Related Experiment Video
Updated: Jan 31, 2026
Measuring Delay Discounting in Humans Using an Adjusting Amount Task
Published on: January 9, 2016
Scleral adjustment method: a novel and easy adjustable suture technique in strabismus surgery
Ichiro Hamasaki1, Kiyo Shibata1
1Lino Eye Clinic, Okayama, Japan.
Purpose:
To describe the scleral adjustment (SA) method, a double-pass, knot-free adjustable suture technique for strabismus surgery, and evaluate its clinical outcomes.
Methods:
The medical records of 14 consecutive patients treated with the SA method between December 2024 and May 2025 with ≥3-month follow-up were reviewed retrospectively. Suspension sutures from each muscle end were passed twice through the sclera near the original insertion. After initial surgery, patients returned to the operating room for binocular adjustment in an upright position.
Results:
Mean patient age was 60 ± 19 years, with mean number of adjustments performed per case of 1.4. Postoperative alignment was within 10Δ in all patients and remained stable. The SA method enabled precise microadjustments and facilitated simplified adjustments. No intraoperative or postoperative complications were observed.
Conclusions:
The SA method is technically simple, avoids knot manipulation during adjustment, and enables precise microadjustments with secure fixation. Favorable outcomes in our small cohort suggest that it is a reliable alternative to sliding knot and bowtie techniques, with potential for mainstream application.
Related Concept Videos
01:25The Anchoring-and-Adjustment Heuristic
01:12Adjusting a Traverse
01:11Renal Failure: Dose Adjustments
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
01:08Effect of Hepatic Disease on Pharmacokinetics: Dose Adjustments Due to Hepatic Impairment
01:25Drug Dosing in Renal Diseases: Dose Adjustments Based on Drug Clearance and Elimination Rate Constant
01:22Sutures of the Skull
Sutures are immobile joints between adjacent bones of the skull. The narrow gap between the bones is filled with dense, fibrous connective tissue that unites the bones. The long sutures located between the skull bones are not straight but instead follow irregular, tightly twisting paths. These twisting lines tightly...