{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T17:00:40Z","timestamp":1757610040028,"version":"3.44.0"},"reference-count":12,"publisher":"BMJ","issue":"9","funder":[{"DOI":"10.13039\/501100005809","name":"Hyderabad Eye Research Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,8,12]]},"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:p>Myopic strabismus fixus (MSF) is an acquired, progressive form of strabismus associated with high myopia. It is typically characterised by an esotropia-hypotropia or exotropia-hypotropia complex. We present a sporadic case of a middle-aged adult male with high myopia, who exhibited an esotropia-hypertropia complex in both eyes. MRI revealed an atypical protrusion of the posterior globe in the inferotemporal quadrant, displacing the muscle paths of the lateral and inferior rectus muscles. This case demonstrates how inferotemporal silicone band loop myopexy can achieve good ocular alignment and improved extraocular motility in this rare form of MSF.<\/jats:p>","DOI":"10.1136\/bcr-2024-263663","type":"journal-article","created":{"date-parts":[[2025,9,3]],"date-time":"2025-09-03T12:35:20Z","timestamp":1756902920000},"page":"e263663","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Esotropia-hypertropia complex in myopic strabismus fixus managed with an unconventional loop myopexy"],"prefix":"10.1136","volume":"18","author":[{"given":"Aparajita","family":"Shinde","sequence":"first","affiliation":[{"name":"Pediatric Ophthalmology, Dr Panjabrao Deshmukh Memorial Medical College Amravati, Amravati, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4771-1865","authenticated-orcid":false,"given":"Vivekanand Uttamrao","family":"Warkad","sequence":"additional","affiliation":[{"name":"Pediatrics, Strabismus and Neuro-ophthalmology, L V Prasad Eye Institute, MTC Campus, Bhubaneswar, Odisha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,9,3]]},"reference":[{"key":"2025090305351013000_18.9.e263663.1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.78.5.414"},{"key":"2025090305351013000_18.9.e263663.2","first-page":"2554","article-title":"Measurement of recti eye muscle paths by magnetic resonance imaging in highly myopic and normal subjects","volume":"40","author":"Krzizok","year":"1999","journal-title":"Invest Ophthalmol Vis Sci"},{"key":"2025090305351013000_18.9.e263663.3","unstructured":"Yokoyama T , Tabuchi H , Ataka S , et al . The mechanism of development in progressive esotropia with high myopia. In: Faber JT , ed. 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