{"id":"https://openalex.org/W7225713186","doi":"https://doi.org/10.1097/rc9.0000000000001160","title":"Surgical release of a deep retro-equatorial band in congenital unilateral restrictive strabismus: a case report","display_name":"Surgical release of a deep retro-equatorial band in congenital unilateral restrictive strabismus: a case report","publication_year":2026,"publication_date":"2026-10-22","ids":{"openalex":"https://openalex.org/W7225713186","doi":"https://doi.org/10.1097/rc9.0000000000001160","pmid":"https://pubmed.ncbi.nlm.nih.gov/43005779","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13747507"},"language":"en","primary_location":{"id":"doi:10.1097/rc9.0000000000001160","doi":"https://doi.org/10.1097/rc9.0000000000001160","is_oa":true,"landing_page_url":"https://doi.org/10.1097/rc9.0000000000001160","pdf_url":null,"source":{"id":"https://openalex.org/S5398819","display_name":"International Journal of Surgery Case Reports","issn_l":"2210-2612","issn":["2210-2612"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-40"],"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-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Surgery Case Reports","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1097/rc9.0000000000001160","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5034291560","display_name":"Abdulrahman Abdullah Al-Yahya","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210098844","display_name":"King Khaled Eye Specialist Hospital","ror":"https://ror.org/00zrhbg82","country_code":"SA","type":"healthcare","lineage":["https://openalex.org/I4210098844"]}],"countries":["SA"],"is_corresponding":false,"raw_author_name":"Abdulrahman Alyahya","raw_affiliation_strings":["Pediatric Ophthalmology, Strabismus and Uveitis, King Khaled Eye Specialist Hospital and Research Center, Riyadh, Saudi Arabia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Pediatric Ophthalmology, Strabismus and Uveitis, King Khaled Eye Specialist Hospital and Research Center, Riyadh, Saudi Arabia","institution_ids":["https://openalex.org/I4210098844"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5093093667","display_name":"Fawzia Alhaimi","orcid":"https://orcid.org/0009-0000-3028-1016","observed_orcids":["https://orcid.org/0009-0000-3028-1016"]},"institutions":[{"id":"https://openalex.org/I4210098844","display_name":"King Khaled Eye Specialist Hospital","ror":"https://ror.org/00zrhbg82","country_code":"SA","type":"healthcare","lineage":["https://openalex.org/I4210098844"]}],"countries":["SA"],"is_corresponding":true,"raw_author_name":"Fawzia Alhaimi","raw_affiliation_strings":["Pediatric Ophthalmology, Strabismus and Uveitis, King Khaled Eye Specialist Hospital and Research Center, Riyadh, Saudi Arabia"],"raw_orcid":"https://orcid.org/0009-0000-3028-1016","affiliations":[{"raw_affiliation_string":"Pediatric Ophthalmology, Strabismus and Uveitis, King Khaled Eye Specialist Hospital and Research Center, Riyadh, Saudi Arabia","institution_ids":["https://openalex.org/I4210098844"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5093093667"],"corresponding_institution_ids":["https://openalex.org/I4210098844"],"apc_list":{"value":2090,"currency":"USD","value_usd":2090},"apc_paid":{"value":2090,"currency":"USD","value_usd":2090},"fwci":0.0,"has_fulltext":false,"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":"138","issue":"11","first_page":"5311","last_page":"5316"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11538","display_name":"Ophthalmology and Eye Disorders","score":0.9570000171661377,"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":0.9570000171661377,"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":0.040800001472234726,"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/T11562","display_name":"Facial Trauma and Fracture Management","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/congenital-ptosis","display_name":"congenital