Ryan A. Shields
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View article: Acute onset lower extremity pain and inability to ambulate in an immunocompromised teenager: a case report
Acute onset lower extremity pain and inability to ambulate in an immunocompromised teenager: a case report Open
Structured Abstract Background Herpes zoster is an uncommon clinical entity in the pediatric population, with incidence increasing with age. The syndrome is characterized by neuralgia and vesicular rash due to reactivation of latent varice…
View article: Development of a Soft Tissue Knee Clinical Decision-Making Tool for Patients Presenting to Primary Point-of-Care Providers in Alberta, Canada
Development of a Soft Tissue Knee Clinical Decision-Making Tool for Patients Presenting to Primary Point-of-Care Providers in Alberta, Canada Open
Several barriers exist in Alberta, Canada to providing accurate and accessible diagnoses for patients presenting with acute knee injuries and chronic knee problems. In efforts to improve quality of care for these patients, an evidence-info…
View article: Patients' Preference Regarding Laser Photocoagulation or Cryoretinopexy for the Treatment of Retinal Pathology
Patients' Preference Regarding Laser Photocoagulation or Cryoretinopexy for the Treatment of Retinal Pathology Open
Purpose: High-risk peripheral retinal pathology can be prophylactically treated with both laser photocoagulation (laser) and cryoretinopexy (cryopexy). We sought to identify a possible preference by patients toward one modality and any und…
View article: Interest in Telehealth Among Patients With Chronic Retinal Conditions
Interest in Telehealth Among Patients With Chronic Retinal Conditions Open
Purpose: This work investigated interest in telehealth services for patients with chronic retinal conditions. Methods: A single-center, multi-office study was conducted of patients with chronic retinal conditions who were seen by 1 of 4 ph…
View article: Periorbital Subcutaneous Perfluoron Is Well Tolerated Following Intravitreal Surgery
Periorbital Subcutaneous Perfluoron Is Well Tolerated Following Intravitreal Surgery Open
Purpose: Perfluorocarbon liquids (PFCLs) are well tolerated in intraocular surgery, but chronic exposure can cause inflammation. PFCL leakage into the orbit without significant sequelae has been reported, but PFCL leakage into the presepta…
View article: Displacement of Submacular Hemorrhage With Subretinal Injection of Recombinant Tissue Plasminogen Activator and Gas Tamponade in the Setting of Myopic Degeneration
Displacement of Submacular Hemorrhage With Subretinal Injection of Recombinant Tissue Plasminogen Activator and Gas Tamponade in the Setting of Myopic Degeneration Open
Myopic submacular hemorrhage (SMH) usually arises from either a break in Bruch's membrane (lacquer cracks) that damages the underlying choriocapillaris or the development of a choroidal neovascular membrane (CNVM) at the sites of prior lac…
View article: Postoperative Adverse Events, Interventions, and the Utility of Routine Follow-Up After 23-, 25-, and 27-Gauge Pars Plana Vitrectomy
Postoperative Adverse Events, Interventions, and the Utility of Routine Follow-Up After 23-, 25-, and 27-Gauge Pars Plana Vitrectomy Open
The utility of standard POVs in detecting AEs is dependent on the indication for PPV. Specifically patients undergoing isolated macular surgery (epiretinal membrane peel or macular hole repair) had the lowest relative risk of postoperative…
View article: Surgical timing and presence of a vitreoretinal fellow on postoperative adverse events following pars plana vitrectomy
Surgical timing and presence of a vitreoretinal fellow on postoperative adverse events following pars plana vitrectomy Open
Introduction: To evaluate the adverse event rate following pars plana vitrectomy as a function of surgical start time and the presence of a vitreoretinal fellow. Methods: Single-institution retrospective cohort study of patients undergoing…
View article: A fatal case of Susac syndrome: The importance of ophthalmic examination in confirming the diagnosis
A fatal case of Susac syndrome: The importance of ophthalmic examination in confirming the diagnosis Open
The timely and accurate diagnosis of Susac syndrome, which classically manifests as the triad of encephalopathy, vestibulocochlear abnormalities, and retinal arteriolar occlusions, may help to reduce the morbidity of invasive testing and t…
View article: Pediatric Cataract Extraction Utilizing the LenSx? Femtosecond Laser
Pediatric Cataract Extraction Utilizing the LenSx? Femtosecond Laser Open
The interface was easily centered over the cornea and suction was applied with no need for a lateral canthotomy. OCT images of the cornea and anterior chamber were taken (Figure 1). Anterior capsulotomy parameters were set with the followi…