{
  "abstract": "To evaluate the efficacy of combined recession-resection (Scott) procedure in managing incomitant strabismus where the deviation is more pronounced in a cardinal position of gaze compared to the primary.A single-centre retrospective analysis was conducted on Scott procedures performed between 2012 and 2024. Recessions for the maximal deviation was combined with smaller resections using hang-back adjustable sutures. Pre-operative and post-operative orthoptic measurements were compared.14 adult patients were included with a mean (SD) age at surgery of 40.3 (±14.0) years. Ten had prior strabismus surgery, and five had previous botulinum toxin treatment. 14 rectus muscles were treated; 5 medial, 4 inferior, 3 superior, and 2 lateral rectus muscles. Pre-operatively, the mean (SD, range) deviation in primary gaze was 6.1 prism dioptres (PD) (±5.7PD, 0–20PD), and the mean (SD, range) maximum deviation in eccentric gaze was 22.1PD (±17.5PD, 3–80PD). Post-operatively, the mean (SD, range) deviation in primary gaze was 1.6PD (±2.7 PD, 0–10PD), and the mean (SD, range) maximum deviation in eccentric gaze was 8.6PD (±17.5PD, 0–70PD). A reduction in incomitance of more than 50% was seen in 86% (n=12) of patients.A paired t-test showed a significant improvement in deviation post-operatively both in primary gaze (mean -3.50PD; 95%CI: -1.60 - -6.66, p=0.0035) and in eccentric gaze (-14.30PD; 95%CI -10.4 - -18.2, p<0.0001).The Scott procedure effectively reduces incomitance with minimal impact on primary gaze alignment. It demonstrates good outcomes in patients with paretic strabismus, residual childhood strabismus, and those with prior surgery or botulinum toxin treatment.",
  "authors": [
    {
      "affiliations": [
        "Royal Free Hospital NHS Foundation Trust, UK"
      ],
      "name": "Ken Kawamoto"
    },
    {
      "affiliations": [
        "Royal Free Hospital NHS Foundation Trust, UK"
      ],
      "name": "Clea Southall"
    },
    {
      "affiliations": [
        "Royal Free Hospital NHS Foundation Trust, UK"
      ],
      "name": "Saurabh Jain"
    }
  ],
  "title": "130343 Efficacy of a combined recession-resection procedure on a rectus muscle for incomitant strabismus",
  "uid": "3d6d2893-a6b8-5535-b68b-bea81a0cccda"
}