Journal of Aapos最新文献

英文中文

Journal of the American Association for Pediatric Ophthalmology and Strabismus 美国儿童眼科学和斜视协会杂志

IF 1.3 4区医学 Q3 OPHTHALMOLOGY

Journal of Aapos

Pub Date : 2026-02-01 Epub Date: 2026-02-20 DOI: 10.1016/j.jaapos.2026.104756

引用次数: 0

Utility, safety, and accessibility of phone call follow-up in strabismus surgery postoperative care 电话随访在斜视手术术后护理中的效用、安全性和可及性。

IF 1.3 4区医学 Q3 OPHTHALMOLOGY

Journal of Aapos

Pub Date : 2026-02-01 Epub Date: 2025-12-11 DOI: 10.1016/j.jaapos.2025.104724

Khizar Rana MBBS, PhD, Swati Sinkar FRANZCO, Joanna Black FRANZCO

引用次数: 0

Ocular conditions associated with parental concerns regarding childhood development and worse quality of life among multiethnic preschool children 多民族学龄前儿童中与父母对儿童发展的关注和较差的生活质量相关的眼部疾病。

IF 1.3 4区医学 Q3 OPHTHALMOLOGY

Journal of Aapos

Pub Date : 2026-02-01 Epub Date: 2026-01-30 DOI: 10.1016/j.jaapos.2026.104737

Jiaqi Xu MPH , Aqsa Zafar MPH , Mina Torres MS , Rohit Varma MD, MPH , Xuejuan Jiang PhD

Purpose

To assess the associations of specific ocular conditions on parental concerns for child development and quality of life in multiethnic preschool-age children.

Methods

We conducted a cross-sectional analysis using parental interview and comprehensive eye examination data from the Multi-Ethnic Pediatric Eye Disease Study, a population-based study of children aged 6-72 months. Parental concerns were assessed using the Parents’ Evaluation of Developmental Status Screening Instrument; quality of life, via the Pediatric Quality of Life Inventory. Multivariable regression analyses were performed.

Results

Data were available for 8,265 children. Parental concerns were reported for 16.0%. Strabismus was associated with parental concerns even after adjusting for covariates (P < 0.001). Astigmatism was associated with parental concerns among children aged 36-72 months (P_trend = 0.018). In this group, odds ratios for parental concerns were 1.33 (95% CI, 1.02-1.72) for astigmatism of 1.50 to <3.0 D, 1.39 (0.85-2.25) for ≥3.0 D, and 1.65 (1.12-2.41) for strabismus. Hyperopia, myopia, anisometropia, or amblyopia showed no association. Astigmatism of 3.0 D or greater and strabismus were also associated with a history of physician-diagnosed developmental delay (OR [95% CI] = 3.97 [1.53-10.28] and 6.58 [3.52-12.32], resp.) and with lower physical health/emotional function scores (2.3 ± 0.8 and 3.5 ± 1.3 points lower for astigmatism ≥3.0 D vs <1.5 D, and 2.0 ± 0.6 and 2.0 ± 0.9 points lower for strabismus vs no strabismus; all Ps ≤ 0.031).

Conclusions

Both astigmatism and strabismus correlated with greater parental concerns about development and worse quality of life in preschoolers.

目的：评估多民族学龄前儿童的特殊眼病与父母对儿童发展和生活质量的关注之间的关系。方法：我们使用来自多民族儿童眼病研究（一项基于人群的6-72个月儿童研究）的家长访谈和综合眼科检查数据进行横断面分析。采用家长发育状况评估筛检仪评估家长关注的问题；生活质量，通过儿科生活质量调查。进行多变量回归分析。结果：8265名儿童获得数据。16.0%的人报告了父母的担忧。即使在调整协变量后，斜视也与父母的担忧有关（P < 0.001）。36-72月龄儿童散光与父母关注相关（p趋势= 0.018）。在该组中，父母关注的比值比为1.33 (95% CI, 1.02-1.72)，散光的比值比为1.50。结论：散光和斜视与父母对学龄前儿童发育和生活质量的更大关注相关。

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引用次数: 0

Diffusely enlarged extraocular muscles in an infant with neurofibromatosis type 1 1型神经纤维瘤病患儿弥漫性眼外肌增大。

