{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:33:35Z","timestamp":1787762015392,"version":"build-2784847793"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"7","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:p>During extraocular muscle surgery, an uneventful scleral suture pass is very essential. In presence of normal intraocular tension, the surgery is quite predictable and safe. However, in the presence of significant hypotony, it becomes challenging. Therefore, to mitigate complication rate in these cases, we have adopted a simple technique, that is, the \u201cpinch and stretch\u201d technique. The surgical steps of this technique are as follows: In eyes with significant ocular hypotony, the surgery is initiated with a routine forniceal\/limbal peritomy, following which the muscle is sutured and dis-inserted. Using three tissue fixation forceps, the scleral surface is stabilized. Using first forceps, the surgeon rotates the globe toward themself from the muscle stump, and with the remaining two forceps, the assistant pinches and stretches the episcleral tissue in an outward and upward direction just beneath the intended marks. This creates a flat scleral surface with significant firmness. Sutures are passed over this rigid sclera and the surgery is completed without any complications.<\/jats:p>","DOI":"10.4103\/ijo.ijo_3189_22","type":"journal-article","created":{"date-parts":[[2023,7,5]],"date-time":"2023-07-05T14:03:18Z","timestamp":1688565798000},"page":"2901-2903","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["\u201cPinch and Stretch\u201d technique to overcome ocular hypotony during scleral suturing of recti muscles"],"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, AIIMS, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhupender","family":"Yadav","sequence":"additional","affiliation":[{"name":"Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, AIIMS, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sujeeth","family":"Modaboyina","sequence":"additional","affiliation":[{"name":"Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, AIIMS, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,7,5]]},"reference":[{"key":"R1-20240828","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1016\/j.jaapos.2004.03.003","article-title":"Scleral penetrations and perforations in strabismus surgery and associated risk factors","volume":"8","author":"Dang","year":"2004","journal-title":"J AAPOS"},{"key":"R2-20240828","doi-asserted-by":"crossref","first-page":"271","DOI":"10.4103\/0974-9233.159692","article-title":"Complications of Strabismus Surgery","volume":"22","author":"Olitsky","year":"2015","journal-title":"Middle East Afr J Ophthalmol"},{"key":"R3-20240828","first-page":"1463","article-title":"Scleral penetrations and perforations in strabismus surgery: Incidence, risk factors and sequelae","volume":"92","author":"Surachatkumtonekul","year":"2009","journal-title":"J Med Assoc Thai"},{"key":"R4-20240828","doi-asserted-by":"crossref","first-page":"e215711","DOI":"10.1001\/jamaophthalmol.2021.5711","article-title":"Chorioretinal scars from scleral perforation during prior strabismus surgery","volume":"140","author":"Oke","year":"2022","journal-title":"JAMA Ophthalmol"},{"key":"R5-20240828","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1016\/j.jaapos.2019.12.002","article-title":"Sympathetic ophthalmitis after scleral perforation during strabismus surgery","volume":"24","author":"Bhari","year":"2020","journal-title":"J AAPOS"},{"key":"R6-20240828","doi-asserted-by":"crossref","first-page":"214","DOI":"10.3928\/01913913-20211019-02","article-title":"Scleral perforation as a complication of strabismus surgery: A literature review","volume":"59","author":"Hashim","year":"2022","journal-title":"J Pediatr Ophthalmol Strabismus"},{"key":"R7-20240828","doi-asserted-by":"crossref","first-page":"490","DOI":"10.1136\/bjo.74.8.490","article-title":"Incidence of inadvertent globe perforation during strabismus surgery","volume":"74","author":"Morris","year":"1990","journal-title":"Br J Ophthalmol"},{"key":"R8-20240828","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1016\/S1091-8531(00)70004-8","article-title":"Recognized globe perforation during strabismus surgery: Incidence, risk factors, and sequelae","volume":"4","author":"Awad","year":"2000","journal-title":"J AAPOS"}],"container-title":["Indian Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_3189_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:11:27Z","timestamp":1787760687000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_3189_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7]]},"references-count":8,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/ijo.ijo_3189_22","relation":{},"ISSN":["0301-4738","1998-3689"],"issn-type":[{"value":"0301-4738","type":"print"},{"value":"1998-3689","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7]]},"assertion":[{"value":"2022-12-06","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-07","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}