{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T16:50:55Z","timestamp":1768927855531,"version":"3.49.0"},"reference-count":33,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,10,3]],"date-time":"2018-10-03T00:00:00Z","timestamp":1538524800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Ophthalmologica"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To examine the outcome of the use of donor sclera as spacer material in complicated cases of strabismus surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective cohort study on patients with complicated thyroid\u2010associated ophthalmopathy (<jats:styled-content style=\"fixed-case\">TAO<\/jats:styled-content>) (<jats:italic>n<\/jats:italic>\u00a0=\u00a042) or congenital strabismus (<jats:italic>n<\/jats:italic>\u00a0=\u00a075). Patients underwent strabismus surgery during 1994\u20132014. The surgical results were evaluated in terms of the reduction in the angle of deviation, the need for re\u2010operation, complications and patient satisfaction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The majority of the <jats:styled-content style=\"fixed-case\">TAO<\/jats:styled-content> patients underwent surgery for vertical strabismus (<jats:italic>n<\/jats:italic>\u00a0=\u00a025). The vertical angle of deviation in the primary position was significantly reduced from a median of 23 prism dioptres (<jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>) to 2 <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content> (<jats:italic>n<\/jats:italic>\u00a0=\u00a035, p\u00a0&lt;\u00a00.001). The horizontal angle of deviation in primary position for <jats:styled-content style=\"fixed-case\">TAO<\/jats:styled-content> patients with esotropia was significantly reduced, from a median of 35 <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content> to 2 <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content> (<jats:italic>n<\/jats:italic>\u00a0=\u00a017, p\u00a0&lt;\u00a00.001). The majority of the congenital cases had horizontal strabismus (esotropia\u00a0=\u00a029, exotropia\u00a0=\u00a027). The angle of deviation in esotropia was reduced from a median of 29 <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content> to 8 <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content> (<jats:italic>n<\/jats:italic>\u00a0=\u00a036, p\u00a0&lt;\u00a00.001) and in exotropia from 30 <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content> to 10 <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content> (<jats:italic>n<\/jats:italic>\u00a0=\u00a034, p\u00a0&lt;\u00a00.001). Most of the patients were satisfied with the outcome of surgery, and only 12% required re\u2010operation within 2\u00a0years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This is the first clinical study on the use of donor sclera as spacer material in complicated cases of strabismus surgery. The surgical results were good in terms of the reduction in the angle of deviation, the need for re\u2010operation, complications and patient satisfaction, supporting the use of donor sclera for strabismus surgery.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aos.13845","type":"journal-article","created":{"date-parts":[[2018,10,5]],"date-time":"2018-10-05T18:35:51Z","timestamp":1538764551000},"page":"74-79","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Clinical evidence supporting the use of donor sclera as spacer material in complicated cases of strabismus surgery \u2013 retrospective evaluation of surgical results in 117 patients with thyroid\u2010associated ophthalmopathy or congenital strabismus"],"prefix":"10.1111","volume":"97","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6412-0384","authenticated-orcid":false,"given":"Rannveig Linda","family":"Thorisdottir","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Clinical Sciences Lund University Lund Sweden"},{"name":"Sk\u00e5ne University Hospital Lund Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonas","family":"Blohm\u00e9","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Clinical Sciences Lund University Lund Sweden"},{"name":"Sk\u00e5ne University Hospital Lund Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9849-9599","authenticated-orcid":false,"given":"Malin","family":"Malmsj\u00f6","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Clinical Sciences Lund University Lund Sweden"},{"name":"Sk\u00e5ne University Hospital Lund Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,10,3]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/eye.1993.9"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaapos.2011.11.011"},{"key":"e_1_2_5_4_1","first-page":"669","article-title":"The use of scleral transplantation in cicatricial entropion and eyelid retraction","volume":"83","author":"Dryden RM","year":"1977","journal-title":"Trans Sect Ophthalmol Am Acad Ophthalmol Otolaryngol"},{"key":"e_1_2_5_5_1","first-page":"393","article-title":"Plastic implants in muscle surgery: a study of the possible use of plastic materials in the management of extraocular motility restrictions","volume":"65","author":"Dunlap EA","year":"1967","journal-title":"Trans Am Ophthalmol Soc"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0004-27492011000300005"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.3368\/aoj.64.1.54"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.3109\/09273972.2012.762531"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/eye.2013.174"},{"key":"e_1_2_5_10_1","first-page":"403","article-title":"Allosclera transplant for eyelid reconstruction","volume":"17","author":"Guo B","year":"2003","journal-title":"Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi"},{"key":"e_1_2_5_11_1","first-page":"988","article-title":"Comparison of hang\u2010back medial rectus recession with conventional recession for the correction of esotropia in children","volume":"231","author":"Heede S","year":"2014","journal-title":"Klin Monbl Augenheilkd"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10792-015-0152-9"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/aos.13367"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0420.2005.00578.x"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2013.06.038"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaapos.2008.06.013"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2004.03.013"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.50.5.235"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.82.2.174"},{"key":"e_1_2_5_20_1","first-page":"113","article-title":"Results and complications in 66 cases using a silicone tendon expander on overacting superior obliques with A\u2010 pattern anisotropias","volume":"15","author":"Pollard ZF","year":"2000","journal-title":"Binocul Vis Strabismus Q"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.5301\/ejo.5000689"},{"key":"e_1_2_5_22_1","doi-asserted-by":"crossref","first-page":"27","DOI":"10.3928\/0191-3913-19980101-10","article-title":"The surgical correction of paralytic strabismus using fascia lata","volume":"35","author":"Salazar\u2010Leon JA","year":"1998","journal-title":"J Pediatr Ophthalmol Strabismus"},{"key":"e_1_2_5_23_1","first-page":"402","article-title":"Comparison of hang\u2010back recession and conventional recession for correction of exotropia","volume":"113","author":"Schonfeld S","year":"2016","journal-title":"Ophthalmologe"},{"key":"e_1_2_5_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1091-8531(99)70039-X"},{"key":"e_1_2_5_25_1","doi-asserted-by":"publisher","DOI":"10.1067\/mpa.2001.114190"},{"key":"e_1_2_5_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaapos.2008.02.014"},{"key":"e_1_2_5_27_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.65.3.198"},{"key":"e_1_2_5_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaapos.2018.05.001"},{"key":"e_1_2_5_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10384-012-0217-5"},{"key":"e_1_2_5_30_1","doi-asserted-by":"publisher","DOI":"10.1159\/000292260"},{"key":"e_1_2_5_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oftal.2015.11.012"},{"key":"e_1_2_5_32_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.81.7.581"},{"key":"e_1_2_5_33_1","first-page":"41","article-title":"Results of the superior oblique tendon elongation procedure for severe Brown's syndrome","volume":"98","author":"Wright KW","year":"2000","journal-title":"Trans Am Ophthalmol Soc"},{"key":"e_1_2_5_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaapos.2012.01.005"}],"container-title":["Acta Ophthalmologica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Faos.13845","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aos.13845","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,10]],"date-time":"2023-09-10T01:36:41Z","timestamp":1694309801000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/aos.13845"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,10,3]]},"references-count":33,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,2]]}},"alternative-id":["10.1111\/aos.13845"],"URL":"https:\/\/doi.org\/10.1111\/aos.13845","archive":["Portico"],"relation":{},"ISSN":["1755-375X","1755-3768"],"issn-type":[{"value":"1755-375X","type":"print"},{"value":"1755-3768","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,10,3]]},"assertion":[{"value":"2017-07-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-05-14","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-10-03","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}