{"id":"https://openalex.org/W7204177941","doi":"https://doi.org/10.1016/j.ajoc.2026.102651","title":"Irreversible vision loss following split lateral rectus nasal transposition for complete oculomotor nerve palsy","display_name":"Irreversible vision loss following split lateral rectus nasal transposition for complete oculomotor nerve palsy","publication_year":2026,"publication_date":"2026-08-25","ids":{"openalex":"https://openalex.org/W7204177941","doi":"https://doi.org/10.1016/j.ajoc.2026.102651","pmid":"https://pubmed.ncbi.nlm.nih.gov/42707082","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13546926"},"language":"en","primary_location":{"id":"doi:10.1016/j.ajoc.2026.102651","doi":"https://doi.org/10.1016/j.ajoc.2026.102651","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.ajoc.2026.102651","pdf_url":null,"source":{"id":"https://openalex.org/S2765008417","display_name":"American Journal of Ophthalmology Case Reports","issn_l":"2451-9936","issn":["2451-9936"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","oarl","poland-40","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Ophthalmology Case Reports","raw_type":"journal-article"},"parent_works":[],"lineage":["https://openalex.org/W7204177941"],"child_works_count":0,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1016/j.ajoc.2026.102651","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5060642247","display_name":"Miwa Komori","orcid":"https://orcid.org/0009-0008-1352-9241","observed_orcids":["https://orcid.org/0009-0008-1352-9241"]},"institutions":[{"id":"https://openalex.org/I13491362","display_name":"Hamamatsu University","ror":"https://ror.org/057vy9683","country_code":"JP","type":"education","lineage":["https://openalex.org/I13491362"]},{"id":"https://openalex.org/I3123035732","display_name":"Hamamatsu University School of Medicine","ror":"https://ror.org/00ndx3g44","country_code":"JP","type":"education","lineage":["https://openalex.org/I3123035732"]}],"countries":["JP"],"is_corresponding":true,"raw_author_name":"Miwa Komori","raw_affiliation_strings":["Department of Ophthalmology, Hamamatsu University School of Medicine, 1-20-1 Handayama, Chuo-ku, Hamamatsu City, Shizuoka, 431-3192, Japan"],"raw_orcid":"https://orcid.org/0009-0008-1352-9241","affiliations":[{"raw_affiliation_string":"Department of Ophthalmology, Hamamatsu University School of Medicine, 1-20-1 Handayama, Chuo-ku, Hamamatsu City, Shizuoka, 431-3192, Japan","institution_ids":["https://openalex.org/I13491362","https://openalex.org/I3123035732"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5063720499","display_name":"Miho Sato","orcid":"https://orcid.org/0000-0002-0389-6274","observed_orcids":["https://orcid.org/0000-0002-0389-6274"]},"institutions":[{"id":"https://openalex.org/I13491362","display_name":"Hamamatsu University","ror":"https://ror.org/057vy9683","country_code":"JP","type":"education","lineage":["https://openalex.org/I13491362"]},{"id":"https://openalex.org/I3123035732","display_name":"Hamamatsu University School of Medicine","ror":"https://ror.org/00ndx3g44","country_code":"JP","type":"education","lineage":["https://openalex.org/I3123035732"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Miho Sato","raw_affiliation_strings":["Department of Ophthalmology, Hamamatsu University School of Medicine, 1-20-1 Handayama, Chuo-ku, Hamamatsu City, Shizuoka, 431-3192, Japan"],"raw_orcid":"https://orcid.org/0000-0002-0389-6274","affiliations":[{"raw_affiliation_string":"Department of Ophthalmology, Hamamatsu University School of Medicine, 1-20-1 Handayama, Chuo-ku, Hamamatsu City, Shizuoka, 431-3192, Japan","institution_ids":["https://openalex.org/I13491362","https://openalex.org/I3123035732"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5148069074","display_name":"Akari Arakawa","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I13491362","display_name":"Hamamatsu University","ror":"https://ror.org/057vy9683","country_code":"JP","type":"education","lineage":["https://openalex.org/I13491362"]},{"id":"https://openalex.org/I3123035732","display_name":"Hamamatsu