Intraoperative adjustment in strabismus surgery under topical anesthesia

Area of Science:

• Ophthalmology
• Surgical Innovation

Background:

• Strabismus surgery aims to correct eye misalignment.
• Adjustable suture techniques offer intraoperative flexibility.
• Topical anesthesia provides a less invasive surgical option.

Purpose of the Study:

• To evaluate the efficacy and safety of one-stage intraoperative adjustment strabismus surgery under topical anesthesia.
• To assess long-term outcomes of this surgical approach.

Main Methods:

• Retrospective analysis of 71 patients undergoing strabismus surgery with adjustable sutures under topical anesthesia.
• Patients had horizontal (exotropia, esotropia) or vertical (hyper/hypotropia) strabismus.
• Follow-up was conducted at 1 week, 1 month, 3 months, and 6 months post-surgery.

Main Results:

• Overall success rates were 85.9% at 1 week, decreasing to 76.1% at 6 months.
• The procedure was successfully completed in all patients.
• No serious intraoperative or postoperative complications were reported.

Conclusions:

• One-stage intraoperative adjustment strabismus surgery under topical anesthesia is a well-tolerated and effective procedure.
• This technique offers a safe and simple approach for correcting strabismus.