Evidence map›Paper›PMID 30797977›Full record

ArticleJournal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus2019

Lateral rectus sag and recurrent esotropia in children.

Robert A Clark, Andrew E Choy, Joseph L Demer

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PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Robert A ClarkDepartment of Ophthalmology, David Geffen Medical School at University of California, Los Angeles; Stein Eye Institute, David Geffen Medical School at University of California, Los Angeles; Long Beach Memorial Medical Center, Long Beach, California.
Andrew E ChoyDepartment of Ophthalmology, David Geffen Medical School at University of California, Los Angeles; Stein Eye Institute, David Geffen Medical School at University of California, Los Angeles; Long Beach Memorial Medical Center, Long Beach, California.
Joseph L DemerDepartment of Ophthalmology, David Geffen Medical School at University of California, Los Angeles; Stein Eye Institute, David Geffen Medical School at University of California, Los Angeles; Department of Neurology, David Geffen Medical School at University of California, Los Angeles; Department of Neuroscience, David Geffen Medical School at University of California, Los Angeles; Bioengineering Interdepartmental Programs, David Geffen Medical School at University of California, Los Angeles. Electronic address: jld@jsei.ucla.edu.

Funding

BIOMECHANICAL ANALYSIS IN STRABISMUS SURGERYR01EY008313 · NEI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI JOSEPH Louis DEMER · 1991 to 2026
$15.0M
NEI NIH HHS R01 EY008313
6 · The paper itself

Abstract

purposeTo describe the clinical and intraoperative findings of an anatomic abnormality in children that resembles sagging eye syndrome documented in older adults and that led to recurrent esotropia after surgery.

methodsWe reviewed records of 4 patients with substantial recurrent esotropia after bilateral medial rectus recession who required subsequent surgery combining lateral rectus resection with correction of the anatomic abnormality affecting the lateral rectus path. Binocular alignment was sequentially analyzed.

resultsThree young patients (2-3 years of age) presented with acquired esotropia but minimal cycloplegic refractive error. The fourth patient (14 years of age) initially had moderate hyperopia and partially accommodative esotropia, but subsequently developed marked bilateral overelevation in adduction. In all patients, esotropia recurred within 5

conclusionsLateral rectus sag in children creates a type of acquired esotropia and overelevation in adduction poorly responsive to standard surgery but correctable with lateral rectus resection and equatorial myopexy that normalizes the lateral rectus path through permanent scleral fixation.

Indexed as

Accommodation, OcularAdolescentChildChild, PreschoolEsotropiaHumansMaleMydriaticsOculomotor MusclesRecurrenceRefractive ErrorsRefractive Surgical ProceduresReoperationRetrospective StudiesMydriatics

Identifiers

PMID30797977
PMCPMC6589366

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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.