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Updated: May 10, 2026

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Adjustable versus non-adjustable sutures for strabismus.

Anjana Haridas1, Venki Sundaram

  • 1c/o Cochrane Eyes and Vision Group, ICEH, London School of Hygiene & Tropical Medicine, London, UK. anjana@doctors.org.uk.

The Cochrane Database of Systematic Reviews
|July 4, 2013
PubMed
Summary
This summary is machine-generated.

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This review found no randomized controlled trials comparing adjustable versus non-adjustable sutures for strabismus surgery. Further high-quality trials are needed to determine the optimal suture technique for accurate long-term ocular alignment.

Area of Science:

  • Ophthalmology
  • Surgical Techniques
  • Strabismus Management

Background:

  • Strabismus, or squint, is a misalignment of the eyes.
  • Surgical options for strabismus include adjustable and non-adjustable sutures for extraocular muscles.
  • Uncertainty exists regarding the superior technique for surgical outcomes.

Purpose of the Study:

  • To compare the effectiveness of adjustable versus non-adjustable sutures in achieving accurate long-term ocular alignment after strabismus surgery.
  • To identify specific situations where one suture technique may offer greater benefits.

Main Methods:

  • Comprehensive literature search of multiple databases (CENTRAL, MEDLINE, EMBASE, LILACS, mRCT, ClinicalTrials.gov, ICTRP) up to January 2013.
  • Inclusion criteria focused solely on randomized controlled trials (RCTs) comparing adjustable and non-adjustable sutures.

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  • No date or language restrictions were applied to the electronic searches.

    • Main Results:

    • No randomized controlled trials (RCTs) met the inclusion criteria for this review.
    • Consequently, no data from RCTs were available for analysis.
    • Results from non-randomized studies comparing these techniques were reported but not analyzed within this review's framework.

    Conclusions:

    • No definitive conclusions can be drawn regarding the superiority of adjustable or non-adjustable sutures for strabismus surgery based on available RCT evidence.
    • High-quality RCTs are essential to establish clinically valid results and guide surgical practice.
    • Future RCTs should specify participant subgroups, randomize participants, include adequate follow-up (at least six months), and prioritize re-operation rates as an outcome.