{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T15:06:55Z","timestamp":1782313615736,"version":"3.54.5"},"reference-count":28,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,9,16]],"date-time":"2021-09-16T00:00:00Z","timestamp":1631750400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100005860","name":"Helsefonden","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005860","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Ophthalmologica"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To evaluate the tolerability and usability of topical anaesthesia in single rectus muscle recession for strabismus caused by Graves\u2019 orbitopathy (GO). To compare the perioperative pain score and surgical outcome between GO patients and non\u2010GO patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective comparative study of consecutive single rectus muscle recession performed under topical anaesthesia was carried out. All patients scheduled for one\u2010stage single rectus muscle recession under topical anaesthesia were included. Numerical visual analogue pain score scale (NVAS) points, rates of motor success (horizontal deviation\u2009&lt;\u20098 prism diopters (PD) and vertical deviation\u2009\u2264\u20096 PD) and sensory success (no diplopia without prisms), complications and postoperative adjustment frequencies were compared between GO and non\u2010GO patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 111 patients were included. The mean perioperative pain scores were 2.3 (SD\u2009\u00b1\u20091.3) in GO and 1.6 (SD\u2009\u00b1\u20091.1) in non\u2010GO patients (p\u2009=\u20090.06 adjusted for gender). The postoperative mean alignments in GO and non\u2010GO patients were 2 versus 3 PD horizontally and 1 versus 1 PD vertically respectively. Both motor and sensory success rates were 98% in GO patients and 94% versus 93% in non\u2010GO patients. Adjustments as a second procedure the day after surgery was performed in 10% of the GO patients and 15% of the non\u2010GO patients. The oculocardiac reflex was not triggered in any of the GO patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Topical anaesthesia in single muscle recession for GO is safe, well\u2010tolerated and gives comparable surgical outcomes to those achieved in non\u2010GO patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aos.15024","type":"journal-article","created":{"date-parts":[[2021,9,17]],"date-time":"2021-09-17T05:20:07Z","timestamp":1631856007000},"page":"447-453","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Topical anaesthesia in strabismus surgery for Graves\u2019 orbitopathy: a comparative study of 111 patients"],"prefix":"10.1111","volume":"100","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0243-8607","authenticated-orcid":false,"given":"Lena","family":"Boulakh","sequence":"first","affiliation":[{"name":"Department of Ophthalmology Rigshospitalet\u2010Glostrup  Copenhagen 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