Evidence map›Paper›PMID 40865896›Full record

ArticleAmerican journal of ophthalmology2025

Surgical Dosing for Correction of Consecutive Exotropia.

Qingyu Meng, Emanuil Parunakian, Veronika Yehezkeli, Joseph L Demer

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in American journal of ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

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.

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

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Qingyu MengFrom the Stein Eye Institute and Department of Ophthalmology University of California, Los Angeles, California, USA (Q.M., V.Y., J.L.D.); Department of Ophthalmology, Peking University People's Hospital, Beijing, China (Q.M.).
Emanuil ParunakianDavid Geffen School of Medicine at University of California Los Angeles, Los Angeles, California, USA (E.P.).
Veronika YehezkeliFrom the Stein Eye Institute and Department of Ophthalmology University of California, Los Angeles, California, USA (Q.M., V.Y., J.L.D.).
Joseph L DemerFrom the Stein Eye Institute and Department of Ophthalmology University of California, Los Angeles, California, USA (Q.M., V.Y., J.L.D.); Department of Neurology, University of California, Los Angeles, California, USA (J.L.D.); Bioengineering Department, University of California, Los Angeles, California, USA (J.L.D.); Neuroscience Interdepartmental Program, University of California, Los Angeles, California, USA (J.L.D.).. Electronic address: jld@jsei.ucla.edu.

Funding

Vision Research Core at UCLAP30EY000331 · NEI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Xian-Jie Yang · 1985 to 2026
$16.8M
BIOMECHANICAL ANALYSIS IN STRABISMUS SURGERYR01EY008313 · NEI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI JOSEPH Louis DEMER · 1991 to 2026
$15.0M
NEI NIH HHS P30 EY000331NEI NIH HHS R01 EY008313
6 · The paper itself

Abstract

purposeBecause surgical tables have not previously been available for consecutive exotropia, this study aimed to determine the appropriate surgical dosing for medial rectus (MR) advancement in this condition.

designRetrospective case series.

methodsData were reviewed for patients with consecutive exotropia who underwent MR advancement with or without lateral rectus (LR) recession.

resultsA total of 44 patients were included averaging 35 ± 20 (stamdard deviation ) years of age. Mean preoperative exotropia was 29 ± 15∆ at distance and 33 ± 19∆ at near. Thirty-four patients underwent unilateral or bilateral MR advancement, and 10 patients underwent MR advancement combined with LR recession. For the MR advancement group, mean advancement was 4.9 ± 1.4 mm. At the last follow-up visit, exotropia at distance was reduced from 26 ± 12∆ to 7 ± 11∆. For the MR advancement + LR recession group, mean MR advancement was 6.2 ± 2.0 mm, and the mean total surgical dose, including LR recession, was 14.6 ± 4.7 mm. Overall, distance exotropia at last follow-up was surgically reduced from 39 ± 18∆ to 9 ± 14∆. Exodrift from initial to final follow-up was 6.6∆ for MR advancement alone and 7.5∆ for MR advancement + LR recession. Regression analysis of surgical dose-response suggests that each MR advancement should be augmented by 2 mm more than Parks' general surgical recommendation for treating exotropia by MR resection.

conclusionsAugmentation of MR advancement may improve the correction of consecutive exotropia and is effective while affording opportunity to explore the MR muscle.

Indexed as

ExotropiaOculomotor MusclesOphthalmologic Surgical ProceduresAdolescentAdultChildChild, PreschoolFemaleFollow-Up StudiesHumansMaleMiddle AgedRetrospective StudiesVision, BinocularVisual AcuityYoung Adult

Identifiers

PMID40865896
PMCPMC13006090

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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.