[
    {
        "id": "osp-12390",
        "type": "article-journal",
        "title": "Single-snip paralimbal incision: A quick approach to rectus muscles",
        "author": [
            {
                "family": "Saxena",
                "given": "Juhi"
            },
            {
                "family": "Akhtar",
                "given": "Naheed"
            },
            {
                "family": "Gupta",
                "given": "Yogesh"
            },
            {
                "family": "Amitava",
                "given": "Abadan Khan"
            },
            {
                "family": "Kauser",
                "given": "Farnaz"
            },
            {
                "family": "Ahmed",
                "given": "Shiraz"
            },
            {
                "family": "Raza",
                "given": "S Aisha"
            },
            {
                "family": "Masood",
                "given": "Anam"
            }
        ],
        "URL": "https://omanscience.com/en/articles/single-snip-paralimbal-incision-a-quick-approach-to-rectus-muscles",
        "language": "en",
        "issued": {
            "date-parts": [
                [
                    2021
                ]
            ]
        },
        "container-title": "Oman Journal of Ophthalmology",
        "volume": "14",
        "issue": "1",
        "page": "3-7",
        "DOI": "10.4103/ojo.ojo_188_2020",
        "publisher": "Medknow Publications",
        "ISSN": "0974-620X",
        "abstract": "Introduction: 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).\n\nMaterials and methods: Forty-four patients with horizontal strabismus qualifying for uniocular recession-resection 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 6-8 weeks; scar visibility, as yes or no, at 6-8 weeks; success rates, considered to be within 10 prism diopters of orthophoria, at 6-8 weeks; and operation duration in minutes.\n\nStatistical analysis: Statistical analysis was done using Mann-Whitney U-test, for inflammatory grades, Chi-square for proportions, and t-test for parametric measures. Statistical significance was set at P < 0.05.\n\nResults: On postoperative day 1, congestion (P = 0.02), foreign-body sensation (P = 0.04), and total inflammatory score (P = 0.003) were statistically significantly favoring the SSPLA group. While at 2 weeks, only congestion (P = 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 (P < 0.001, 95% confidence interval: 3.2-8.7).\n\nConclusion: Compared to the SPLA, the SSPLA is quicker and results in lesser inflammation in the immediate postoperative period."
    }
]