University School of Medicine","ror":"https://ror.org/00ndx3g44","country_code":"JP","type":"education","lineage":["https://openalex.org/I3123035732"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Akari Arakawa","raw_affiliation_strings":["Department of Ophthalmology, Hamamatsu University School of Medicine, 1-20-1 Handayama, Chuo-ku, Hamamatsu City, Shizuoka, 431-3192, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Ophthalmology, Hamamatsu University School of Medicine, 1-20-1 Handayama, Chuo-ku, Hamamatsu City, Shizuoka, 431-3192, Japan","institution_ids":["https://openalex.org/I13491362","https://openalex.org/I3123035732"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5058678129","display_name":"Hiroki Kaneko","orcid":"https://orcid.org/0000-0003-0731-6465","observed_orcids":["https://orcid.org/0000-0003-0731-6465"]},"institutions":[{"id":"https://openalex.org/I13491362","display_name":"Hamamatsu University","ror":"https://ror.org/057vy9683","country_code":"JP","type":"education","lineage":["https://openalex.org/I13491362"]},{"id":"https://openalex.org/I3123035732","display_name":"Hamamatsu University School of Medicine","ror":"https://ror.org/00ndx3g44","country_code":"JP","type":"education","lineage":["https://openalex.org/I3123035732"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Hiroki Kaneko","raw_affiliation_strings":["Department of Ophthalmology, Hamamatsu University School of Medicine, 1-20-1 Handayama, Chuo-ku, Hamamatsu City, Shizuoka, 431-3192, Japan"],"raw_orcid":"https://orcid.org/0000-0003-0731-6465","affiliations":[{"raw_affiliation_string":"Department of Ophthalmology, Hamamatsu University School of Medicine, 1-20-1 Handayama, Chuo-ku, Hamamatsu City, Shizuoka, 431-3192, Japan","institution_ids":["https://openalex.org/I13491362","https://openalex.org/I3123035732"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5036480497","display_name":"Akiko Hikoya","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I13491362","display_name":"Hamamatsu University","ror":"https://ror.org/057vy9683","country_code":"JP","type":"education","lineage":["https://openalex.org/I13491362"]},{"id":"https://openalex.org/I3123035732","display_name":"Hamamatsu University School of Medicine","ror":"https://ror.org/00ndx3g44","country_code":"JP","type":"education","lineage":["https://openalex.org/I3123035732"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Akiko Hikoya","raw_affiliation_strings":["Department of Ophthalmology, Hamamatsu University School of Medicine, 1-20-1 Handayama, Chuo-ku, Hamamatsu City, Shizuoka, 431-3192, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Ophthalmology, Hamamatsu University School of Medicine, 1-20-1 Handayama, Chuo-ku, Hamamatsu City, Shizuoka, 431-3192, Japan","institution_ids":["https://openalex.org/I13491362","https://openalex.org/I3123035732"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5060642247"],"corresponding_institution_ids":["https://openalex.org/I13491362","https://openalex.org/I3123035732"],"apc_list":{"value":1590,"currency":"USD","value_usd":1590},"apc_paid":{"value":1590,"currency":"USD","value_usd":1590},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"44","issue":null,"first_page":"102651","last_page":"102651"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11538","display_name":"Ophthalmology and Eye Disorders","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2731","display_name":"Ophthalmology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11538","display_name":"Ophthalmology and Eye Disorders","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2731","display_name":"Ophthalmology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12989","display_name":"Ocular Disorders and Treatments","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2731","display_name":"Ophthalmology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12476","display_name":"Intraoperative Neuromonitoring and Anesthetic Effects","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/oculomotor-nerve-palsy","display_name":"oculomotor