IF 1.3 4区医学 Q3 OPHTHALMOLOGY

Journal of Aapos

Pub Date : 2026-02-01 Epub Date: 2026-02-06 DOI: 10.1016/j.jaapos.2026.104752

Sila Dogan Tosun MD , Brigid C. Devine BA , Nancy Hanna MD , Erin Wright MD , Jennifer Baccon MD, PhD , Ian Rossman MD, PhD

Neurofibromatosis type 1 (NF1), a multisystemic autosomal dominant neurocutaneous disorder, presents with diverse ocular and systemic manifestations. It requires a multidisciplinary diagnostic and therapeutic approach. The ocular findings in NF1, such as Lisch nodules and optic pathway gliomas, are well studied and recognized as diagnostic criteria. We report the case of an infant with NF1 who was found on magnetic resonance imaging to have diffuse enlargement of the extraocular muscles.

1型神经纤维瘤病（NF1）是一种多系统常染色体显性神经皮肤疾病，表现为多种眼部和全身表现。它需要多学科的诊断和治疗方法。NF1的眼部表现，如Lisch结节和视神经胶质瘤，得到了很好的研究，并被认为是诊断标准。我们报告的情况下，婴儿与NF1谁被发现在磁共振成像有弥漫性扩大眼外肌。

引用次数: 0

Information for Readers 读者资讯

IF 1.3 4区医学 Q3 OPHTHALMOLOGY

Journal of Aapos

Pub Date : 2026-02-01 Epub Date: 2026-03-09 DOI: 10.1016/S1091-8531(26)00039-X

引用次数: 0

Adaptive, social, and repetitive behaviors in children with autism spectrum disorder and comorbid amblyopia and/or strabismus 自闭症谱系障碍合并弱视和/或斜视儿童的适应性、社交和重复行为

IF 1.3 4区医学 Q3 OPHTHALMOLOGY

Journal of Aapos

Pub Date : 2026-02-01 Epub Date: 2026-01-29 DOI: 10.1016/j.jaapos.2026.104734

Katherine Tavasoli BS , Sharon H. O’Neil PhD , Melinda Y. Chang MD

Background

Children with autism spectrum disorder (ASD) have higher rates of visual disorders, such as amblyopia and strabismus, but the impact of these disorders on autism symptoms is unknown. We assessed adaptive, social, and repetitive behaviors in children with ASD with and without binocular vision disorders (amblyopia and strabismus).

Methods

Children aged 3-17 years were categorized into one of two groups: ASD with comorbid amblyopia or strabismus (ASD+/BVD+) or ASD without a visual disorder (ASD+/BVD−). All participants underwent a complete ophthalmologic examination to inform group assignment. Parents or guardians completed standardized questionnaires to assess participants’ adaptive functioning (Vineland Adaptive Behavior Scales, 3rd ed [VABS-III]), social responsiveness (Social Responsiveness Scale, 2nd ed [SRS-2]), and repetitive behaviors (Repetitive Behavior Scale-Revised [RBS-R]). ASD+/BVD+ and ASD+/BVD− groups were compared using multivariable regression analysis correcting for age and sex.

Results

We recruited 14 children in the ASD+/BVD+ group and 29 children in the ASD+/BVD− group. Groups were matched on age, sex, IQ, and overall autism severity. ASD+/BVD+ children had lower scores on the VABS-III Composite and Socialization domain. On the RBS-R, ASD+/BVD+ children exhibited greater insistence on sameness. There were no differences between groups on SRS-2 scores.

Conclusions

Our findings suggest that children with ASD and comorbid amblyopia or strabismus have worse adaptive behaviors than children with ASD without visual disorders, particularly with regard to socialization.

背景：自闭症谱系障碍（ASD）儿童的视觉障碍发生率较高，如弱视和斜视，但这些障碍对自闭症症状的影响尚不清楚。我们评估了伴有和不伴有双眼视力障碍（弱视和斜视）的ASD儿童的适应性、社交和重复行为。方法：将3-17岁的儿童分为两组：ASD合并弱视或斜视（ASD+/BVD+）和ASD无视觉障碍（ASD+/BVD-）。所有参与者都接受了完整的眼科检查，以告知小组分配。父母或监护人完成标准化问卷，评估被试的适应功能（Vineland适应行为量表，第3版[VABS-III]）、社会反应（社会反应量表，第2版[SRS-2]）和重复行为（重复行为量表-修订版[RBS-R]）。ASD+/BVD+组和ASD+/BVD-组采用校正年龄和性别的多变量回归分析进行比较。结果：ASD+/BVD+组14例，ASD+/BVD-组29例。各组按照年龄、性别、智商和自闭症的总体严重程度进行匹配。ASD+/BVD+儿童在VABS-III综合和社会化领域得分较低。在RBS-R上，ASD+/BVD+儿童表现出更强的一致性坚持。两组间SRS-2评分无差异。结论：我们的研究结果表明，与无视觉障碍的ASD儿童相比，ASD合并弱视或斜视儿童的适应行为更差，特别是在社交方面。

