{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T03:08:20Z","timestamp":1773889700065,"version":"3.50.1"},"reference-count":21,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Monbl Augenheilkd"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Background To investigate the use of fascia lata (FL) grafts for eye muscle tendon elongation in patients with complex and residual strabismus types apart from Graves\u02bc orbitopathy.<\/jats:p>\n                  <jats:p>Methods and Materials In this retrospective study, a heterogeneous group of 27 eyes of 21 patients with complex and residual strabismus types who underwent elongation of the eye muscle tendon with FL were included. Orthoptic and ophthalmological examinations including measurement of the head posture, the extent of deviation in primary position (PP), and monocular excursion were conducted preoperatively and after a mean postoperative time of 12.2 (6.0\u200a\u2013\u200a37.0, median 7.0) months in all patients.<\/jats:p>\n                  <jats:p>Results Eight patients (12 eyes) with residual exotropia, 4 patients (4 eyes) with residual esotropia, 4 patients (6 eyes) with partial abducens nerve palsy, 4 patients (4 eyes) with vertical deviation, and 1 patient (1 eye) with Duane\u02bcs retraction syndrome (DRS) type I were included. A residual squint angle of 10\u0394 or less was achieved in 57.1% of the patients at the last follow-up. The head posture was significantly reduced at the last follow-up compared to preoperatively in patients with residual exotropia (p\u2009=\u20090.002), esotropia (p\u2009=\u20090.040), abducens nerve palsy (p\u2009=\u20090.005), and vertical deviation (p\u2009=\u20090.005). At the last follow-up, a significant reduction in the squint angle occurred in patients with residual exotropia (p\u2009=\u20090.001), abducens nerve palsy (p\u2009=\u20090.046), and vertical deviation (p\u2009=\u20090.033).<\/jats:p>\n                  <jats:p>Conclusion FL grafts may offer safe and effective surgical options for complex and residual strabismus types. No significant reduction in the excursion into the fields of action of the affected muscles was witnessed.<\/jats:p>","DOI":"10.1055\/a-2611-2250","type":"journal-article","created":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T18:57:22Z","timestamp":1750100242000},"page":"205-211","source":"Crossref","is-referenced-by-count":0,"title":["Tendon Elongation with Fascia Lata Grafts in Strabismus Surgery \u2013 Multiple Indications Apart from Graves\u02bc Orbitopathy"],"prefix":"10.1055","volume":"243","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3473-7997","authenticated-orcid":false,"given":"Julia","family":"Prinz","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, University Hospital Aachen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathi","family":"Hartmann","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, University Hospital Aachen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Walter","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, University Hospital Aachen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tibor","family":"Lohmann","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, University Hospital Aachen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthias","family":"Fuest","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, University Hospital Aachen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Kuerten","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, University Hospital Aachen, 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