Evidence map›Paper›PMID 41933568›Full record

ArticleAmerican journal of ophthalmology2026

Surgical Outcomes in Partially Accommodative Esotropia Using Augmented Distance-Angle Averaging With and Without Hyperopic Correction.

Veronika Yehezkeli, Emanuil Parunakian, Qingyu Meng, Joseph L Demer, Soh Youn Suh

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Article in American journal of ophthalmology, 2026. 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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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

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

purposeUndercorrection is common after standard dosing of medial rectus (MR) recession for partially accommodative esotropia (PAET). Our goal was to evaluate motor and sensory outcomes in patients with PAET undergoing augmented MR recession. STUDY

designInterventional case series.

methodsWe studied patients with PAET who underwent augmented bilateral MR recession targeted to the average distance esotropia with and without hyperopic correction.

resultsA total of 110 patients (47% female) with a mean age of 5 ± 3 years were included. Preoperative distance esotropia measured 42 ± 13Δ without spectacle correction and 25 ± 11Δ with full hyperopic spectacle correction. Surgery was performed for target angles based on Parks' tables. Despite using an augmented target angles that exceeded the deviations measured with hyperopic correction, 33 patients (30%) had >5Δ residual esotropia at final follow-up. Consecutive exotropia developed in 9 patients (8%), of whom 8 (89%) were managed with hyperopic undercorrection. Posterior pulley fixation in 23 patients reduced the mean distance-near disparity from 12 ± 5Δ to 1 ± 4Δ. Only 8 patients (7%) underwent reoperation, 7 for persistent esotropia and 1 for consecutive exotropia.

conclusionsAugmented bimedial rectus recession for PAET, based on a target angle averaging distance esotropia with and without correction, achieved high rates of favorable motor and sensory outcomes. Nevertheless, 30% of patients had residual esotropia, underscoring that even augmented dosing may be insufficient. Rare overcorrections were effectively managed by reducing hyperopic spectacle power.

Indexed as

Accommodation, OcularEsotropiaHyperopiaOculomotor MusclesOphthalmologic Surgical ProceduresChildChild, PreschoolEyeglassesFemaleFollow-Up StudiesHumansInfantMaleRetrospective StudiesTreatment OutcomeVision, Binocular

Identifiers

PMID41933568
PMCPMC13061510

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