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引用次数: 0

Endogenous group A streptococcal endophthalmitis mimicking uveitis in a healthy 3-year-old: case report and literature review 3岁健康儿童内源性a组链球菌性眼内炎模拟葡萄膜炎病例报告及文献复习

IF 1.3 4区医学 Q3 OPHTHALMOLOGY

Journal of Aapos

Pub Date : 2026-02-01 Epub Date: 2026-01-28 DOI: 10.1016/j.jaapos.2026.104730

Jacob Larsen BS, Garrett Nix MD, Emily McCourt MD, Marc Mathias MD, Jennifer Jung MD

Group A Streptococcus (GAS) is a rare cause of endogenous endophthalmitis among both children and adults, with only a handful of cases described in the current literature. We report the case of a previously healthy 3-year-old girl who was diagnosed with unilateral endogenous GAS endophthalmitis with severe anterior involvement, after presenting with unilateral eye pain and injection, polyarthralgia, and skin changes thought to be inflammatory in nature. This case highlights the atypical manifestations of GAS bacteremia that can masquerade as a systemic autoimmune process.

在儿童和成人中，A群链球菌（GAS）是一种罕见的内源性眼内炎的病因，目前文献中只报道了少数病例。我们报告一例健康的3岁女孩，她被诊断为单侧内源性GAS眼内炎，严重前受累，表现为单侧眼睛疼痛和注射，多关节痛，皮肤变化被认为是炎症性的。本病例突出了GAS菌血症的非典型表现，它可以伪装成系统性自身免疫过程。

引用次数: 0

Evaluation of retinal microvascular changes and laboratory characteristics in children with Wilson disease: an optical coherence tomography angiography study 评价儿童Wilson病视网膜微血管改变和实验室特征：一项光学相干断层血管造影研究。

IF 1.3 4区医学 Q3 OPHTHALMOLOGY

Journal of Aapos

Pub Date : 2026-02-01 Epub Date: 2026-02-02 DOI: 10.1016/j.jaapos.2026.104747

Serhat Eker MD, FEBO , Meltem Gumus MD , Yalcin Karakucuk MD , Sule Acar Duyan MD, FEBO , Reyhan Kaya Gumustekin MD , Halil Haldun Emiroglu MD

Purpose

To assess macular perfusion in a pediatric population with Wilson disease (WD) using optical coherence tomography angiography (OCTA).

Methods

Twenty-six patients diagnosed with WD by conventional laboratory tests and liver biopsy in the pediatric gastroenterology department were enrolled. The superficial (VDs), deep (VDd) and choriocapillary (VDc) vascular densities of the patients were determined, Foveal avascular zones in the superficial (FAZs) and deep (FAZd) layers with central macular thickness (CMT) and subfoveal choroidal thickness (SFCT) were evaluated. OCTA measurements were compared with 35 age- and sex-matched healthy controls.

Results

Inferior sector values of VDs, VDd and VDc were significantly increased (P = 0.001, P = 0.002, P = 0.022, resp.). Mean FAZs and FAZd were significantly higher in WD cases (P = 0.001, P = 0.003). No statistical difference was detected in CMT and SFCT values (P > 0.05). Among patients with WD, the nasal sector values of the VDs, VDd and VDc were significantly correlated with 24-hour urinary copper excretion (r = 0.500, P = 0.009; r = 0.608, P = 0.001; r = 0.563, P = 0.003, resp.) and serum caeruloplasmin (r = 0.428, P = 0.029; r = 0.536, P = 0.005; and r = 0.548, P = 0.004, resp.). There was a statistically significant linear correlation between SFCT and hepatic copper level (r = 0.742 and P = 0.015).

Conclusions

Alterations of the macular microcirculation were observed in children with WD. OCTA may offer a noninvasive method to evaluate patients with WD when other classic signs may not yet have been presented.

