Letter to the Editor
Strabismus and paediatric ophthalmology: Comments and thoughts
Estrabismo y oftalmología pediátrica: reflexiones y comentarios
J. Jiménez Benitoa,
, V. Lacosta Asína, M.E. de las Heras Gómez de Liañoa, C. Laria Ochaitac, J. Torres Moronb, J.M. Rodriguezd
Corresponding author
a Sección Estrabismo, Servicio de Oftalmología, Hospital Universitario de Burgos, Burgos, Spain
b Sección Estrabismo, Servicio de Oftalmología, Hospital Universitario Sanitas La Moraleja, Madrid, Spain
c Sección Estrabismo, Clínica Baviera, Alicante, Spain
d Sección Estrabismo, Hospital Ramón y Cajal, Madrid, Spain
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Jiménez Benito, V. Lacosta Asín, M.E. de las Heras Gómez de Liaño, C. Laria Ochaita, J. Torres Moron, J.M. Rodriguez" "autores" => array:6 [ 0 => array:4 [ "nombre" => "J." "apellidos" => "Jiménez Benito" "email" => array:1 [ 0 => "jjimenez@saludcastillayleo.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "V." "apellidos" => "Lacosta Asín" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "M.E." "apellidos" => "de las Heras Gómez de Liaño" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "C." "apellidos" => "Laria Ochaita" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 4 => array:3 [ "nombre" => "J." "apellidos" => "Torres Moron" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 5 => array:3 [ "nombre" => "J.M." "apellidos" => "Rodriguez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Sección Estrabismo, Servicio de Oftalmología, Hospital Universitario de Burgos, Burgos, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Sección Estrabismo, Servicio de Oftalmología, Hospital Universitario Sanitas La Moraleja, Madrid, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Sección Estrabismo, Clínica Baviera, Alicante, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Sección Estrabismo, Hospital Ramón y Cajal, Madrid, Spain" "etiqueta" => "d" "identificador" => "aff0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "<span class="elsevierStyleItalic">Corresponding author</span>." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Estrabismo y oftalmología pediátrica: reflexiones y comentarios" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Over the last 50 years in the history of ophthalmology, the unstoppable emergence of subspecialties has brought about a radical change in healthcare activity, both in the public health system and in the private sector. Subspecialisation in ophthalmology has been a necessity motivated by the enormous amount of scientific research, which prevents the general ophthalmologist from being familiar with it and which is also accompanied by innumerable technical equipment, both for diagnostic tests and surgical activity. Sub-specialisation should be considered excellent news because it allows for better quality care for patients, even though it entails greater difficulty and complexity in the organisation of ophthalmology services.</p><p id="par0010" class="elsevierStylePara elsevierViewall">In this context, we consider it pertinent to reflect on strabismus and pediatric ophthalmology, which has been an essential part of our speciality, as can be seen in all the classic treatises of the last century, when ophthalmology was consolidated as a medical-surgical speciality. The <span class="elsevierStyleItalic">Spanish Society of Strabology and Pediatric Ophthalmology</span> was founded by Dr. Fernando Gómez de Liaño in 1972 together with the journal <span class="elsevierStyleItalic">Acta Estrabológica</span>, being the first subspecialty society in ophthalmology.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">We consider it appropriate to recall some peculiarities of strabismus and pediatric ophthalmology, such as the fact that, in general, they require more time in the consultation room, perhaps the theoretical preparation may require more time and dedication although strabismus surgery hardly requires technological equipment and the surgical results present a greater degree of uncertainty than in other ophthalmological conditions, with the added bonus of the enormous responsibility that surgery in children entails.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> Another feature that is not often discussed is its frequent association with neuro-ophthalmology and oculoplastic diseases, especially in ophthalmology departments with few professionals.</p><p id="par0020" class="elsevierStylePara elsevierViewall">We also want to claim the rewards of this subspecialty, such as the very likely success in the treatment of amblyopia, which with very few diagnostic and therapeutic means brings enormous benefit to the patient, with an excellent cost/effectiveness ratio, as well as the enormous satisfaction of correcting accommodative strabismus with optical correction alone or strabismus surgery, which can be very satisfactory in both children and adults.</p><p id="par0025" class="elsevierStylePara elsevierViewall">Our profession has a misguided competition between subspecialties that we consider highly undesirable, but which we perceive has become part of the ideology of contemporary ophthalmology and is perceived as such by resident doctors.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> For example, it seems a fiction that a young ophthalmologist should be interested in strabismus and refractive surgery, and it is not even unusual to find certain colleagues who boast of their limited knowledge of strabismus and pediatric ophthalmology. In conclusion, we would like to encourage the recovery of this exciting subspecialty in the general ophthalmologist’s practice because it is our obligation, which also enriches us as professionals and as people, since we shouldn’t miss children’s smiles in our work, don’t you think?</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0030" class="elsevierStylePara elsevierViewall">This manuscript has not received any funding for its preparation.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflict of interest</span><p id="par0035" class="elsevierStylePara elsevierViewall">There is no conflict of interest in relation to this article.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflict of interest" ] 2 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Jiménez Benito J, Lacosta Asín V, de las Heras Gómez de Liaño ME, Laria Ochaita C, Torres Moron J, Rodriguez JM. Estrabismo y oftalmología pediátrica: reflexiones y comentarios. Arch Soc Esp Oftalmol. 2022;97:593–594.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Sociedad Española de Estrabología y Ofalmología Pediátrica [Accessed 11 March 2022]. Available from: <a target="_blank" href="https://www.estrabologia.org/quienes-somos/">https://www.estrabologia.org/quienes-somos/</a>." ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Nuevo nomenclátor estandarizado en oftalmología: Criterios e indicadores cuantitativos de baremación de actos médicos" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J.A. Gegúndez-Fernández" 1 => "A. Piñero-Bustamante" 2 => "J.M. Benítez-del-Castillo" 3 => "J. García-Feijoo" 4 => "F.J. Muñoz-Negrete" 5 => "F.J. Figueroa" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Arch Soc Esp Ofatalmol" "fecha" => "2020" "volumen" => "95" "paginaInicial" => "591" "paginaFinal" => "602" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Reivindicando la validez del oftalmólogo general. Homenaje al Dr. Li Wenliang (1986-2020)" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "J. Jiménez Benito" 1 => "N. Gajate Paniagua" 2 => "M. Tabares Sánchez" 3 => "M.E. de las Heras Gómez de Liaño" 4 => "P. Pontón Méndez" 5 => "R. Portilla Blanco" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Arch Soc Esp Ofatalmol" "fecha" => "2020" "volumen" => "95" "paginaInicial" => "521" "paginaFinal" => "522" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735794/0000009700000010/v1_202209300752/S2173579422001256/v1_202209300752/en/main.assets" "Apartado" => array:4 [ "identificador" => "5813" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letter to the Editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735794/0000009700000010/v1_202209300752/S2173579422001256/v1_202209300752/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173579422001256?idApp=UINPBA00004N" ]
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