{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:36:08Z","timestamp":1786649768315,"version":"build-2736575974"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","license":[{"start":{"date-parts":[[2023,5,1]],"date-time":"2023-05-01T00:00:00Z","timestamp":1682899200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To describe a clinical entity called \u201crectus muscle pseudo-adherence syndrome\u201d following buckling surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective data review was undertaken to analyze the clinical profile of strabismus patients who had developed it following buckling surgery. Between 2017 and 2021, a total of 14 patients were identified. The demography, surgical details, and intraoperative challenges were reviewed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The average age of the 14 patients was 21.71 \u00b1 5.23 years. The mean pre-op deviation was 42.35 \u00b1 14.35 prism diopters (PD) of exotropia, and the mean post-op deviation was 8.25 \u00b1 4.88 PD of residual exotropia at 26.16 \u00b1 19.53 months follow-up. Intraoperatively, in the absence of a buckle, the thinned-out rectus adhered to the underlying sclera with much denser adhesions along its margins. When there was a buckle, the rectus muscle adhered to the outer surface of the buckle again, but less densely, with marginal union into the surrounding tenons. In both scenarios, due to the absence of protective muscle coverings, the rectus muscles were naturally adsorbed onto the immediately available surface in the presence of active healing by the tenons.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>While correcting ocular deviations following buckling surgery, a false sense of an absent, slipped, or thinned-out rectus muscle is very much possible. This is due to active healing of the muscle with the surrounding sclera or the buckle in a single layer of tenons. This is the rectus muscle pseudo-adherence syndrome, where the culprit is the healing process and not the muscle.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_2075_22","type":"journal-article","created":{"date-parts":[[2023,5,17]],"date-time":"2023-05-17T03:06:47Z","timestamp":1684292807000},"page":"2084-2088","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Rectus muscle pseudo-adherence syndrome"],"prefix":"10.4103","volume":"71","author":[{"given":"Amar","family":"Pujari","sequence":"first","affiliation":[{"name":"Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Baiju","family":"Virani","sequence":"additional","affiliation":[{"name":"Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nidhi","family":"Chauhan","sequence":"additional","affiliation":[{"name":"Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karthikeyan","family":"Mahalingam","sequence":"additional","affiliation":[{"name":"Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajeswari","family":"Thangavel","sequence":"additional","affiliation":[{"name":"Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohit","family":"Saxena","sequence":"additional","affiliation":[{"name":"Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, 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comparison between scleral buckling and vitrectomy procedures","volume":"25","author":"Kasbekar","year":"2011","journal-title":"Eye"},{"key":"R9-20251006","first-page":"259","article-title":"The use of sodium hyaluronate as a biologic sleeve in strabismus surgery","volume":"19","author":"Searl","year":"1987","journal-title":"Ann Ophthalmol"},{"key":"R10-20251006","doi-asserted-by":"crossref","first-page":"284","DOI":"10.3928\/0191-3913-19920901-06","article-title":"Synthetic polypeptide sleeve for strabismus surgery","volume":"29","author":"Elsas","year":"1992","journal-title":"J Pediatr Ophthalmol Strabismus"},{"key":"R11-20251006","first-page":"441","article-title":"Evaluation of an absorbable muscle sleeve to limit postoperative adhesions in strabismus surgery","volume":"18","author":"Sondhi","year":"1987","journal-title":"Ophthalmic Surg"},{"key":"R12-20251006","first-page":"237","article-title":"Effects of intraoperative topical mitomycin-C on strabismus surgery in the rabbit: A 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