nerve palsy","score":0.9309999942779541},{"id":"https://openalex.org/keywords/exotropia","display_name":"exotropia","score":0.7960000038146973},{"id":"https://openalex.org/keywords/postoperative-complications","display_name":"postoperative complications","score":0.6729999780654907},{"id":"https://openalex.org/keywords/optic-disc-edema","display_name":"optic disc edema","score":0.7749999761581421},{"id":"https://openalex.org/keywords/macular-edema","display_name":"macular edema","score":0.972000002861023},{"id":"https://openalex.org/keywords/suture-removal","display_name":"suture removal","score":0.5460000038146973},{"id":"https://openalex.org/keywords/pediatric-strabismus-surgery","display_name":"pediatric strabismus surgery","score":0.8560000061988831}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9531999826431274},{"id":"https://openalex.org/C2779211832","wikidata":"https://www.wikidata.org/wiki/Q1670952","display_name":"Oculomotor nerve palsy","level":4,"score":0.788100004196167},{"id":"https://openalex.org/C12455157","wikidata":"https://www.wikidata.org/wiki/Q7835331","display_name":"Transposition (logic)","level":2,"score":0.5619000196456909},{"id":"https://openalex.org/C2778097013","wikidata":"https://www.wikidata.org/wiki/Q68212673","display_name":"Palsy","level":3,"score":0.4440000057220459},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.41100001335144043},{"id":"https://openalex.org/C105702510","wikidata":"https://www.wikidata.org/wiki/Q514","display_name":"Anatomy","level":1,"score":0.3968999981880188},{"id":"https://openalex.org/C2778620428","wikidata":"https://www.wikidata.org/wiki/Q1051835","display_name":"Lateral rectus muscle","level":2,"score":0.3070000112056732},{"id":"https://openalex.org/C2779532201","wikidata":"https://www.wikidata.org/wiki/Q2720759","display_name":"Esotropia","level":3,"score":0.3012999892234802},{"id":"https://openalex.org/C2779618896","wikidata":"https://www.wikidata.org/wiki/Q107231","display_name":"Paralysis","level":2,"score":0.2881999909877777},{"id":"https://openalex.org/C2781007269","wikidata":"https://www.wikidata.org/wiki/Q223903","display_name":"Oculomotor nerve","level":2,"score":0.2867000102996826},{"id":"https://openalex.org/C118487528","wikidata":"https://www.wikidata.org/wiki/Q161437","display_name":"Ophthalmology","level":1,"score":0.2799000144004822},{"id":"https://openalex.org/C2776148792","wikidata":"https://www.wikidata.org/wiki/Q3041498","display_name":"Eye disease","level":2,"score":0.25859999656677246},{"id":"https://openalex.org/C153050134","wikidata":"https://www.wikidata.org/wiki/Q760256","display_name":"Eye movement","level":2,"score":0.2522999942302704}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1016/j.ajoc.2026.102651","doi":"https://doi.org/10.1016/j.ajoc.2026.102651","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.ajoc.2026.102651","pdf_url":null,"source":{"id":"https://openalex.org/S2765008417","display_name":"American Journal of Ophthalmology Case Reports","issn_l":"2451-9936","issn":["2451-9936"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","oarl","poland-40","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Ophthalmology Case Reports","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13546926","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13546926/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13546926/pdf/main.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Am J Ophthalmol Case Rep","raw_type":"Text"},{"id":"pmid:42707082","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42707082","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American journal of ophthalmology case reports","raw_type":"Case Reports"}],"best_oa_location":{"id":"doi:10.1016/j.ajoc.2026.102651","doi":"https://doi.org/10.1016/j.ajoc.2026.102651","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.ajoc.2026.102651","pdf_url":null,"source":{"id":"https://openalex.org/S2765008417","display_name":"American Journal of Ophthalmology Case