ptosis","score":0.5479999780654907},{"id":"https://openalex.org/keywords/pseudoptosis","display_name":"pseudoptosis","score":0.9150000214576721},{"id":"https://openalex.org/keywords/orbital-exploration","display_name":"orbital exploration","score":0.39100000262260437},{"id":"https://openalex.org/keywords/lateral-rectus-recession","display_name":"lateral rectus recession","score":0.7760000228881836},{"id":"https://openalex.org/keywords/congenital-fibrosis-of-the-extraocular-muscles","display_name":"congenital fibrosis of the extraocular muscles","score":0.8980000019073486},{"id":"https://openalex.org/keywords/cranial-nerve-palsy","display_name":"cranial nerve palsy","score":0.7039999961853027},{"id":"https://openalex.org/keywords/pediatric-strabismus-surgery","display_name":"pediatric strabismus surgery","score":0.8299999833106995},{"id":"https://openalex.org/keywords/levator-function","display_name":"levator function","score":0.699999988079071},{"id":"https://openalex.org/keywords/orbital-mri","display_name":"orbital MRI","score":0.578000009059906},{"id":"https://openalex.org/keywords/orbital-computed-tomography","display_name":"orbital computed tomography","score":0.6140000224113464}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7847999930381775},{"id":"https://openalex.org/C2776807875","wikidata":"https://www.wikidata.org/wiki/Q533979","display_name":"Extraocular muscles","level":2,"score":0.65829998254776},{"id":"https://openalex.org/C196644772","wikidata":"https://www.wikidata.org/wiki/Q3884964","display_name":"Orbit (dynamics)","level":2,"score":0.5810999870300293},{"id":"https://openalex.org/C105702510","wikidata":"https://www.wikidata.org/wiki/Q514","display_name":"Anatomy","level":1,"score":0.5267999768257141},{"id":"https://openalex.org/C2775862295","wikidata":"https://www.wikidata.org/wiki/Q2660911","display_name":"Dissection (medical)","level":2,"score":0.5073999762535095},{"id":"https://openalex.org/C2776864138","wikidata":"https://www.wikidata.org/wiki/Q7620839","display_name":"Strabismus","level":2,"score":0.4726000130176544},{"id":"https://openalex.org/C2777911022","wikidata":"https://www.wikidata.org/wiki/Q1090548","display_name":"Superior rectus muscle","level":3,"score":0.46299999952316284},{"id":"https://openalex.org/C105572291","wikidata":"https://www.wikidata.org/wiki/Q7002775","display_name":"Neurovascular bundle","level":2,"score":0.45239999890327454},{"id":"https://openalex.org/C2778620428","wikidata":"https://www.wikidata.org/wiki/Q1051835","display_name":"Lateral rectus muscle","level":2,"score":0.4316999912261963},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.42730000615119934},{"id":"https://openalex.org/C143409427","wikidata":"https://www.wikidata.org/wiki/Q161238","display_name":"Magnetic resonance imaging","level":2,"score":0.4009999930858612},{"id":"https://openalex.org/C2776859179","wikidata":"https://www.wikidata.org/wiki/Q760341","display_name":"Strabismus surgery","level":3,"score":0.36079999804496765},{"id":"https://openalex.org/C2780581723","wikidata":"https://www.wikidata.org/wiki/Q775940","display_name":"Diplopia","level":2,"score":0.3587000072002411},{"id":"https://openalex.org/C2776148792","wikidata":"https://www.wikidata.org/wiki/Q3041498","display_name":"Eye disease","level":2,"score":0.3183000087738037},{"id":"https://openalex.org/C2779532201","wikidata":"https://www.wikidata.org/wiki/Q2720759","display_name":"Esotropia","level":3,"score":0.31450000405311584},{"id":"https://openalex.org/C153050134","wikidata":"https://www.wikidata.org/wiki/Q760256","display_name":"Eye movement","level":2,"score":0.30720001459121704},{"id":"https://openalex.org/C2780837183","wikidata":"https://www.wikidata.org/wiki/Q186029","display_name":"Optic nerve","level":2,"score":0.30149999260902405},{"id":"https://openalex.org/C2910046242","wikidata":"https://www.wikidata.org/wiki/Q19927814","display_name":"Rectus muscle","level":2,"score":0.275299996137619},{"id":"https://openalex.org/C2777157052","wikidata":"https://www.wikidata.org/wiki/Q265092","display_name":"Superior