Adjustable Strabismus Surgery under Topical Anesthesia: Alignment in Supine vs Seated Position

Area of Science:

• Ophthalmology
• Surgical Techniques
• Strabismus Surgery

Background:

• Strabismus surgery often involves adjustable sutures under topical anesthesia.
• Patient positioning in the operating room may influence ocular alignment.
• Understanding position-related effects is crucial for optimizing surgical outcomes.

Purpose of the Study:

• To compare ocular deviation in patients undergoing adjustable strabismus surgery.
• To evaluate the impact of patient position (seated vs. supine) on ocular alignment.
• To determine if intraoperative position affects surgical outcomes.

Main Methods:

• Prospective observational study of 30 strabismus patients.
• Adjustable strabismus surgery performed under topical anesthesia.
• Ocular deviation measured in seated and supine positions, pre- and post-operatively.

Main Results:

• No statistically significant difference in ocular deviation between seated and supine positions.
• Mean deviation in supine position: 8 pd (distance), 7.26 pd (near).
• Mean deviation in seated position: 8.13 pd (distance), 8.5 pd (near).
• Favorable outcomes achieved in 70% of patients at 3 months, increasing to 83.33% post-operatively.

Conclusions:

• Patient position (seated or supine) during surgery does not significantly alter intraoperative ocular deviation.
• Adjustable strabismus surgery under topical anesthesia yields favorable outcomes in the majority of cases.
• Intraoperative ocular deviation measurements are not predictive of long-term surgical success.