylvia H. Yoo

The contributors and I took on this project with Thieme to put together a practical and structured guide for pediatric eye surgeries commonly performed by pediatric ophthalmologists. The book will be useful for medical trainees, including medical students, residents, and fellows, to become familiar with the principles and steps of the surgeries before encountering them in the operating room. It will also be useful for surgeons to review the tips and pearls given by the contributors, especially when planning a less-frequently performed procedure. Each section is written by an author with extensive training and experience in the field and provides advanced tips for the procedures described. Alternatives to select procedures are also discussed. Because pediatric ophthalmologists are essentially comprehensive ophthalmologists for infants, children, and teenagers, the book includes procedures within the ophthalmic surgical subspecialties that may be performed by pediatric ophthalmologists.

The first section on strabismus is comprised of ten chapters. The first chapter includes the major goals and principles of all strabismus surgeries, and the subsequent chapters address surgical anatomy for strabismus and the specific surgical steps for various strabismus procedures. Strabismus surgery techniques that are primarily performed in adult patients are not included in this section. The remaining sections cover orbital, anterior segment, glaucoma, and retina procedures. The final chapter on the examination under anesthesia provides organized guidance on preparing for the examination, so that all required equipment and testing are arranged and ready by the time the child is placed under anesthesia. Thiemes Tricks of the Trade series, covering a wide range of subspecialties, is subdivided into sections that address goals, advantages, expectations, key principles, indications, contraindications, preoperative preparation, operative technique, tips and pearls, what to avoid, complications, and postoperative care. Pertinent figures and tables are provided to enhance the understanding of the step-by-step descriptions of the procedures.

To continued learning
Sylvia H. Yoo, MD
Winter 2020, in the midst of the COVID-19 pandemic

We are grateful to have had inspiring mentors during our training and early careers who motivated us to take on challenging cases and surgeries and also to pursue our careers in ophthalmology. We also acknowledge our patients, as well as our residents, who open our eyes to novel ways of thinking about and approaching eye diseases every day.

We especially thank:

Steven Archer

Kim Cooper

Monte Del Monte

David Guyton, whose techniques for strabismus surgery, including all of his ingenious intricacies, I am enormously grateful to have learned during my training

David Hunter

Shelley Klein, orthoptist extraordinaire

Hee-Jung Park

Stacy Pineles

Michael Repka

Mitchell Strominger

Deborah VanderVeen

Federico Velez

David Walton

We also thank Ramy Rashad, Allison Resnick, Theodore Lui, and Brandon Pleman for their help with collecting many of the intraoperative photographs included in the book.

Sylvia H. Yoo, MD

Alison B. Callahan, MD

Assistant Professor of Ophthalmology

Oculofacial Plastic Surgery

New England Eye Center

Tufts Medical Center

Boston, Massachusetts, USA

Catherine S. Choi, MD

Assistant Professor of Ophthalmology

Pediatric Ophthalmology and Strabismus

New England Eye Center

Tufts Medical Center

Boston, Massachusetts, USA