{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T19:10:08Z","timestamp":1762542608491,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2016,11,21]]},"abstract":"<jats:p>A woman aged 60 years developed a Millard-Gubler syndrome after a diagnosis of a cavernous angioma in the median and paramedian areas of the pons. In this context, she presented a right VI nerve palsy, right conjugate gaze palsy, facial palsy and left hemiparesis. To improve the complete VI nerve palsy, we planned a modified transposition approach, in which procedure we made a partial transposition of vertical rectus with a silicone band that was fixated posteriorly. After the procedure, the patient gained the ability to slightly abduct the right eye. We found no compensatory torticollis in the primary position of gaze. There was also an improvement of elevation and depression movements of the right eye. We obtained satisfactory results with a theoretically reversible technique, which is adjustable intraoperatively with no need of muscle detachment, preventing anterior segment ischaemia and allowing simultaneous recession of the medial rectus muscles, if necessary.<\/jats:p>","DOI":"10.1136\/bcr-2016-216722","type":"journal-article","created":{"date-parts":[[2016,12,14]],"date-time":"2016-12-14T08:41:22Z","timestamp":1481704882000},"page":"bcr2016216722","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Vertical muscle transposition with silicone band belting in VI nerve palsy"],"prefix":"10.1136","volume":"2016","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4090-8473","authenticated-orcid":false,"given":"Ricardo","family":"Dourado Leite","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Hospital de Braga, Braga, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cristina","family":"Freitas","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Hospital de Braga, Braga, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8143-641X","authenticated-orcid":false,"given":"Sandra","family":"Guimaraes","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Hospital de Braga, Braga, Portugal"},{"name":"Life and Health Sciences Research Institute (ICVS), School of Health Sciences, University of Minho, Braga; Portugal"},{"name":"ICVS\/3B's - PT Government Associate Laboratory, Braga\/Guimar\u00e3es, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2016,12,14]]},"reference":[{"key":"2025082706525291000_2016.dec14_1.bcr2016216722.1","first-page":"248","article-title":"Uber Schnentransplantation am Ague","volume":"34","author":"Hummelshein","year":"1907","journal-title":"Ophthal Gesselschft"},{"key":"2025082706525291000_2016.dec14_1.bcr2016216722.2","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1097\/ICU.0000000000000178","article-title":"Vertical rectus transpositions in sixth nerve palsies","volume":"26","author":"Gunton","year":"2015","journal-title":"Curr Opin Ophthalmol"},{"key":"2025082706525291000_2016.dec14_1.bcr2016216722.3","first-page":"593","article-title":"A new type of tendon transplant operation for abducens paralysis","volume":"31","author":"Schillinger","year":"1959","journal-title":"J Int Coll Surg"},{"key":"2025082706525291000_2016.dec14_1.bcr2016216722.4","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1016\/S1091-8531(97)90019-7","article-title":"Vertical muscle transposition augmented with lateral fixation","volume":"1","author":"Foster","year":"1997","journal-title":"J Am Assoc Pediatr Ophthalmol Strabismus"},{"key":"2025082706525291000_2016.dec14_1.bcr2016216722.5","doi-asserted-by":"crossref","first-page":"1","DOI":"10.4236\/ojoph.2013.31001","article-title":"Silicone band loop myopexy in treatment of myopic strabismus fixus: surgical outcome of a novel modification","volume":"3","author":"Sabetti","year":"2013","journal-title":"Open J Ophthalmol"},{"key":"2025082706525291000_2016.dec14_1.bcr2016216722.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaapos.2005.09.003"},{"key":"2025082706525291000_2016.dec14_1.bcr2016216722.7","doi-asserted-by":"crossref","first-page":"1","DOI":"10.4236\/ojoph.2013.31001","article-title":"Silicone band in the surgical treatment of manifest exotropia","volume":"3","author":"Sabetti","year":"2013","journal-title":"Open J Ophthalmol"},{"key":"2025082706525291000_2016.dec14_1.bcr2016216722.8","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1016\/j.jaapos.2011.11.011","article-title":"Comparison of superior oblique suture spacers and superior oblique silicone band expanders","volume":"16","author":"Awadein","year":"2012","journal-title":"J AAPOS"},{"key":"2025082706525291000_2016.dec14_1.bcr2016216722.9","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1016\/j.jaapos.2005.04.003","article-title":"Treatment of inferior oblique paresis with superior oblique silicone tendon expander","volume":"9","author":"Greenberg","year":"2005","journal-title":"J AAPOS"},{"key":"2025082706525291000_2016.dec14_1.bcr2016216722.10","doi-asserted-by":"crossref","first-page":"582","DOI":"10.1007\/s00347-007-1540-y","article-title":"Is bimedial muscle belting an alternative procedure to retroequatorial myopexy in convergence excess esotropia?","volume":"104","author":"Kutschan","year":"2007","journal-title":"Ophthalmologe"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2016-216722","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T13:52:59Z","timestamp":1756302779000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2016-216722"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,12,14]]},"references-count":10,"alternative-id":["10.1136\/bcr-2016-216722"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2016-216722","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2016,12,14]]}}}