Reports","issn_l":"2451-9936","issn":["2451-9936"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","oarl","poland-40","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Ophthalmology Case Reports","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.98580002784729}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7204177941.pdf","grobid_xml":"https://content.openalex.org/works/W7204177941.grobid-xml"},"referenced_works_count":13,"referenced_works":["https://openalex.org/W2051642417","https://openalex.org/W2060134294","https://openalex.org/W2065096036","https://openalex.org/W2107630662","https://openalex.org/W2125509163","https://openalex.org/W2139521238","https://openalex.org/W2410728002","https://openalex.org/W2563928230","https://openalex.org/W2625023542","https://openalex.org/W2809319384","https://openalex.org/W2985584489","https://openalex.org/W3165094888","https://openalex.org/W4200403902"],"related_works":["https://openalex.org/W3097786425","https://openalex.org/W4283274256","https://openalex.org/W3034023691","https://openalex.org/W2969513595","https://openalex.org/W4312868807","https://openalex.org/W2045594057","https://openalex.org/W7126186880","https://openalex.org/W4200403902","https://openalex.org/W3165094888","https://openalex.org/W2107630662"],"abstract_inverted_index":{"Purpose:":[0],"To":[1],"report":[2],"a":[3,21],"rare":[4],"case":[5],"of":[6,13,75,90,99,131,167,216,225],"irreversible":[7,200,217],"vision":[8,120,201],"loss":[9],"following":[10,42],"nasal":[11],"transposition":[12],"the":[14,61,67,100,107,111,126,132,157,168,172,182,213],"split":[15,83],"lateral":[16,79],"rectus":[17,80],"muscle":[18,81,170],"(NTSLR)":[19],"in":[20,60,66,125,199],"patient":[22,112,183],"with":[23,38,70,88],"complete":[24,39],"oculomotor":[25,48],"nerve":[26,49],"palsy":[27],"(ONP)":[28],"and":[29,64,84,117,143,156,184,204,222],"outline":[30],"its":[31],"clinical":[32],"implications.":[33],"Observations:":[34],"A":[35],"12-year-old":[36],"girl":[37],"left":[40,68,78,101,127,133],"ONP":[41],"gamma":[43],"knife":[44],"treatment":[45],"for":[46,177],"an":[47],"schwannoma":[50],"underwent":[51],"surgical":[52],"correction.":[53],"Preoperative":[54],"best-corrected":[55],"visual":[56,218],"acuity":[57],"was":[58,82,103,179],"20/15":[59],"right":[62],"eye":[63,102,134],"20/32":[65],"eye,":[69],"\u2265":[71],"95":[72],"prism":[73],"diopters":[74],"exotropia.":[76],"The":[77],"nasally":[85],"transposed,":[86],"combined":[87],"tenotomies":[89],"both":[91],"ipsilateral":[92],"oblique":[93],"muscles.":[94],"Immediately":[95],"postoperatively,":[96],"fundus":[97],"examination":[98,130],"unremarkable;":[104],"however,":[105,181],"within":[106],"first":[108],"postoperative":[109,226],"week,":[110],"developed":[113],"pain,":[114],"eyelid":[115],"swelling,":[116],"rapidly":[118],"declining":[119],"to":[121,149,189],"no":[122],"light":[123],"perception":[124],"eye.":[128],"Fundus":[129],"revealed":[135],"venous":[136],"dilation,":[137],"arterial":[138],"attenuation,":[139],"optic":[140,153,173],"disc":[141,154],"edema,":[142],"macular":[144],"edema;":[145],"this":[146],"later":[147],"progressed":[148],"retinal":[150],"vessel":[151],"whitening,":[152],"pallor,":[155],"Amalric":[158],"triangular":[159],"sign.":[160],"Magnetic":[161],"resonance":[162],"imaging":[163],"demonstrated":[164],"posterior":[165],"displacement":[166],"transposed":[169],"toward":[171],"nerve.":[174],"Suture":[175],"removal":[176],"decompression":[178],"proposed;":[180],"family":[185],"declined":[186],"reoperation":[187],"due":[188],"satisfactory":[190],"cosmetic":[191,209],"improvement.":[192],"Visual":[193],"function":[194],"did":[195],"not":[196],"recover,":[197],"resulting":[198],"loss.":[202],"Conclusions":[203],"importance:":[205],"NTSLR":[206],"can":[207],"provide":[208],"benefits,":[210],"but":[211],"carries":[212],"potential":[214],"risk":[215],"impairment.":[219],"Careful":[220],"technique":[221],"early":[223],"evaluation":[224],"symptoms":[227],"are":[228],"essential.":[229]},"counts_by_year":[],"updated_date":"2026-11-13T13:42:25.865203","created_date":"2026-08-26T00:00:00"}
