{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T05:47:38Z","timestamp":1751262458592,"version":"3.40.4"},"reference-count":7,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Monbl Augenheilkd"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background Dose effect (DE) of strabismus surgery is thought to decrease with increasing axial length (AL), and it has been suggested that this effect may be more important in hyperopes over +\u20092\u2009D. Here, we analyse the influence of AL on the DE of horizontal strabismus surgery in regard to its clinical relevance.<\/jats:p><jats:p>\n          Methods Retrospective chart analysis of patients who had undergone horizontal strabismus surgery between 2020 and 2023. Statistical analysis: descriptive analysis and ANOVA (R 4.1.2).<\/jats:p><jats:p>\n          Results There were 65 patients (34 male and 31 female) included; mean age: 18.0 years (range 5\u200a\u2013\u200a74). Mean AL was 23.50\u2009mm (range: 20.80\u200a\u2013\u200a28.50\u2009mm). At the 3-month follow-up, 83.1% of patients demonstrated binocularity. Mean DE was 2.36 PD\/mm at distance and 2.60 in near vision. There was no significant influence of AL on the DE of surgery (p\u2009=\u20090.30). However, DE was significantly higher in esotropia (n\u2009=\u200932) than exotropia (n\u2009=\u200933) in distant and near vision (p\u2009=\u20090.0\u200a000\u200a403) and in both groups, patients with positive binocularity had a significantly greater DE than patients without binocularity (p\u2009=\u20090.0032).<\/jats:p><jats:p>\n          Conclusion Our data showed no significant correlation between AL and the DE of surgery, while the type of strabismus and binocularity had a significant influence on the DE of surgery. However, AL is still important for surgical planning, in particular, to assess the risk of a deviating muscle path or thin sclera in high myopia.<\/jats:p>","DOI":"10.1055\/a-2511-3537","type":"journal-article","created":{"date-parts":[[2025,2,10]],"date-time":"2025-02-10T23:52:06Z","timestamp":1739231526000},"page":"475-477","source":"Crossref","is-referenced-by-count":1,"title":["Does Axial Length Influence the Dose Effect of Horizontal Strabismus Surgery?"],"prefix":"10.1055","volume":"242","author":[{"given":"Hatice","family":"Uecelehan","sequence":"additional","affiliation":[{"name":"Ophthalmology, University Eye Hospital Basel, Basel, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4062-4814","authenticated-orcid":false,"given":"Anja","family":"Palmowski-Wolfe","sequence":"additional","affiliation":[{"name":"Ophthalmology, University Eye Hospital Basel, Basel, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,2,10]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"89","DOI":"10.4103\/ejos.ejos_31_17","article-title":"Correlation between the axial length and the effect of recession of horizontal rectus muscles","volume":"110","author":"M A Ghali","year":"2017","journal-title":"J Egypt Ophthalmol Soc"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"1319","DOI":"10.1007\/s00417-020-04690-z","article-title":"Consideration of eyeball length and prismatic side-effects of spectacle lenses in strabismus surgery\u2013A randomised, double-blind interventional study","volume":"258","author":"F Beisse","year":"2020","journal-title":"Graefes Arch Clin Exp Ophthalmol"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1038\/eye.1996.66","article-title":"Factors influencing the successful outcome and response in strabismus surgery","volume":"10","author":"O E Abbasoglu","year":"1996","journal-title":"Eye (Lond)"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jfma.2024.03.023","article-title":"Revisiting the surgical table: An analysis of surgical dose-response in Asian exotropia","author":"I W Lai","year":"2024","journal-title":"J Formos Med Assoc"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"1616","DOI":"10.1001\/archopht.1989.01070020694030","article-title":"The influence of axial length on the response to strabismus surgery","volume":"107","author":"B J Kushner","year":"1989","journal-title":"Arch Ophthalmol"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1001\/archopht.1990.01070060022005","article-title":"Axial length and the response to strabismus surgery","volume":"108","author":"M E Wilson","year":"1990","journal-title":"Arch Ophthalmol"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"1427","DOI":"10.1007\/s10792-018-0956-5","article-title":"The difference of surgical outcomes between manifest exotropia and esotropia","volume":"39","author":"Y W Chen","year":"2019","journal-title":"Int Ophthalmol"}],"container-title":["Klinische Monatsbl\u00e4tter f\u00fcr Augenheilkunde"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2511-3537.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,16]],"date-time":"2025-04-16T22:41:13Z","timestamp":1744843273000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2511-3537"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,10]]},"references-count":7,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2025,4,16]]},"published-print":{"date-parts":[[2025,4]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2511-3537","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0023-2165","1439-3999"],"issn-type":[{"type":"print","value":"0023-2165"},{"type":"electronic","value":"1439-3999"}],"subject":[],"published":{"date-parts":[[2025,2,10]]}}}