Purpose: To compare the success rates and stabilities of postoperative alignment between adjustable and the non-adjustable surgeries in the treatment of sensory exotropia. Methods: A retrospective analysis was performed on all patients with sensory exotropia who had undergone unilateral lateral rectus recession and medial rectus resection (RR23:277-280 ⓒ 2009 by the Korean Ophthalmological Society.
Strabismus surgery with adjustable sutures of absorbable material was performed in 19 patients, aged 8–69 years, who had paralytic strabismus and/or were re-operated. The ocular alignment was assessed at 1 week and 3–12 months post-operatively. In 12 of the patients eye position was stable during that period. Eleven of them had good or moderate binocular vision. However, eye position changed over the follow-up period in about half of the patients with poor binocular vision. No evidence was found...
#1F. Bishop(LGI: Leeds General Infirmary)H-Index: 1
#2R.M.L. Doran(LGI: Leeds General Infirmary)H-Index: 1
Adjustable suture strabismus surgery was introduced to improve results in unpredictable strabismus cases. However, its usage is increasing and in some centres is routine. The present authors propose that the routine use of the adjustable suture technique can only be justified if it can be shown to confer an advantage to the patient. In a retrospective analysis of matched data, they compared the results of their adjustable with non-adjustable strabismus surgery. The adjustable suture procedures p...
Aims The role of adjustable sutures in strabismus surgery has mainly been limited to conditions like dysthyroid restrictive myopathy, blow-out fractures of orbit, aberrant regeneration of nerves, and certain other long-standing and complicated squints. In this clinical study, an attempt has been made to analyse the efficacy of adjustable sutures in squint surgery as a routine procedure. We also studied patients' acceptability and satisfaction following this procedure and analysed various factors...
Last. John Bradbury(Bradford Royal Infirmary)H-Index: 13
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Abstract Background: Squint angle alterations with the use of adjustable sutures after strabismus surgery can be painful. Ropivacaine is a long-acting local anesthetic that, at low doses, produces sensory block with limited nonprogressive motor block. Method: We performed a double-blind, randomized, pilot study using subtenon ropivacaine or placebo at the time of surgery in patients undergoing adjustable suture surgery. Surgery was performed by the same surgeon in each case. Later in the day, th...
Background: Strabismus is present in approximately 4% of the population with most forms becoming clinically evident in infancy and childhood. Adult strabismus, including that resulting from recurrent childhood deviations, varies in etiology, presentation, symptomatology, and response to treatment. This report is intended to prospectively characterize adults who required surgical correction of their strabismic deviation. Methods: Beginning in 1991, a prospective computerized database was collecte...
We compared the results of strabismus surgery using adjustable and non-adjustable hang-back muscle recessions in 38 patients having concomitant exotropia. The two groups were matched for age of the patient, type of concomitant exotropia, amount of deviation, and type and amount of muscle surgery. At 6 months follow-up, 18 of the 19 patients (95%) in the adjustable hang-back recession group and 17 of the 19 patients (90%) in the non-adjustable hang-back recession group had ocular alignment within...
Objectif : Determiner les tendences de deviation et le taux de succes de la correction chirurgicale du strabisme horizontal avec des sutures ajustables lorsque les yeux sont alignes en fonction d'angles cibles predetermines. Conception : Serie de cas. Contexte : Hopital de soins tertiaires universitaire a Toronto; soins en clinique et en cabinet. Patients : Au total, 109 patients dont l'âge variait entre 15 et 72 ans, qui avaient subi une correction chirurgicale de l'esotropie ou de l'exotropie ...
: We reviewed the postoperative alignment drift in 201 patients between the ages of 14 and 75 years who underwent rectus muscle surgery with adjustable sutures from 1984 to 1989. We analyzed results for 42 primary esotropia (ET) surgeries and 37 reoperations (groups IA and IB, respectively), 34 exotropia (XT) primary surgeries and 66 reoperations (groups IIA and IIB, respectively), and 22 hypertropia (HT) surgeries (group III). Forty percent of patients required postoperative muscle adjustment. ...
: Adjustable suture strabismus surgery may reduce the frequency of reoperations by reducing immediate postoperative over- and undercorrections. We reviewed 290 strabismus procedures performed with an adjustable suture technique. Thirty-five patients required additional surgery, for a reoperation rate of 9.7%. Reoperation frequencies for patients undergoing non-adjustable procedures average approximately 20% in our experience and in reported series. Our low reoperation rate with adjustable strabi...