orbital fissure","level":3,"score":0.2632000148296356},{"id":"https://openalex.org/C2908618680","wikidata":"https://www.wikidata.org/wiki/Q2026857","display_name":"External ophthalmoplegia","level":4,"score":0.2606000006198883},{"id":"https://openalex.org/C2779923029","wikidata":"https://www.wikidata.org/wiki/Q1090267","display_name":"Inferior rectus muscle","level":3,"score":0.25690001249313354}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1097/rc9.0000000000001160","doi":"https://doi.org/10.1097/rc9.0000000000001160","is_oa":true,"landing_page_url":"https://doi.org/10.1097/rc9.0000000000001160","pdf_url":null,"source":{"id":"https://openalex.org/S5398819","display_name":"International Journal of Surgery Case Reports","issn_l":"2210-2612","issn":["2210-2612"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-40"],"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-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Surgery Case Reports","raw_type":"journal-article"},{"id":"pmid:43005779","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/43005779","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":"International journal of surgery case reports","raw_type":"Case Reports"}],"best_oa_location":{"id":"doi:10.1097/rc9.0000000000001160","doi":"https://doi.org/10.1097/rc9.0000000000001160","is_oa":true,"landing_page_url":"https://doi.org/10.1097/rc9.0000000000001160","pdf_url":null,"source":{"id":"https://openalex.org/S5398819","display_name":"International Journal of Surgery Case Reports","issn_l":"2210-2612","issn":["2210-2612"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-40"],"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-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Surgery Case Reports","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9537000060081482}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":17,"referenced_works":["https://openalex.org/W1551098542","https://openalex.org/W1964292060","https://openalex.org/W2007162893","https://openalex.org/W2019726530","https://openalex.org/W2049818691","https://openalex.org/W2057887796","https://openalex.org/W2076204705","https://openalex.org/W2099478762","https://openalex.org/W2136151222","https://openalex.org/W2143546293","https://openalex.org/W2146722231","https://openalex.org/W2148934254","https://openalex.org/W2958955014","https://openalex.org/W3087678412","https://openalex.org/W4213429009","https://openalex.org/W4401087603","https://openalex.org/W4409523688"],"related_works":["https://openalex.org/W2142912279","https://openalex.org/W4386271988","https://openalex.org/W2941191258","https://openalex.org/W2544778571","https://openalex.org/W4410100751","https://openalex.org/W4309548167","https://openalex.org/W3176203967","https://openalex.org/W4404932577","https://openalex.org/W4395666244","https://openalex.org/W4413840065"],"abstract_inverted_index":{"Introduction":[0],"and":[1,62,65,73,86,110,168,223,254,263,271,281,301,333,400,403,411],"importance:":[2],"Congenital":[3],"unilateral":[4],"restrictive":[5],"strabismus":[6],"may":[7,356],"result":[8],"from":[9],"anomalous":[10],"orbital":[11,121,129,220],"tissue,":[12],"extraocular":[13,125,330,364],"muscle":[14,126,365],"abnormalities,":[15],"or":[16,35,367,369,431],"congenital":[17,47,322,326,434],"cranial":[18],"dysinnervation.":[19,38,435],"Forced":[20],"duction":[21,141],"testing":[22,142],"can":[23],"identify":[24],"a":[25,157,176,193,370,380],"passive":[26,148,166,201,388],"mechanical":[27,293,421],"component,":[28],"but":[29,423],"does":[30],"not":[31,134,425],"establish":[32,426],"tissue":[33,178,228,307,429],"identity":[34,430],"exclude":[36,432],"coexisting":[37,363,433],"Presentation":[39],"of":[40,55,60,184,304,313,328,372,379],"the":[41,83,92,162,181,185,216,224,244,296,305,329,358,386,427],"case:":[42],"An":[43],"11-year-old":[44],"girl":[45],"had":[46,273,405],"ocular":[48],"misalignment":[49],"with":[50,70,91,106