{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T16:24:40Z","timestamp":1777998280917,"version":"3.51.4"},"reference-count":20,"publisher":"SLACK, Inc.","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Pediatr Ophthalmol Strabismus"],"published-print":{"date-parts":[[2016,11]]},"abstract":"\n Purpose:<\/jats:title>\n To study the binocular alignment and ocular motility in patients with large-angle esotropia due to sixth nerve palsy treated with double augmented vertical recti transposition.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n This was a prospective interventional study. Fifteen patients with non-resolving sixth nerve palsy who underwent surgical correction were included in the study. Fourteen patients also underwent an additional medial rectus recession. Two patients with an associated small vertical deviation had a selective augmentation of one vertical rectus muscle. Binocular alignment, ocular motility, duction limitation, improvement in head posture, induced vertical deviations, and field of diplopia-free binocular single vision (when possible) were analyzed. Successful outcome was defined as a residual horizontal deviation of 10 prism diopters (PD) or less with no vertical deviation at final follow-up (6 months).<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n The double augmented Hummelsheim procedure improved esotropia from 58.3 \u00b1 10.8 PD preoperatively to 7.2 \u00b1 5.1 PD postoperatively (\n P<\/jats:italic>\n = .001). Three (20%) patients had residual deviation of greater than 10 PD, of which 1 patient had diplopia and was treated with prisms. Postoperative binocular field of vision was performed in 6 patients, the mean of which was 20\u00b0 for abduction and 45\u00b0 for adduction. Three of 6 patients had elimination of face turn and the rest had residual head posture of less than 5\u00b0. Two patients had an induced vertical deviation of less than 4 PD. In patients who had selective augmentation, the vertical deviation was completely corrected.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n The patients operated on with double augmentation of the Hummelsheim procedure combined with medial rectus recession had reduced mean primary esotropia and improved diplopia-free field of vision postoperatively.<\/jats:p>\n \n \n [\n J Pediatr Ophthalmol Strabismus<\/jats:italic>\n . 2016;53(6):369\u2013374.]\n <\/jats:bold>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.3928\/01913913-20160810-01","type":"journal-article","created":{"date-parts":[[2016,8,18]],"date-time":"2016-08-18T15:11:50Z","timestamp":1471533110000},"page":"369-374","source":"Crossref","is-referenced-by-count":12,"title":["Double Augmented Vertical Rectus Transposition for Large-Angle Esotropia Due to Sixth Nerve Palsy"],"prefix":"10.3928","volume":"53","author":[{"given":"Priyanka","family":"Singh","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Perumalsamy","family":"Vijayalakshmi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shashikant","family":"Shetty","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Priyanka","family":"Vora","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suresh","family":"Kalwaniya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2308","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.3928\/0191-3913-19931101-03"},{"key":"e_1_3_1_3_2","first-page":"71","article-title":"Weitere Ertahunger mit partiellar Sehnenuberpflanzung an der Augenmuskln. (abstract)","volume":"62","author":"Hummelsheim E","year":"1908","unstructured":"Hummelsheim E. Weitere Ertahunger mit partiellar Sehnenuberpflanzung an der Augenmuskln. (abstract). Arch Augenheilkd. 1908\u20131909;62:71.","journal-title":"Arch Augenheilkd"},{"key":"e_1_3_1_4_2","first-page":"593","article-title":"A new type of tendon transplant operation for abducens paralysis","volume":"31","author":"Schillinger RJ","year":"1959","unstructured":"Schillinger RJ. A new type of tendon transplant operation for abducens paralysis. J Int Coll Surg. 1959;31:593\u2013600.","journal-title":"J Int Coll Surg"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9394(21)91102-4"},{"key":"e_1_3_1_6_2","first-page":"359","article-title":"Rectus muscle union: a new operation for paralysis of the rectus muscles","volume":"45","author":"Jensen CD","year":"1964","unstructured":"Jensen CD. Rectus muscle union: a new operation for paralysis of the rectus muscles. 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