ArticleEye (London, England)2018
Anterior segment ischemia: etiology, assessment, and management.
Article in Eye (London, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.
- A bibliometric analysis of strabismus (from 2004 to 2023).Frontiers in medicine · 2025Pooled it
- Impact of Strabismus Surgery on Anterior Segment Hemodynamics: An SS AS-OCTA-Based Study.Translational vision science & technology · 2026Observational
- Changes in iris microvasculature after horizontal strabismus surgery: anterior segment OCTA combined with synoptophore-based functional assessment.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026Article
- Visual Neurorestoration: An Expert Review of Current Strategies for Restoring Vision in Humans.Brain sciences · 2025Review
- Cyclocryotherapy applied at the 3 o'clock and 9 o'clock positions combined with anti-VEGF injections for advanced neovascular glaucoma.International ophthalmology · 2025Article
- Anterior segment ischemia and ischemic optic neuropathy following encircling scleral buckling surgery and air tamponade.American journal of ophthalmology case reports · 2025Article
- The temporal dynamic of bradykinin type 2 receptor effects reveals its neuroprotective role in the chronic phase of cerebral and retinal ischemic injury.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2025Article
- Differences in the corrective effects of vertical transposition accompanied by recession-resection of the horizontal rectus muscles for complicated vertical deviation.Eye (London, England) · 2024Article
- Iris neovascularization and neurotrophic keratopathy following ultrasound cycloplasty in refractory glaucoma: case series.BMC ophthalmology · 2024Article
- Investigation of alterations in retrobulbar hemodynamics and their correlation with choroidal thickness after strabismus surgery.BMC ophthalmology · 2024Article
- A case of bilateral horizontal gaze palsy and concurrent esotropia.American journal of ophthalmology case reports · 2023Article
- Extraocular Rectus Muscle Stretching as a Weakening Procedure.Ophthalmology and therapy · 2023Article
- A Novel Technique Using Paretic Superior Rectus as a Globe Suspender for Monocular Elevation Deficiency.Cureus · 2023Article
- Anterior segment ischemia following strabismus surgery in a young adult using gender-affirming estrogen hormone therapy.Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus · 2023Article
- A novel predictive model for phthisis bulbi following facial hyaluronic acid cosmetic injection.BMC ophthalmology · 2023Observational
- Changes in retinal and choroidal blood flow after one or two horizontal rectus muscle surgeries by optical coherence tomography angiography.Annals of medicine · 2023Article
- Delayed anterior segment complications after the treatment of retinopathy of prematurity with laser photocoagulation.Frontiers in ophthalmology · 2023Article
- Superior Rectus Transposition in the Management of Duane Retraction Syndrome: Current Insights.Clinical ophthalmology (Auckland, N.Z.) · 2022Review
- Anterior Segment Optical Coherence Tomography Angiography Following Trabecular Bypass Minimally Invasive Glaucoma Surgery.Frontiers in medicine · 2022Article
- Intraocular vascular analysis using optical coherence tomography angiography in patients with vascular paralytic strabismus.PloS one · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 6 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Anterior segment ischemia (ASI) is a potentially serious but rare complication of strabismus surgery. Among several risk factors, ASI occurs after strabismus surgery because of the nature of the anterior segment circulation. Disinsertion of rectus muscles leads to a decrease in the blood supply to the various anterior segment structures. We report a series of retrospective and prospective studies performed by our group focused on determining the risk of anterior segment ischemia following strabismus surgery, diagnosis, and modifications to surgical techniques to minimize the impact on anterior segment circulation. We found a significant decrease in postoperative anterior segment blood flow when operating vertical rectus muscles. Plication procedures preserve anterior segment circulation, and modifications to the technique allow the performance of adjustable sutures. Small adjustable selective procedures that spare the ciliary vessels have been demonstrated to be effective in patients with vertical and torsional diplopia. Ciliary sparing augmented adjustable transposition surgery decreases the risk of anterior segment ischemia while allowing management of potential post-operative alignment complications. Finally, ocular coherence tomography angiography is a valuable quantitative and qualitative technique to evaluate anterior segment ischemia. Strabismus surgeons should be aware of the risks of anterior segment ischemia when operating vertical rectus muscles. Modifications to standard surgical techniques allow surgeons to perform complex strabismus surgery in patients at risk for anterior segment ischemia.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.