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Macular choroidal changes after inferior oblique muscle surgery

This study was undertaken to investigate the retinal neurovasculature, choroidal thickness and choroidal vascular index (CVI) changes at the macula at one week, one- and three-month intervals post inferior oblique muscle myectomy. The hypothesis was that, given the close proximity...

Efficacy of augmented-dosed surgery versus botulinum toxin A injection for acute acquired concomitant esotropia

This is a retrospective study of 104 patients diagnosed with acute acquired concomitant esotropia (AACE) between 2020 and 2022. Potential factors that influence the dose-response of bilateral medial rectus recession (MRec) and the rate and risk factors for ACCE relapse...

Long-term motor and sensory outcomes after surgery for high AC/A ratio esotropia

This study reports the long-term ocular alignment and sensory outcomes after medial rectus recession for high accommodative convergence to accommodation (AC/A) ratio esotropia with a minimum postoperative follow-up of five years. The study included 34 patients (16 male); 31 had...

Systematic review of management options for intermittent exotropia

The authors conduct a robust systematic review of the literature to report evidence on non-surgical and surgical treatment options for intermittent exotropia – divergence excess and basic intermittent exotropia types. Discussion centres on (1) optical correction of refractive error with...

Augmented surgery with BTA for large angle strabismus correction

This retrospective study reports the results of botulinum toxin A (BTA) augmented bilateral recession or monocular recession / resection (RR) for patients with large angle strabismus. Twenty-four patients were recruited: 10 female, mean age 9.2 ±13.6 years, 20 esotropia and...

Cataract surgery in the extremely small eye: morphology, comorbidities and outcomes in 300 eyes

This is a retrospective study from Heidelberg University, Germany, between January 2009 to October 2023, including 300 eyes of 191 patients undergoing cataract surgery with short axial length requiring lens implantation of > 30 dioptres. Eyes were classified into the...

Surgical outcomes of primary recess/resection vs readvancement/recession surgery for exotropia

This study compared the surgical yield of primary lateral rectus and medial rectus recession/resection (RR) surgery for basic exotropia, convergence insufficiency type exotropia (CIXT) and divergence excess (DXS) vs. patients undergoing medial rectus readvancement (MRR) +/- lateral rectus recession for...

Inferior oblique botulinum toxin as a postoperative test

The authors aimed to evaluate the role of inferior oblique (IO) botulinum toxin (BT) injection as a surgical simulator prior to IO myectomy, i.e. preoperative diplopia test using BT. This was a retrospective review in a single centre over a...

RCT to detect palpebral fissure changes after horizontal strabismus surgery

The aim of this prospective randomised controlled trial was to compare changes of vertical palpebral fissure h8 after bilateral lateral rectus (BLR) recession vs unilateral lateral rectus recession/medial rectus muscle scleral plication (RRP) for treatment of intermittent exotropia (IXT). Forty...

Lateral rectus superior plication surgery as an option for adult onset esotropia

This study presents results of bilateral superior plication of the lateral rectus for treatment of adult onset esotropia, as a less invasive surgical option. This was a retrospective study of 15 patients with mean age of 51.5 ±12.6 years; 67%...

Pneumatic trabeculectomy

The authors present a novel technique which uses constant pressure air infusion via the constellation vision system (Alcon Laboratories) to prevent anterior chamber (AC) collapse and intraocular pressure fluctuations during trabeculectomy in high-risk cases. This was a prospective, interventional, non-randomised,...