{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T16:45:30Z","timestamp":1768927530748,"version":"3.49.0"},"reference-count":30,"publisher":"Springer Science and Business Media LLC","issue":"10","license":[{"start":{"date-parts":[[2022,5,19]],"date-time":"2022-05-19T00:00:00Z","timestamp":1652918400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,5,19]],"date-time":"2022-05-19T00:00:00Z","timestamp":1652918400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e4tsklinikum RWTH Aachen"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Graefes Arch Clin Exp Ophthalmol"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>To investigate the use of fascia lata (FL) grafts for inferior rectus muscle (IRM) tendon elongation in patients with large vertical squint angles with Graves\u2019 orbitopathy (GO).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>In this retrospective study, we included a consecutive series of 20 eyes of 13 patients with GO who underwent IRM tendon elongation with FL. Orthoptic and ophthalmologic examinations including measurement of the head posture, the extent of deviation in primary position (PP), elevation, motility, and binocular diplopia at the tangent of Harms were conducted preoperatively and after a mean postoperative time of 10.8 (5.0\u201335.0) months in all patients.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The mean total repositioning distance was 9.3\u2009\u00b1\u20093.6 (3.5\u201316.0) mm. Postoperatively, we found a significant increase in elevation (5.4\u2009\u00b1\u20092.4 vs. 2.7\u2009\u00b1\u20092.4\u00a0mm preoperatively, <jats:italic>p<\/jats:italic>\u2009=\u20090.011). A significant reduction in vertical squint angle (2.8\u2009\u00b1\u20093.7 vs. 20.2\u2009\u00b1\u200918.8 \u0394 preoperatively, <jats:italic>p<\/jats:italic>\u2009=\u20090.004), chin elevation (2.3\u2009\u00b1\u20093.7 vs. 12.9\u2009\u00b1\u20096.3\u00b0 preoperatively, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), extorsion in PP (0.1\u2009\u00b1\u20093.8 vs. 8.4\u2009\u00b1\u20097.8\u00b0 preoperatively, <jats:italic>p<\/jats:italic>\u2009=\u20090.002), and in elevation (1.8\u2009\u00b1\u20094.8 vs. 11.1\u2009\u00b1\u200910.9\u00b0 preoperatively, <jats:italic>p<\/jats:italic>\u2009=\u20090.004) occurred postoperatively. A mean dose\u2013effect relation of 2.6\u2009\u00b1\u20092.9 \u0394\/mm was calculated. Postoperatively, the lower eyelid retraction was significantly increased (1.5\u2009\u00b1\u20091.4 vs. 0.4\u2009\u00b1\u20090.5\u00a0mm preoperatively, <jats:italic>p<\/jats:italic>\u2009=\u20090.005).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>IRM tendon elongation with FL is a feasible and effective procedure without relevant risk for surgery-related complications.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00417-022-05696-5","type":"journal-article","created":{"date-parts":[[2022,5,19]],"date-time":"2022-05-19T10:03:56Z","timestamp":1652954636000},"page":"3365-3373","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Elongation of the inferior rectus tendon with fascia lata graft for large vertical squint angles in patients with Graves\u2019 orbitopathy"],"prefix":"10.1007","volume":"260","author":[{"given":"Julia","family":"Prinz","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathi","family":"Hartmann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Filippo","family":"Migliorini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karim","family":"Hamesch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Walter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthias","family":"Fuest","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Kuerten","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,5,19]]},"reference":[{"key":"5696_CR1","first-page":"477","volume":"92","author":"GB Bartley","year":"1994","unstructured":"Bartley GB (1994) The epidemiologic characteristics and clinical course of ophthalmopathy associated with autoimmune thyroid disease in Olmsted County, Minnesota. 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