{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T20:27:08Z","timestamp":1777580828387,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2020,11,4]],"date-time":"2020-11-04T00:00:00Z","timestamp":1604448000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To evaluate the efficacy of symmetric bilateral medial rectus recession in large-angle esotropic Duane retraction syndrome (DRS) with moderate to severe globe retraction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In a retrospective study, medical reports of 30 patients with esotropia of equal or more than 20 prism diopters (pd) and moderate to serve globe retraction due to unilateral DRS who underwent symmetric bilateral medial rectus recession were reviewed. Age, gender, laterality, amblyopia, length of follow-up, pre- and postoperative measurements of primary position deviation, ocular ductions and severity of globe retraction and abnormal head posture were evaluated. A successful result was defined as decreasing esotropia to equal or less than 8\u2009pd or equal or less than 8\u2009pd of consecutive exotropia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The mean age of patients at surgery was 13.7\u2009\u00b1\u20098.5\u2009years old (range: 3\u201338). The mean preoperative esotropia measured 28.9\u2009\u00b1\u20099.1 pd in distance and 25.7\u2009\u00b1\u20097.2 pd in near, which decreased to 4.9\u2009\u00b1\u20096.1 pd in distance and 3.9\u2009\u00b1\u20098.8\u2009pd in near postoperatively. The mean bilateral medial rectus recession was 4.9\u2009\u00b1\u20090.9\u2009mm (range: 3\u20136\u2009mm). The mean abnormal head posture improved from 19.1\u2009\u00b1\u20096.9 degrees (range: 10\u201330 degrees) to 3.3\u2009\u00b1\u20094.7 degrees (range: 0-15 degrees) postoperatively. At the last follow-up visit, 23 patients (76.7%) had a successful outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>In the large-angle esotropic DRS patients with moderate to severe globe retraction, symmetric bilateral medial rectus recession, can be conducted to successfully resolve primary position deviation and abnormal head posture.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1120672120968731","type":"journal-article","created":{"date-parts":[[2020,11,5]],"date-time":"2020-11-05T02:34:41Z","timestamp":1604543681000},"page":"2647-2650","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Outcomes of symmetric bilateral medial rectus recession in large-angle esotropic Duane syndrome"],"prefix":"10.1177","volume":"31","author":[{"given":"Reza","family":"Nabie","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Nikookari Eye Hospital, Tabriz University of Medical Science, Tabriz, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1214-7865","authenticated-orcid":false,"given":"Vahideh","family":"Manouchehri","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Nikookari Eye Hospital, Tabriz University of Medical Science, Tabriz, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beheshteh","family":"Azad","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Nikookari Eye Hospital, Tabriz University of Medical Science, Tabriz, 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