,315],"40":[51],"prism":[52],"diopters":[53],"(PD)":[54],"right":[56,76,93,256,409],"hypotropia,":[57],"20":[58],"PD":[59,260,266],"exotropia,":[61],"left":[63,237],"supraduction":[64,270,402],"infraduction":[66,167,272,404],"each":[67,107],"graded":[68],"-3,":[69],"full":[71,298],"abduction":[72,280],"adduction.":[74,151],"Apparent":[75],"upper-eyelid":[77],"asymmetry":[78],"was":[79,102,113,133,154,213,229,241,252],"formally":[80],"evaluated":[81],"by":[82,215],"oculoplastic":[84],"service":[85],"diagnosed":[87],"as":[88],"pseudoptosis":[89,314],"associated":[90,245],"hypotropia":[94,257,410],"rather":[95,319],"than":[96,320],"true":[97,321],"ptosis;":[98],"margin":[99],"reflex":[100],"distance-1":[101],"3":[103],"mm":[104,115,236],"bilaterally":[105],"eye":[108],"fixating,":[109],"levator":[111,317],"function":[112],">14":[114],"bilaterally.":[116],"Computed":[117],"tomography":[118],"showed":[119],"intact":[120],"walls":[122],"without":[123,342],"obvious":[124],"entrapment;":[127],"dedicated":[128,343],"magnetic":[130],"resonance":[131],"imaging":[132,346],"performed.":[135],"Under":[136],"general":[137],"anesthesia,":[138],"multidirectional":[139],"forced":[140],"demonstrated":[143],"no":[144],"appreciable":[145],"restriction":[146,207,389],"during":[147],"elevation":[149],"in":[150,161],"Maximum":[152],"resistance":[153],"localized":[155],"to":[156,218,276],"focal":[158,177],"central":[159],"point":[160],"superior":[163,187,206],"plane,":[164],"while":[165,279,390],"horizontal":[169,250],"rotations":[170],"were":[171],"unrestricted.":[172],"Superior":[173],"exploration":[174],"identified":[175],"attachment":[179],"at":[180,261,267],"nasal":[182],"aspect":[183],"normal-appearing":[186],"rectus":[188,239],"region":[189],"and,":[190,347],"more":[191],"posteriorly,":[192],"deep":[194,219,381],"retro-equatorial":[195,382],"band.":[196],"Stepwise":[197,376],"release":[198,378],"markedly":[199],"improved":[200,275],"elevation,":[202],"although":[203,295,407],"mild":[204],"residual":[205,255,408],"remained":[208,283],"because":[209],"further":[210],"posterior":[211,299,361,393],"dissection":[212],"limited":[214],"risk":[217],"neurovascular":[221],"structures":[222],"optic":[225],"nerve.":[226],"No":[227],"submitted":[230],"for":[231,243],"histopathological":[232],"examination.":[233],"A":[234],"10":[235],"lateral":[238],"recession":[240],"performed":[242],"exotropia.":[246],"At":[247,395],"12":[248,259,396],"months,":[249,397],"alignment":[251,399],"orthotropic,":[253],"measured":[258],"distance":[262],"approximately":[264,277],"8-10":[265],"near.":[268],"Left":[269],"both":[274,401],"-2,":[278],"adduction":[282],"full.":[284],"Clinical":[285],"discussion:":[286],"The":[287,310,416],"intraoperative":[288],"response":[289],"supports":[290],"an":[291,419],"important":[292,420],"contribution,":[294],"identity,":[297],"extent,":[300],"anatomical":[302],"relationships":[303],"abnormal":[306],"remain":[308],"uncertain.":[309],"documented":[311],"diagnosis":[312],"preserved":[316],"function,":[318],"ptosis,":[323],"makes":[324],"classic":[325],"fibrosis":[327],"muscles":[331],"(CFEOM)1":[332],"CFEOM2":[334],"less":[335],"characteristic;":[336],"however,":[337],"CFEOM3":[338],"cannot":[339],"be":[340],"excluded":[341],"orbital/cranial":[344],"nerve":[345],"when":[348],"indicated,":[349],"genetic":[350],"assessment.":[351],"Residual":[352],"vertical":[353,398,412],"motility":[354,413],"limitation":[355,414],"reflect":[357],"safely":[359],"unreleased":[360],"restriction,":[362],"dysplasia":[366],"dysinnervation,":[368],"combination":[371],"these":[373],"factors.":[374],"Conclusion:":[375],"partial":[377],"band":[383],"substantially":[384],"reduced":[385],"accessible":[387],"avoiding":[391],"unsafe":[392],"dissection.":[394],"improved,":[406],"persisted.":[415],"findings":[417],"support":[418],"component":[422],"do":[424],"precise":[428]},"counts_by_year":[],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2026-11-11T00:00:00"}