目的：利用光学相干断层血管造影（OCTA）评估小儿威尔森病（WD）人群的黄斑灌注。方法：选取26例经常规实验室检查和肝活检诊断为WD的儿童消化内科患者。测定患者的浅层（VDs）、深层（VDd）和脉络膜毛细血管（VDc）密度，评价黄斑中心厚度（CMT）和中央凹下脉络膜厚度（SFCT）的浅层（FAZs）和深层（FAZd）的中央凹无血管区。将OCTA测量值与35名年龄和性别匹配的健康对照进行比较。结果：VDs、VDd、VDc的劣质扇区值均显著升高（P = 0.001、P = 0.002、P = 0.022，均有统计学意义）。WD患者的平均faz和FAZd显著高于WD患者（P = 0.001, P = 0.003）。CMT与SFCT值比较，差异无统计学意义（P < 0.05）。WD患者鼻部VDs、VDd、VDc值与24小时尿铜排泄量（r = 0.500, P = 0.009; r = 0.608, P = 0.001; r = 0.563, P = 0.003, P = 0.029; r = 0.536, P = 0.005; r = 0.548, P = 0.004, P = 0.004）显著相关。SFCT与肝铜水平呈显著线性相关（r = 0.742, P = 0.015）。结论：WD患儿黄斑微循环有明显改变。当其他典型体征尚未出现时，OCTA可以提供一种非侵入性方法来评估WD患者。

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引用次数: 0

Association between retinal findings and risk of mortality in pediatric abusive head trauma 儿童虐待性头部创伤的视网膜发现与死亡风险之间的关系。

IF 1.3 4区医学 Q3 OPHTHALMOLOGY

Journal of Aapos

Pub Date : 2026-02-01 Epub Date: 2026-01-27 DOI: 10.1016/j.jaapos.2026.104729

Abdelrahman M. Elhusseiny MD, MSc , Jamal O. Azhari MD , Carson W. Ercanbrack BS , Muhammad Z. Chauhan MD, MS , Paul H. Phillips MD , Florin Grigorian MD

Purpose

To investigate the association between the severity and distribution of retinal findings, systemic morbidity, and socioeconomic factors with mortality risk in pediatric patients with abusive head trauma (AHT) and retinal hemorrhages.

Methods

This retrospective study analyzed data from children diagnosed with AHT who underwent RetCam fundus photography over a 10-year period at Arkansas Children’s Hospital. Retinal hemorrhages were graded based on extent (region 1 or 2), spread (A-C), and morphology (intraretinal or extraretinal). Based on these three factors, the overall retinal involvement was classified into three grades (1-3). Logistic regression analyzed associations between retinal findings and mortality risk, adjusting for age, sex, race/ethnicity, socioeconomic measures (as determined by the Childhood Opportunity Index), and clinical variables.

Results

A total of 182 eyes of 91 children were included. Eighteen children (20%) died. A higher grade of retinal hemorrhages was significantly associated with increased mortality risk (P = 0.0004), with mortality rates of 7% in grade 1, 18% in grade 2, and 53% in grade 3. Greater hemorrhage spread also correlated with a markedly increased mortality risk (odds ratio for grade C = 17.43). Additionally, hypoxic-ischemic injury was a strong predictor of mortality (odds ratio = 115.4). Hemorrhage morphology and demographic and socioeconomic factors were not significantly associated with mortality risk.

Conclusions

In pediatric AHT, the grade and extent of retinal hemorrhages serve as strong predictors of mortality. These findings highlight the prognostic value of detailed retinal examinations in assessing survival outcomes in this population.

目的：探讨儿童虐待性头部创伤（AHT）和视网膜出血患者视网膜病变的严重程度和分布、全身性发病率和社会经济因素与死亡风险之间的关系。方法：本回顾性研究分析了在阿肯色儿童医院接受RetCam眼底摄影的诊断为AHT的儿童10年期间的数据。根据程度（1区或2区）、扩散（A-C区）和形态（视网膜内或视网膜外）对视网膜出血进行分级。基于这三个因素，将视网膜受累总体分为三个等级（1-3）。逻辑回归分析了视网膜检查结果与死亡风险之间的关系，调整了年龄、性别、种族/民族、社会经济指标（由儿童机会指数决定）和临床变量。结果：共纳入91例患儿182只眼。18名儿童（20%）死亡。较高级别的视网膜出血与死亡风险增加显著相关（P = 0.0004）， 1级的死亡率为7%，2级为18%，3级为53%。更大的出血扩散也与明显增加的死亡风险相关（C级OR = 17.43）。此外，缺氧缺血性损伤是死亡率的重要预测因子（OR = 115.4）。出血形态、人口统计学和社会经济因素与死亡风险无显著相关性。结论：在儿童AHT中，视网膜出血的等级和程度是死亡率的重要预测因素。这些发现强调了详细的视网膜检查在评估这一人群的生存结果中的预后价值。

