{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T22:18:21Z","timestamp":1779315501850,"version":"3.51.4"},"reference-count":21,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,10,23]],"date-time":"2024-10-23T00:00:00Z","timestamp":1729641600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Ophthalmologica"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To report the results of strabismus surgery in a series of patients with Graves' orbitopathy (GO), using topical anaesthesia with intraoperative suture adjustment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All first\u2010time strabismus surgeries in patients with GO in our department during the years 2014\u20132021 (<jats:italic>n<\/jats:italic>\u2009=\u200945) were assessed retrospectively. Among these, 31% came from outside our health region due to increased complexity of the strabismus condition. Orbital decompression surgery had been carried out in 58% of the patients prior to strabismus surgery. Patients with less than 2\u2009months of follow\u2010up were excluded from the study. Median follow\u2010up time was 22\u2009months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among the total patient material, 37 (82%) could be operated with topical anaesthesia with intraoperative suture adjustment. There were no cases with triggering of the oculo\u2010cardiac reflex during the procedure. Among the 36 patients operated with topical anaesthesia and follow\u2010up time \u22652\u2009months, 11 (31%) needed further surgery. Late overcorrection after recession of the inferior rectus was seen in 19%. At the last control examination, 32 (89%) were diplopia\u2010free in primary and down\u2010gaze position, either with or without weak prisms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Strabismus surgery in topical anaesthesia with intraoperative suture adjustment appears to be a suitable and safe procedure in most patients with GO, including difficult and complex cases. The patients should be informed about the possibility of additional surgery and\/or post\u2010operative need for prism glasses.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aos.16784","type":"journal-article","created":{"date-parts":[[2024,10,23]],"date-time":"2024-10-23T13:43:54Z","timestamp":1729691034000},"page":"232-239","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Strabismus surgery in topical anaesthesia with intraoperative suture adjustment in Graves' orbitopathy"],"prefix":"10.1111","volume":"103","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6019-823X","authenticated-orcid":false,"given":"Olav H.","family":"Haugen","sequence":"first","affiliation":[{"name":"Department of Ophthalmology Haukeland University Hospital  Bergen Norway"},{"name":"Department of Clinical Medicine K1, Faculty of Medicine University of Bergen  Bergen Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne Elisabeth Christensen","family":"Mellgren","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology Haukeland University Hospital  Bergen Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maren","family":"Norli","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine K1, Faculty of Medicine University of Bergen  Bergen Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7993-9739","authenticated-orcid":false,"given":"Hans Olav","family":"Ueland","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology Haukeland University Hospital  Bergen Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,10,23]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1530\/EJE-11-0548"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/2576117X.2020.1792029"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/09273972.2017.1318151"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1057240"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.3109\/09273979309052367"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/aos.15024"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.22599\/bioj.217"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaapos.2004.10.004"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/aos.12469"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/aos.12717"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00347-002-0685-y"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2004.01.026"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0146779"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaapos.2008.11.007"},{"key":"e_1_2_8_16_1","first-page":"223","volume-title":"Adjustable sutures. In: management of strabismus and amblyopia. A practical guide. Second edition","author":"Pratt\u2010Johnson J.A.","year":"2001"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12886\u2010018\u20100974\u20100"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/WNO.0000000000000132"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.3928\/0191-3913-19930501-04"},{"key":"e_1_2_8_20_1","first-page":"518","article-title":"Surgical management of vertical ocular misalignment in thyroid eye disease using an adjustable suture technique","volume":"16","author":"Volpe N.J.","year":"2012","journal-title":"JAAPOS"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2021.0411"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcjo.2016.11.006"}],"container-title":["Acta Ophthalmologica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aos.16784","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,11]],"date-time":"2025-02-11T05:41:32Z","timestamp":1739252492000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/aos.16784"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,23]]},"references-count":21,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1111\/aos.16784"],"URL":"https:\/\/doi.org\/10.1111\/aos.16784","archive":["Portico"],"relation":{},"ISSN":["1755-375X","1755-3768"],"issn-type":[{"value":"1755-375X","type":"print"},{"value":"1755-3768","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,23]]},"assertion":[{"value":"2024-06-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-10","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}