He ZY, Cui T, Cui ZQ, Yan HX, Chen MX, Luo H. Effects of modified Yokoyama surgery combined with medial rectus muscle recession on esotropia in highly myopia athletes. World J Clin Cases 2025; 13(21): 104918 [DOI: 10.12998/wjcc.v13.i21.104918]
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jul 26, 2025; 13(21): 104918 Published online Jul 26, 2025. doi: 10.12998/wjcc.v13.i21.104918
Effects of modified Yokoyama surgery combined with medial rectus muscle recession on esotropia in highly myopia athletes
Zi-Yang He, Tan Cui, Zhi-Qi Cui, Hui-Xia Yan, Mei-Xuan Chen, Hao Luo
Zi-Yang He, Zhi-Qi Cui, Hao Luo, School of Physical Education, Shanxi University, Taiyuan 030006, Shanxi Province, China
Tan Cui, Hui-Xia Yan, Mei-Xuan Chen, Department of Ophthalmology, Xinghualing Central Hospital, Taiyuan 030032, Shanxi Province, China
Author contributions: He ZY and Luo H contributed to the conception and design of the study, data acquisition and analysis; Cui T, Cui ZQ and Yan HX assisted with data collection; He ZY and Chen MX analyzed the data and wrote the manuscript; Luo H supervised and coordinated the project.
Institutional review board statement: This study was approved by the Ethics Committee of Taiyuan Xinghualing District Central Hospital (No. XY2024012).
Informed consent statement: The data used in this study were not involved in the patients’ privacy information, so the informed consent was waived by the Ethics Committee of Taiyuan Xinghualing District Central Hospital. All patient data obtained, recorded, and managed only used for this study, and all patient information are strictly confidential, without any harm to the patient.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
Data sharing statement: No additional data are available.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Received: January 10, 2025 Revised: February 25, 2025 Accepted: April 2, 2025 Published online: July 26, 2025 Processing time: 106 Days and 22.7 Hours
Core Tip
Core Tip: Fixed esotropia is a prevalent ocular motility disorder in patients with high myopia, this condition proves especially debilitating for athletes, as it disrupts both competitive performance and daily activities. Traditional surgical treatments have often yielded suboptimal results. Recent studies have unraveled that the combination of Yokoyama surgery with medial rectus muscle recession can enhance visual function and quality of life by precisely correcting eye movements and esotropia angles. In this study, we demonstrated that the modified Yokoyama surgery coupled with medial rectus muscle recession can significantly improve ocular motility and esotropia in athletes with high myopia and fixed esotropia, while maintaining a high safety profile. These findings provide scientific evidence and valuable guidance for clinical practice.
