{'fraction_non_alphanumeric': 0.014667817083692839, 'fraction_numerical': 0.0008628127696289905, 'mean_word_length': 5.444444444444445, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
New surgical intervention for the weakening of the inferior oblique muscle: equatorial scleral anchor.

PURPOSE
To evaluate the efficacy of a new surgical technique in reducing inferior oblique muscle overaction.


METHODS
Anterior transposition and myectomy of the inferior oblique muscle represent the gold-standard treatment in dissociated vertical deviation, including cases in which a simultaneous inferior oblique muscle overaction is also present. A new surgical procedure that consists of suturing the muscle to the sclera at the Gobin point with tendon sparing using a micro-incision to minimize the related tissue trauma and induce a faster recovery was developed.


RESULTS
Two of 8 patients with essential infant esotropia had a complete resolution of the elevation in adduction with no residual vertical imbalance. All patients experienced an improvement in lateral incomitance.


CONCLUSIONS
The new "equatorial scleral anchor" surgical procedure gives a similarly good outcome when compared with the classic inferior oblique anterior transposition technique, with the advantages being simple, safe, reversible, and modular in terms of suturing.