{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T16:22:37Z","timestamp":1787847757672,"version":"build-2784847793"},"reference-count":35,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To assess the postoperative surgical outcomes and the changes in deviation in patients treated by supramaximal recession and resection (R&amp;R) of rectus muscles to correct the large-angle exotropia and esotropia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This study was a prospective interventional case series, and patients with esotropia of \u226565 prism diopter (PD) or exotropia of \u226560 PD who had undergone supermaximal R&amp;R in non-fixating eye with lower vision in unilateral strabismus or bilateral medial rectus (BMR) recession up to 8.5 mm for esotropia and bilateral lateral rectus (BLR) recession up to 12.5 mm for exotropia in bilateral strabismus were enrolled. Successful results were achieved if postoperation deviation was &lt;10 PD for esotropia and &lt;15 PD for exotropia during their final examinations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 131 cases (48 patients with esotropia and 83 patients with exotropia) were included. The mean ages of the patients with esotropia and exotropia were 16.83 \u00b1 15.06 and 23.19 \u00b1 11.29 years, respectively. The mean preoperative esodeviations for bilateral and unilateral surgeries were 69.5 \u00b1 6.5 and 80.7 \u00b1 10.3, respectively, and these values for bilateral and unilateral exodeviations surgeries were 67.3 \u00b1 7.6 and 74.2 \u00b1 12.1, respectively. The overall successful outcomes were achieved in 50% of the esotropic patients and 79.5% of the exotropic patients. At final follow-up examination, no patient had diplopia on lateral gazes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Based on our surgical results, it is possible to consider monocular recession-resection surgery in non-fixating eye (with poor vision) or BLR and BMR recession in both eyes as a viable option for surgical treatment of large angles deviations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/joco.joco_22_20","type":"journal-article","created":{"date-parts":[[2021,1,11]],"date-time":"2021-01-11T05:29:44Z","timestamp":1610342984000},"page":"82-87","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":12,"title":["Supramaximal Recession and Resection Surgery in Large-Angle Strabismus"],"prefix":"10.4103","volume":"32","author":[{"given":"Mohammad Reza","family":"Talebnejad","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad Karim","family":"Johari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad R","family":"Khalili","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mousa","family":"Zare","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-12-20240910","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1067\/mpa.2002.122059","article-title":"Surgical results in large-angle exotropia","volume":"6","author":"Livir-Rallatos","year":"2002","journal-title":"J AAPOS"},{"key":"R2-12-20240910","doi-asserted-by":"crossref","first-page":"e0150508","DOI":"10.1371\/journal.pone.0150508","article-title":"Single stage surgical outcomes for large angle intermittent 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