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The adjustable globe: a technique for adjustable strabismus surgery

T B Connor1, D L Guyton, M X Repka

  • 1Wilmer Ophthalmological Institute, Johns Hopkins University School of Medicine, Baltimore, Md, USA.

Journal of Pediatric Ophthalmology and Strabismus
|May 1, 1996
PubMed
Summary
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This study evaluated adjustable globe strabismus surgery. The procedure showed poor results for exodeviations and caused discomfort, leading to its abandonment.

Area of Science:

  • Ophthalmology
  • Surgical Innovation

Background:

  • Adjustable strabismus surgery typically involves repositioning individual muscles using adjustable sutures.
  • A modified technique anchors opposing rectus muscles to each other, creating a suture cradle for globe adjustment.

Purpose of the Study:

  • To evaluate the efficacy and safety of a novel adjustable globe strabismus surgical technique.

Main Methods:

  • Twenty-six adjustable globe procedures (23 horizontal, 3 vertical) were performed using a cul-de-sac approach.
  • Median follow-up was 7 weeks; four procedures in nonhuman primates included iris fluorescein angiography.

Main Results:

  • Esodeviations were effectively corrected.
  • Exodeviations were frequently undercorrected, and patients experienced prolonged discomfort and photophobia.

Related Experiment Videos

  • Potential signs of mild anterior segment ischemia were observed.

    • Conclusions:

    • The adjustable globe technique demonstrated unsatisfactory outcomes for exodeviations.
    • Concerns regarding poor efficacy, patient discomfort, and potential ischemia led to the discontinuation of this surgical approach.