ArticleWorld journal of clinical cases2025
Effects of modified Yokoyama surgery combined with medial rectus muscle recession on esotropia in highly myopia athletes.
Article in World journal of clinical cases, 2025. 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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Abstract
backgroundFixed esotropia in high myopia, characterized by irreversible inward ocular deviation and abduction limitation, presents unique therapeutic challenges for athletes requiring precise binocular coordination. The combination of Yokoyama surgery and medial rectus muscle recession has been proposed as an advanced technique addresses both myopia-induced globe displacement and muscular imbalance offering potential advantages over conventional strabismus surgery in this population.
aimTo investigate the effects of the modified Yokoyama surgery coupled with medial rectus muscle recession in restoring ocular motility and correcting esotropia among athletes with high myopia and fixed esotropia.
methodsA retrospective study analyzed 30 highly myopia athletes (57 eyes) with fixed esotropia treated at our hospital from January 2022 to April 2024. The participants were allocated into two groups based on the surgical method: The traditional group (
resultsBoth surgical groups exhibited similar baseline scores (traditional: -4.04 ± 0.38
conclusionThe combination of modified Yokoyama surgery and medial rectus muscle recession provides effective and safe approach to improving in eye movement and esotropia in athletes with high myopia and fixed esotropia, offering reliable clinical benefits.
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