{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:27:49Z","timestamp":1787772469993,"version":"build-2784847793"},"reference-count":16,"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":[[2021,1]]},"abstract":"<jats:sec>\n                    <jats:title>INTRODUCTION:<\/jats:title>\n                    <jats:p>Less invasive and quicker surgeries have become common. We compared two conjunctival incisional approaches in strabismus, namely Follow standard paralimbal approach for (SPLA) and single-snip paralimbal (SSPLA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>MATERIALS AND METHODS:<\/jats:title>\n                    <jats:p>Forty-four patients with horizontal strabismus qualifying for uniocular recession\u2013resection surgeries were randomized to SPLA and SSPLA. SSPLA involved a single v-shaped incision, with the apex of the V near the limbus, and the limbs facing away: by pinching up the conjunctiva with a forceps and delivering the single snip with a spring scissors. We compared the postoperative grades of redness, congestion, chemosis, foreign body sensation, and drop intolerance at day 1, 2 weeks, and 6\u20138 weeks; scar visibility, as yes or no, at 6\u20138 weeks; success rates, considered to be within 10 prism diopters of orthophoria, at 6\u20138 weeks; and operation duration in minutes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>STATISTICAL ANALYSIS:<\/jats:title>\n                    <jats:p>\n                      Statistical analysis was done using Mann\u2013Whitney\n                      <jats:italic toggle=\"yes\">U<\/jats:italic>\n                      -test, for inflammatory grades, Chi-square for proportions, and\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      -test for parametric measures. Statistical significance was set at\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      On postoperative day 1, congestion (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.02), foreign-body sensation (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.04), and total inflammatory score (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.003) were statistically significantly favoring the SSPLA group. While at 2 weeks, only congestion (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.02) was found to be significantly less in the SSPLA group. There were no significant differences in the proportions of scar visibility (5\/22 in the SPLA vs. 3\/22 in the SSPLA) and success rate: 20\/22 vs. 18\/22. The SSPLA was quicker on an average by 6 min (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001, 95% confidence interval: 3.2\u20138.7).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>Compared to the SPLA, the SSPLA is quicker and results in lesser inflammation in the immediate postoperative period.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ojo.ojo_188_2020","type":"journal-article","created":{"date-parts":[[2024,5,24]],"date-time":"2024-05-24T13:47:06Z","timestamp":1716558426000},"page":"3-7","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Single-snip paralimbal incision"],"prefix":"10.4103","volume":"14","author":[{"given":"Juhi","family":"Saxena","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naheed","family":"Akhtar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yogesh","family":"Gupta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abadan Khan","family":"Amitava","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farnaz","family":"Kauser","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiraz","family":"Ahmed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. Aisha","family":"Raza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anam","family":"Masood","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-2-20240908","doi-asserted-by":"crossref","first-page":"1372","DOI":"10.1002\/bjs.10561","article-title":"Minimally invasive surgery and its impact on 30-day postoperative complications, unplanned readmissions and mortality","volume":"104","author":"Sood","year":"2017","journal-title":"Br J Surg"},{"key":"R2-2-20240908","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1136\/bmj.308.6922.193","article-title":"Minimally invasive surgery. 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