{"title":"Association between retinal findings and risk of mortality in pediatric abusive head trauma","authors":"Abdelrahman M. Elhusseiny MD, MSc , Jamal O. Azhari MD , Carson W. Ercanbrack BS , Muhammad Z. Chauhan MD, MS , Paul H. Phillips MD , Florin Grigorian MD","doi":"10.1016/j.jaapos.2026.104729","DOIUrl":"10.1016/j.jaapos.2026.104729","url":null,"abstract":"<div><h3>Purpose</h3><div>To investigate the association between the severity and distribution of retinal findings, systemic morbidity, and socioeconomic factors with mortality risk in pediatric patients with abusive head trauma (AHT) and retinal hemorrhages.</div></div><div><h3>Methods</h3><div>This retrospective study analyzed data from children diagnosed with AHT who underwent RetCam fundus photography over a 10-year period at Arkansas Children’s Hospital. Retinal hemorrhages were graded based on extent (region 1 or 2), spread (A-C), and morphology (intraretinal or extraretinal). Based on these three factors, the overall retinal involvement was classified into three grades (1-3). Logistic regression analyzed associations between retinal findings and mortality risk, adjusting for age, sex, race/ethnicity, socioeconomic measures (as determined by the Childhood Opportunity Index), and clinical variables.</div></div><div><h3>Results</h3><div>A total of 182 eyes of 91 children were included. Eighteen children (20%) died. A higher grade of retinal hemorrhages was significantly associated with increased mortality risk (<em>P</em> = 0.0004), with mortality rates of 7% in grade 1, 18% in grade 2, and 53% in grade 3. Greater hemorrhage spread also correlated with a markedly increased mortality risk (odds ratio for grade C = 17.43). Additionally, hypoxic-ischemic injury was a strong predictor of mortality (odds ratio = 115.4). Hemorrhage morphology and demographic and socioeconomic factors were not significantly associated with mortality risk.</div></div><div><h3>Conclusions</h3><div>In pediatric AHT, the grade and extent of retinal hemorrhages serve as strong predictors of mortality. These findings highlight the prognostic value of detailed retinal examinations in assessing survival outcomes in this population.</div></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":"30 1","pages":"Article 104729"},"PeriodicalIF":1.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146088015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Surgical management of overcorrection after nasal transposition of the split lateral rectus muscle 裂侧直肌鼻转位术后矫形过度的手术处理。

IF 1.3 4区医学 Q3 OPHTHALMOLOGY

Journal of Aapos

Pub Date : 2026-02-01 Epub Date: 2026-01-30 DOI: 10.1016/j.jaapos.2026.104740

Mohamed Elkhawaga MD , Merna Hossameldin MD , Ahmed Awadein MD , Sara Maher MD , Amr Elkamshoushy MD

Purpose

To describe the outcome of surgical management of overcorrection after nasal transposition of split lateral rectus (NTSLR) for oculomotor nerve palsy.

Methods

The medical records of patients who underwent surgical revision for overcorrection after NTSLR from January 2014 to January 2024 were reviewed retrospectively. Details of the surgical overcorrection were analyzed. Ductions, versions, and angles of strabismus were evaluated before and after surgical revision.

Results

Nine patients were identified. Median patient age was 37 years (IQR, 28-49; range, 8-60). Median preoperative angle of esotropia was 30^Δ (IQR, 20^Δ-30^Δ; range, 15^Δ- 40^Δ). Median time between the first surgery and reoperation was 14 days (IQR, 7-40; range, 5-102). During revision, both halves of the lateral rectus were recessed 6 mm. The average follow-up after second surgery was 7.5 months. Median angle of esotropia decreased to 10^Δ (IQR, 5^Δ-30^Δ; 15^Δ exotropia to 30^Δ esotropia) at last follow-up. Five patients (55%) were aligned within 15^Δ of orthotropia; all of these patients had surgical revision performed within the first 2 postoperative weeks. In 4 patients, the angle of deviation was unchanged or changed by only 5^Δ after surgical revision, and all of these surgical revisions were performed at least 1 month after the initial surgery. There was a statistically significant negative correlation between the amount of correction achieved and the time between the first surgery and revision (r_s = −0.87, P = 0.0022).

