Oculo Cutaneous Albinism

7th November 2017: This week we look at Oculo Cutaneous Albinism and two associated syndromes that one should rule out in albinotic patients.

Hermansky-Pudlak Syndrome is a rare autosomal recessive metabolic disorder which causes albinism, visual impairment, and platelet dysfunction. Chediak-Higashi syndrome is a rare autosomal recessive disorder characterized by recurrent pyogenic infections, partial oculocutaneous albinism, progressive neurologic abnormalities, mild coagulation defects, and a lymphoma-like accelerated phase.

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W sitting

24th October 2017:

W sitting is a situation where the child sits with his / her hips resting in flexion, internal rotation and adduction. This is commonly first seen at age 1 – 2 years and may persist till 3 – 4 years of age. W sitting may just be a matter of habit without the need for any medical intervention. So then which children should be discouraged from sitting in W position for extended periods of time? (more…)

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Secondary Glaucoma in Sturge Weber Syndrome

17th October 2017:

We know about Sturge-Weber syndrome, the neuro-cutaneous disorder with angiomas on the skin of the face, typically in the ophthalmic (V1) and maxillary (V2) distributions of the trigeminal nerve. Did you know that you can predict the chances of secondary glaucoma based on the extent of the port wine stain? (more…)

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Pulled Elbow

3rd October 2017:

This week we look at Pulled Elbow – one of the commonest causes of painful psuedo paralysis of upper limb in the age group 1 – 5 years. We know that treatment is by traction & supination or in some cases, traction & hyper pronation. When should one think of ordering an XRay?

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Retinopathy of Prematurity

12th September 2017

This week we look at one of the most common causes of preventable visual loss in preterm babies – Retinopathy of Prematurity or ROP. Needless to say, all preemies less than 35 weeks and / or weighing less than 2 kgs with the below risk factors must be screened within the first 30 days of life.  (more…)

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Lacrimal Sac Massage

18th July 2017:
This week we turn our attention to one of the most common causes of epiphora and peri-ocular discharge in infants – Congenital Naso Lacrimal Duct Obstruction or CNLDO.
When does one need to cross over the border from the conservative approach of lacrimal sac massage into the surgical territory of nasolacrimal duct probing?

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