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Updated: Nov 5, 2025

Guidelines for Elective Pediatric Fiberoptic Intubation

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

Pediatric intraoperative ciliary block.

Adam L Rothman¹, Justin H Townsend¹, Ta C Chang¹

¹Bascom Palmer Eye Institute, University of Miami Health System, Miami, Florida.

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus

|May 14, 2021

Summary

This summary is machine-generated.

Pediatric intraocular surgery carries risks similar to adults, including anterior chamber shallowing. A rare case of intraoperative ciliary block in a child was successfully managed with pars plana vitrectomy.

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Area of Science:

Ophthalmology
Pediatric Surgery
Glaucoma Management

Background:

Intraocular surgery in pediatric patients shares perioperative risks with adults.
Assessing anterior chamber shallowing requires a methodical approach in children, mirroring adult protocols.

Observation:

A rare case of intraoperative ciliary block occurred during a second glaucoma drainage device implantation in a 3-year-old boy.
This complication presented a unique challenge in a pediatric glaucoma patient.

Findings:

The intraoperative ciliary block was successfully treated using pars plana vitrectomy.
A hyaloid-zonulo-iridectomy was also performed as part of the intervention.

Implications:

This case highlights the importance of recognizing and managing ciliary block in pediatric intraocular surgery.
Successful treatment with pars plana vitrectomy offers a viable therapeutic option for this rare complication in children.