{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,5,31]],"date-time":"2023-05-31T21:10:09Z","timestamp":1685567409754},"reference-count":21,"publisher":"SLACK, Inc.","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Pediatr Ophthalmol Strabismus"],"published-print":{"date-parts":[[2010,5]]},"abstract":"<jats:sec>\n            <jats:title>Background:<\/jats:title>\n            <jats:p>Deep amblyopia is a recognized cause of monocular visual deficit in children with a high rate of poor compliance with conventional occlusion therapy. This study evaluates a new occlusion technique that can be used for children with failed amblyopia treatment.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods:<\/jats:title>\n            <jats:p>In a prospective study, surgical silicone-eyelid closure was done for 15 children (age: 4 to 6 years; median age: 5.2 years) with a history of deep amblyopia and poor compliance with occlusion methods. In this technique, the good eye was closed by passing one limb of a double armed 5-0 polypropylene suture from one eyelid margin through a silicone sleeve and through the corresponding eyelid margin. The other polypropylene limb was passed behind the silicone sleeve and then through the opposite eyelid margin to form a barrier between the sleeve and the cornea. After 2 to 4 weeks, the suture was cut and the silicone sleeve was removed.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>Preoperative visual acuity ranged between counting fingers at 1 meter and counting fingers at 4 meters. Following eyelid closure, visual acuity was improved to between 20\/40 and 20\/200 for 12 patients, whereas three patients did not improve. Complications were seen in 8 patients: marginal eyelid irritation and erythema in 6 and suture break in 2.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion:<\/jats:title>\n            <jats:p>Silicone-eyelid closure can be used safely and effectively for management of deep amblyopia. This technique affords a good option to restore vision in a deeply amblyopic eye and grants the child a lifetime of useful vision.<\/jats:p>\n            <jats:p>\n              <jats:bold>[J Pediatr Ophthalmol Strabismus 2010;47:157\u2013162.]<\/jats:bold>\n            <\/jats:p>\n          <\/jats:sec>","DOI":"10.3928\/01913913-20100218-05","type":"journal-article","created":{"date-parts":[[2010,3,8]],"date-time":"2010-03-08T16:19:25Z","timestamp":1268065165000},"page":"157-162","source":"Crossref","is-referenced-by-count":2,"title":["Silicone-Eyelid Closure to Improve Vision in Deeply Amblyopic Eyes"],"prefix":"10.3928","volume":"47","author":[{"given":"Ossama M.","family":"Hakim","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasser Gaber","family":"El-Hag","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Samir","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2308","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(78)35651-7"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.84.6.572"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.81.1.54"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2003.08.001"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.121.5.603"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1091-8531(99)70042-X"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9394(86)90008-5"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.3928\/0191-3913-19820501-05"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9394(79)90656-1"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1091-8531(99)70009-1"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaapos.2008.04.008"},{"key":"e_1_3_1_13_2","doi-asserted-by":"publisher","DOI":"10.3928\/0191-3913-19961101-09"},{"key":"e_1_3_1_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006324-200206000-00011"},{"key":"e_1_3_1_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1091-8531(04)00161-2"},{"key":"e_1_3_1_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006324-199210000-00001"},{"key":"e_1_3_1_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaapos.2005.07.009"},{"key":"e_1_3_1_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6257(96)80080-4"},{"key":"e_1_3_1_19_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.54.1.41"},{"key":"e_1_3_1_20_2","doi-asserted-by":"publisher","DOI":"10.1067\/mpa.2001.114909"},{"key":"e_1_3_1_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6257(02)00454-X"},{"key":"e_1_3_1_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1091-8531(00)90004-1"}],"container-title":["Journal of Pediatric Ophthalmology &amp; Strabismus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.healio.com\/doiresolver?doi=10.3928\/01913913-20100218-05","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,31]],"date-time":"2023-05-31T20:40:47Z","timestamp":1685565647000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.healio.com\/doi\/10.3928\/01913913-20100218-05"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,5]]},"references-count":21,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2010,5]]}},"alternative-id":["10.3928\/01913913-20100218-05"],"URL":"https:\/\/doi.org\/10.3928\/01913913-20100218-05","relation":{},"ISSN":["0191-3913","1938-2405"],"issn-type":[{"value":"0191-3913","type":"print"},{"value":"1938-2405","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,5]]}}}