: We examined 333 patients between the ages of 11 and 70 years who underwent strabismus surgery with adjustable sutures over a ten-year period. The type of strabismus, the number and amount of adjustments, the postoperative drift, and complications were evaluated. A large percentage of patients required adjustment to obtain the desired postoperative position. The postoperative drift patterns were characteristic for each type of preoperative deviation and were similar to that reported for nonadju...
We included adult patients (age ≥18 years) with sensory exotropia who underwent unilateral lateral rectus recession with adjustable suture and medial rectus resection with at least 2-year follow-up. Preoperative and postoperative data was collected. Either Krimsky or alternate and prism cover testing was used to measure the angle of deviation depending on patients' fixation ability. Glasses with full refractive correction were worn if they can provide better visual acuity. Exodeviation at near f...
Background and Purpose: There is a high rate of strabismus, in particular esotropia, in children with Down syndrome or developmental delay, which frequently requires surgical correction. A paper in 1994 advocated that the surgical dose be adjusted due to an altered response in these children. The aim of this literature review is to evaluate the available evidence to establish whether an altered surgical approach is required in either population. Methods: A literature review was conducted using P...
Summary Introduction Sensory exotropia is often due to profound amblyopia. Surgery essentially aims to improve aesthetic appearance and quality of life. Our goal was to discuss clinical features of sensory exotropia as well as surgical indications and outcomes. Methods Medical records of 43 patients who underwent sensory exotropia surgery were retrospectively reviewed. Each patient had an ophthalmological examination and a complete sensorimotor assessment. All surgeries were performed by the sam...
Background: Adjustable sutures have been used in strabismus surgery for more than 40 years, but controversy remains regarding their application. This review sought to analyze studies comparing the efficacy of adjustable sutures (AS) and nonadjustable sutures (NAS) in the treatment of different ocular deviations. Materials and Methods: The PubMed literature database was searched using the keywords ‘adjustable sutures’ and ‘strabismus surgery’, yielding a total of 209 results. Only comparative stu...
Surgical success is determined by precision in execution of the surgical process, which in turn depends on clear understanding of the technique. This chapter will highlight the instrumentation, anesthesia, and surgical techniques of horizontal muscle strabismus surgery.
#1Eun Hye Jung(SNU: Seoul National University)H-Index: 4
#2Seong Joon Kim(SNU: Seoul National University)H-Index: 15
To report the results of surgical treatment for sensory exotropia and to examine the factors associated with the surgical outcome. The records of patients with sensory exotropia who were older than 18 years at the time of surgery and were followed up for at least 1 year postoperatively were retrospectively reviewed. Patients with visual acuity of ≤20/100 in the amblyopic eye were enrolled. Surgical success was defined as a final deviation of <10 prism diopters (PD) at distance in the primary pos...
#1Kamlesh(MAMC: Maulana Azad Medical College)H-Index: 2
#2Suresh Babu(MAMC: Maulana Azad Medical College)H-Index: 1
Last. Ankita Bharadwaj(MAMC: Maulana Azad Medical College)H-Index: 1
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Purpose:To compare adjustable sutures versus nonadjustable sutures for intermittent exotropia.Methods:In this randomized prospective interventional study, 40 adult patients with intermittent exotropia were randomly divided into 2 equal groups. Both groups underwent bilateral lateral rectus recession. In group A, adjustable suture recession was performed, and in group B, nonadjustable suture recession was performed. Patients were followed up for 6 months and outcome measures were residual deviati...
#1Qiguo Xiao(CSU: Central South University)H-Index: 1
#2Meiping Xu(WMU: Wenzhou Medical College)H-Index: 1
Last. Xinping Yu(WMU: Wenzhou Medical College)H-Index: 2
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ABSTRACTObjective: To evaluate the effects of corrective surgery in adult strabismic patients with visual deficits and the stability of postoperative alignments. Methods: Retrospective study. Alignment and binocular visual function were evaluated in adult patients with visual deficits (best corrective visual acuity (BCVA) <0.3 in one or both eyes) with at least 6 months postoperative follow-up. The results in these patients were compared to those in patients with normal or nearly normal vision (...