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Surgical Correction for Pediatric Epiblepharon and Trichiasis
Published on: July 8, 2025
Adjustable suture strabismus surgery in infants and children
Ahmed Awadein1, Munish Sharma, Marlet G Bazemore
1The Krieger Children's Eye Center at Wilmer Institute, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Summary
Adjustable sutures significantly improve eye muscle surgery success rates in young children. This technique offers better alignment compared to nonadjustable sutures for strabismus correction in pediatric patients.
Area of Science:
- Ophthalmology
- Pediatric Surgery
- Strabismus Surgery
Background:
- Strabismus surgery aims to correct eye alignment.
- Adjustable suture techniques offer intraoperative or postoperative adjustments.
- Pediatric strabismus management requires precise surgical outcomes.
Purpose of the Study:
- To compare the success rates of adjustable versus nonadjustable suture techniques in horizontal eye muscle surgery.
- To evaluate the efficacy of adjustable sutures in children aged 10 years and younger.
Main Methods:
- Retrospective review of pediatric patients undergoing horizontal eye muscle surgery.
- Comparison of outcomes between adjustable and nonadjustable suture groups.
- Analysis of preoperative measurements, strabismus type, and postoperative alignment.
Main Results:
- The adjustable suture group showed a higher early success rate (79%) compared to the nonadjustable group (64.5%).
- The difference in success rates was statistically significant (p < 0.01).
- Adjustments were performed in 64% of the adjustable group cases without reported complications.
Conclusions:
- Adjustable sutures provide a superior success rate for horizontal eye muscle surgery in children up to 10 years old.
- This technique enhances the precision of eye alignment correction in pediatric strabismus surgery.
