{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:15:39Z","timestamp":1760145339841,"version":"build-2065373602"},"reference-count":5,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2024,7,6]],"date-time":"2024-07-06T00:00:00Z","timestamp":1720224000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Background and Objectives: The aim of the report is to report the outcomes of the medial rectus (MR) disinsertion procedure for the management of large-angle esotropia (ET) patients. Materials and Methods: This is a retrospective case series of patients with large-angle ET who underwent an MR disinsertion procedure between March 2012 to April 2022. The procedure happened accidentally during muscle surgery. The demographic and clinical data, including sex, age, visual acuity, pre- and postoperative angle of strabismus, duction limitations, results of intraoperative forced duction tests, and follow-up duration were collected from medical records. Results: Five patients were enrolled in this study. The mean age was 62.2 \u00b1 9.8 years, and the mean follow-up was 24.8 \u00b1 8.7 months. The ET at the primary position of gaze was 92.0 \u00b1 17.9 prism diopters (PD) before MR disinsertion and 38.0 \u00b1 29.5 PD after MR disinsertion only. Abduction deficiency was \u22124 before after MR disinsertion, which improved to \u22121 at the last follow-up. Conclusions: The results of MR disinsertion were not as frustrating as anticipated. MR disinsertion may be considered in patients with large-angle sensory ET who refuse surgery on the opposite eye.<\/jats:p>","DOI":"10.3390\/medicina60071104","type":"journal-article","created":{"date-parts":[[2024,7,8]],"date-time":"2024-07-08T04:52:49Z","timestamp":1720414369000},"page":"1104","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Medial Rectus Disinsertion for the Management of Large-Angle Sensory Esotropia"],"prefix":"10.3390","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7736-234X","authenticated-orcid":false,"given":"So Young","family":"Han","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul 03181, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2717-7079","authenticated-orcid":false,"given":"Bo Young","family":"Chun","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, School of Medicine, Kyungpook National University, Daegu 41944, Republic of Korea"},{"name":"Brain Science & Engineering Institute, School of Medicine, Kyungpook National University, Daegu 41944, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hye Jin","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Chuncheon Sacred Heart Hospital, College of Medicine, Hallym University, Chuncheon 24253, Republic of Korea"},{"name":"Department of Ophthalmology, Jeju National University Hospital, Jeju National University School of Medicine, Jeju 63241, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyun Kyung","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Hangil Eye Hospital, Catholic Kwandong University College of Medicine, Incheon 21388, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mi Sun","family":"Kwon","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, School of Medicine, Kyungpook National University, Daegu 41944, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ho Seok","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Dongtan Sacred Heart Hospital, College of Medicine, Hallym University, Hwaseong-si 18450, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9304-1519","authenticated-orcid":false,"given":"Soolienah","family":"Rhiu","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Dongtan Sacred Heart Hospital, College of Medicine, Hallym University, Hwaseong-si 18450, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,7,6]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1016\/j.jaapos.2017.10.005","article-title":"Surgical success and lateral incomitance following three-muscle surgery for large-angle horizontal strabismus","volume":"22","author":"Cifuentes","year":"2018","journal-title":"J. AAPOS"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"632","DOI":"10.18240\/ijo.2020.04.16","article-title":"Three horizontal muscle surgery for large-angle esotropia: Success rate and dose-effect ratio","volume":"13","author":"Nabie","year":"2020","journal-title":"Int. J. Ophthalmol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"182","DOI":"10.3109\/09273972.2015.1099709","article-title":"Early American Strabismus Surgery: 1840\u20131845","volume":"23","author":"Currie","year":"2015","journal-title":"Strabismus"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"2622","DOI":"10.1177\/11206721211065214","article-title":"Medial rectus disinsertion for management of chronic complete sixth nerve palsy","volume":"32","author":"Bagheri","year":"2022","journal-title":"Eur. J. Ophthalmol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1016\/j.jaapos.2007.09.001","article-title":"Persistence of eye movement following disinsertion of extraocular muscle","volume":"12","author":"Hakim","year":"2008","journal-title":"J. AAPOS"}],"container-title":["Medicina"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1648-9144\/60\/7\/1104\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T15:11:08Z","timestamp":1760109068000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1648-9144\/60\/7\/1104"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,6]]},"references-count":5,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2024,7]]}},"alternative-id":["medicina60071104"],"URL":"https:\/\/doi.org\/10.3390\/medicina60071104","relation":{},"ISSN":["1648-9144"],"issn-type":[{"type":"electronic","value":"1648-9144"}],"subject":[],"published":{"date-parts":[[2024,7,6]]}}}