{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T06:09:37Z","timestamp":1764828577432,"version":"3.37.3"},"reference-count":26,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2017,5,15]],"date-time":"2017-05-15T00:00:00Z","timestamp":1494806400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Shanghai Committee of Science and Technology Project","award":["134119a8900"],"award-info":[{"award-number":["134119a8900"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Exper Ophthalmology"],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Importance<\/jats:title><jats:p>This study introduces a modified loop myopexy technique for severe high myopic strabismus fixus.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>This study aims to evaluate the surgical results of loop myopexy with or without medial rectus recession for the treatment of patients with myopic strabismus fixus.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>This is a retrospective study in a Chinese teaching hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Data was collected from 25 myopic strabismus fixus patients (33 eyes) with restriction in both abduction and sursumduction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>First, the loop myopexy technique was performed. Following the loop myopexy technique, a medial rectus recession was performed if esotropia remained. If esotropia and\/or hypotropia still persisted, second\u2010stage surgery of the contralateral eye was performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measures<\/jats:title><jats:p>The main outcome measures were ocular deviations, eye movements and the angles of dislocation of the globe.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At the last follow\u2010up, mean deviation of esotropia was significantly improved (10 vs. 92 PD; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.000), while mean deviation of hypotropia was improved (6 vs. 32 PD; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.008). Mean abduction limitation was improved (\u22122.7 vs. \u22125.0; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.000); mean elevation limitation improved (\u22123.2 vs. \u22125.0; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.000). The angle of dislocation of the globe was significantly decreased (103.0 vs. 235.3 D; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.002).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions and Relevance<\/jats:title><jats:p>Modified Yokoyama's surgery effectively corrected the restrictive esotropia and hypotropia, restored the dislocated globe back into the muscle cone and improved the eye movement in severe myopic strabismus fixus.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ceo.12961","type":"journal-article","created":{"date-parts":[[2017,4,18]],"date-time":"2017-04-18T09:39:17Z","timestamp":1492508357000},"page":"790-796","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Modified loop myopexy technique for severe high myopic strabismus fixus"],"prefix":"10.1111","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7816-1002","authenticated-orcid":false,"given":"Leilei","family":"Zou","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Eye and ENT Hospital Fudan University  Shanghai China"},{"name":"Key Laboratory of Myopia Ministry of Health  Shanghai China"},{"name":"Shanghai Key Laboratory of Visual Impairment and Restoration, Eye and ENT Hospital Fudan University  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuai","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Eye and ENT Hospital Fudan University  Shanghai China"},{"name":"Key Laboratory of Myopia Ministry of Health  Shanghai China"},{"name":"Shanghai Key Laboratory of Visual Impairment and Restoration, Eye and ENT Hospital Fudan University  Shanghai 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