Conclusions

In our small study cohort, revision surgery following overcorrection after NTSLR by recessing the transposed lateral rectus muscle along the border of the medial rectus muscle was successful only when performed within the first 2 weeks of initial surgery.

目的：探讨分裂外侧直肌鼻转位术治疗动眼神经麻痹后矫治过度的手术治疗效果。方法：回顾性分析2014年1月至2024年1月收治的NTSLR术后矫枉过正手术翻修患者的病历。分析手术矫直的细节。在手术矫正前后评估斜视的导管、形态和角度。结果：确定了9例患者。患者中位年龄为37岁（IQR， 28-49岁；范围，8-60岁）。术前内斜视中位角30Δ （IQR, 20Δ-30Δ；范围，15Δ- 40Δ）。第一次手术至再次手术的中位时间为14天（IQR, 7-40；范围，5-102）。翻修时，侧直肌的两半凹陷6mm。第二次手术后的平均随访时间为7.5个月。最后随访时内斜视中位角降至10Δ （IQR, 5Δ-30Δ； 15Δ外斜视降至30Δ内斜视）。5例患者（55%）在15Δ内矫正斜视；所有患者均在术后2周内进行手术翻修。4例患者手术矫正后角度未改变或仅改变5Δ，所有这些手术矫正均在初次手术后至少1个月进行。完成的矫正量与第一次手术与翻修之间的时间之间存在统计学上显著的负相关（rs = -0.87, P = 0.0022）。结论：在我们的小研究队列中，只有在初始手术的前2周内，通过沿内侧直肌边界凹陷转位的外侧直肌来矫正NTSLR后过度矫正的翻修手术才能成功。

{"title":"Surgical management of overcorrection after nasal transposition of the split lateral rectus muscle","authors":"Mohamed Elkhawaga MD , Merna Hossameldin MD , Ahmed Awadein MD , Sara Maher MD , Amr Elkamshoushy MD","doi":"10.1016/j.jaapos.2026.104740","DOIUrl":"10.1016/j.jaapos.2026.104740","url":null,"abstract":"<div><h3>Purpose</h3><div>To describe the outcome of surgical management of overcorrection after nasal transposition of split lateral rectus (NTSLR) for oculomotor nerve palsy.</div></div><div><h3>Methods</h3><div>The medical records of patients who underwent surgical revision for overcorrection after NTSLR from January 2014 to January 2024 were reviewed retrospectively. Details of the surgical overcorrection were analyzed. Ductions, versions, and angles of strabismus were evaluated before and after surgical revision.</div></div><div><h3>Results</h3><div>Nine patients were identified. Median patient age was 37 years (IQR, 28-49; range, 8-60). Median preoperative angle of esotropia was 30<sup>Δ</sup> (IQR, 20<sup>Δ</sup>-30<sup>Δ</sup>; range, 15<sup>Δ</sup>- 40<sup>Δ</sup>). Median time between the first surgery and reoperation was 14 days (IQR, 7-40; range, 5-102). During revision, both halves of the lateral rectus were recessed 6 mm. The average follow-up after second surgery was 7.5 months. Median angle of esotropia decreased to 10<sup>Δ</sup> (IQR, 5<sup>Δ</sup>-30<sup>Δ</sup>; 15<sup>Δ</sup> exotropia to 30<sup>Δ</sup> esotropia) at last follow-up. Five patients (55%) were aligned within 15<sup>Δ</sup> of orthotropia; all of these patients had surgical revision performed within the first 2 postoperative weeks. In 4 patients, the angle of deviation was unchanged or changed by only 5<sup>Δ</sup> after surgical revision, and all of these surgical revisions were performed at least 1 month after the initial surgery. There was a statistically significant negative correlation between the amount of correction achieved and the time between the first surgery and revision (<em>r</em><sub><em>s</em></sub> = −0.87, <em>P</em> = 0.0022).</div></div><div><h3>Conclusions</h3><div>In our small study cohort, revision surgery following overcorrection after NTSLR by recessing the transposed lateral rectus muscle along the border of the medial rectus muscle was successful only when performed within the first 2 weeks of initial surgery.</div></div>","PeriodicalId":50261,"journal":{"name":"Journal of Aapos","volume":"30 1","pages":"Article 104740"},"PeriodicalIF":1.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146100912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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