{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T13:40:19Z","timestamp":1793022019540,"version":"4.5.0"},"reference-count":27,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T00:00:00Z","timestamp":1778803200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100019779","name":"Qatar National Library","doi-asserted-by":"publisher","award":["NA"],"award-info":[{"award-number":["NA"]}],"id":[{"id":"10.13039\/100019779","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To study the surgical outcomes of inferior oblique (IO) myectomy in patients with unilateral superior oblique (SO) palsy and mild to moderate hypertropia (\u226415\u2005PD) in the primary position.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective study included 36 eyes of 36 patients who underwent IO myectomy for unilateral SO palsy between 2017 and 2023. Patients with bilateral SO palsy, primary position hypertropia &gt;15\u2005PD, prior strabismus surgery, or SO tendon laxity on Guyton's exaggerated traction test were excluded. Hypertropia in different gaze positions, oblique muscle action, and other parameters were evaluated preoperatively and at the final follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean age was 25.1\u2009\u00b1\u200913.1 years (range: 8\u201358), and 58% were male. Mean follow-up was 18.1\u2009\u00b1\u20099.8 months (range: 6\u201342). Hypertropia decreased significantly in primary and reading positions, from 10.2\u2009\u00b1\u20093.7\u2005PD (range: 4\u201315) and 11.0\u2009\u00b1\u20093.8\u2005PD (range: 5\u201315) preoperatively to 1.9\u2009\u00b1\u20092.3\u2005PD (range: 0\u20138) and 2.2\u2009\u00b1\u20092.7\u2005PD (range: 0\u20138) postoperatively (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001). IO overaction decreased from 2.4\u2009\u00b1\u20090.9 (range: 1\u20134) to 0.4\u2009\u00b1\u20090.6 (range: 0\u20132), and SO underaction improved from \u22122.1\u2009\u00b1\u20090.7 (range: \u22123 to \u22121) to \u22120.3\u2009\u00b1\u20090.4 (range: \u22121 to 0) (both\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Excyclotorsion was present in 72% preoperatively and decreased from 4.0\u00b0\u2009\u00b1\u20092.8\u00b0 (range: 0\u20138) to 1.7\u00b0\u2009\u00b1\u20091.6\u00b0 (range: 0\u20134) (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Abnormal head position (AHP) was present in 26\/36 patients (72%) and resolved in 81%, while diplopia was reported in 22\/36 patients (61%) and resolved in 77%.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>IO myectomy is a simple, effective, and safe procedure for mild to moderate hyperdeviation secondary to unilateral SO palsy; however, these findings should be interpreted in light of the study's retrospective design and modest sample size.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11206721261452302","type":"journal-article","created":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T14:02:03Z","timestamp":1778853723000},"page":"1775-1781","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Surgical results of inferior oblique myectomy in the management of mild to moderate hypertropias secondary to superior oblique palsy"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7601-1211","authenticated-orcid":false,"given":"Rami","family":"Al-Omari","sequence":"first","affiliation":[{"name":"Yarmouk University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1265-7224","authenticated-orcid":false,"given":"Hisham M","family":"Jammal","sequence":"additional","affiliation":[{"name":"Jordan University of Science and Technology"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2953-2188","authenticated-orcid":false,"given":"Hashem","family":"Abu Serhan","sequence":"additional","affiliation":[{"name":"Hamad Medical Corporation"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7830-6857","authenticated-orcid":false,"given":"Yousef","family":"Khader","sequence":"additional","affiliation":[{"name":"Jordan University of Science and Technology"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,15]]},"reference":[{"key":"e_1_3_2_2_2","first-page":"315","article-title":"Surgical treatment of superior oblique palsy","volume":"94","author":"Helveston EM","year":"1996","unstructured":"Helveston EM, Mora JS, Lipsky SN, et al. 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