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Adjustable sutures in strabismus surgery: a personal series of cases
Insights
Adjustable suture surgery for rectus muscle issues in 69 patients showed an 89.8% success rate. Most patients achieved desired alignment, with minimal complications, highlighting its effectiveness in strabismus treatment.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Strabismus Surgery
Background:
- Adjustable suture techniques are utilized in strabismus surgery to refine eye muscle alignment.
- This method is particularly relevant for reoperations and complex cases of strabismus.
Abstract:
A personal series of 77 separate primary adjustable suture procedures performed on 69 patients is analysed. Adjustable suture surgery was performed on patients over ten years of age undergoing rectus muscle surgery, and a few selected younger patients. The ages ranged from 7 to 74 years. A 24-month-old infant who had a two-stage-anaesthesia is included in the series. Thirty-eight of the 69 patients were reoperations. Of the 77 primary procedures, 48 (62.3%) required postoperative adjustment; 29 (37.7%) were tied down without adjustment. Sixty-two of the 69 patients (89.8%) achieved a "cure". A further four patients (5.8%) were initially in desired alignment, but deteriorated within the follow-up period. Three of these were successfully reoperated. Of the three primary failures (4.4%) two were reoperated with one achieving orthophoria. Apart from alignment failure in the primary procedure, complications were minimal. Current follow-up periods range from one to 24 months.