Welcome to the second-quarter issue of Clinical Insights in Eyecare for 2025. This issue includes 5 unique case reports, a clinically fascinating point-counterpoint discussion, and multiple journal scans.
Our featured case report in this issue is “Acquired Horner Syndrome Secondary to Mediastinal Ganglioneuroblastoma in a Pediatric Patient,” by Anne Tasaki, OD, FAAO, underscores the importance of comprehensive systemic evaluation—including neuroimaging—when infants present with symptoms such as eyelid ptosis and iris heterochromia.
In the case report “Ocular Surface Rehabilitation With a Scleral Lens in a Pediatric Patient With Neurotrophic Keratitis Due to a Posterior Fossa Tumor,” Amanda Dieu, OD, FAAO, FSLS, explores the use of scleral lenses as a nonsurgical alternative to tarsorrhaphy, aiming to prevent amblyopia in a young patient. The article offers a detailed overview of neurotrophic keratitis and includes practical clinical insights.
Another compelling case, “Unraveling Pigmented Paravenous Retinochoroidal Atrophy: A Case Report on the Utility of Multimodal Imaging in Diagnosis,” by Jean Marie Pagani, OD, FAAO, and Bhawan Minhas, OD, FAAO. The authors provide a comprehensive review of this rare condition along with striking clinical images.
The fourth case report, “Accommodative Esotropia With Onset Prior to 12 Months of Age: A Case Series,” by Jennifer Qayum, OD, FAAO, documents 3 pediatric patients with early-onset esotropia. Each case featured distinct clinical presentations, which required tailored treatment approaches, leading to varied outcomes.
Our last case report, “Tarsal Conjunctival Lesion of the Upper Eyelid From Metastatic Neuroendocrine Tumor Leads to Adjustment of Patient’s Systemic Therapy,” by Kelly Schoorens, OD, FAAO, Leticia Santa, OD, and Andrew J. Di Mattina, OD, FAAO, highlights the rare ocular manifestation of a neuroendocrine tumor and underscores the critical, yet often overlooked, clinical value of a thorough lid eversion.
This issue’s Point-Counterpoint features a compelling debate by Nick Fogt, OD, MS, PhD, FAAO, Jocelyn Daniel, OD, FAAO, and Anna Bedwell, OD, FAAO, examining the role of optical coherence tomography angiography vs traditional fluorescein angiography in diagnosing and managing retinal disease. Both authors present well-reasoned arguments, resulting in an engaging and insightful article that’s well worth the read.
As always, Drew Rixon, OD, FAAO, and Eddie Chu, OD, FAAO, deliver insightful journal summaries and thoughtful reviews from recent publications in this month’s issue. Their reviews offer practical clinical takeaways on a range of topics, including diabetic retinal disease, glaucoma medications, and school-based vision screenings.
We hope you enjoy this issue!
Raman Bhakhri, OD, FAAO
Editor in Chief
Jim Williamson, OD, FAAO
Associate Editor