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Updated: Apr 1, 2026

Quantification of Oculomotor Responses and Accommodation Through Instrumentation and Analysis Toolboxes
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Adjustable recessions in horizontal comitant strabismus: A pilot study.

Siddharth Agrawal1, Vinita Singh, Priyanka Singh

  • 1Department of Ophthalmology, King Georges' Medical University, Lucknow, Uttar Pradesh, India.

Indian Journal of Ophthalmology
|October 14, 2015
PubMed
Summary
This summary is machine-generated.

Adjustable suture (AS) recession surgery for horizontal comitant strabismus showed a significantly higher success rate (88.8%) compared to non-AS recession (62.9%). AS recession offers a valuable option for strabismus correction.

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Area of Science:

  • Ophthalmology
  • Surgical Innovation
  • Strabismus Treatment

Background:

  • Horizontal comitant strabismus affects ocular alignment.
  • Surgical correction is often necessary to restore binocular vision.
  • Conventional recession techniques have limitations in fine-tuning alignment.

Purpose of the Study:

  • To compare the surgical outcomes of adjustable suture (AS) recession versus conventional non-adjustable suture (NAS) recession.
  • To evaluate the efficacy and success rates of AS recession in patients with horizontal comitant strabismus.

Main Methods:

  • A prospective, comparative, nonrandomized pilot study.
  • Fifty-four patients with horizontal comitant strabismus were divided into AS and NAS groups (27 each).
  • Surgical outcomes were assessed over 6 months, with success defined as deviation ≤10 prism diopters.

Main Results:

  • A successful outcome was achieved in 88.8% of AS patients versus 62.9% of NAS patients (P = 0.02).
  • Postoperative adjustments were performed in 48.1% of the AS group.
  • One complication (Tenon's cyst) occurred in the AS group.

Conclusions:

  • Adjustable suture recession demonstrates superior success rates for horizontal comitant strabismus.
  • AS recession provides a viable and effective surgical option for cooperative patients.
  • Further research may explore long-term outcomes and broader applicability of AS recession.