Adjustable sutures in children using a modified technique

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
J Mark Engel, Sepideh Tara Rousta

Abstract

Adjustable-suture techniques are commonly used to decrease the reoperation rate in adults undergoing strabismus surgery, but they are infrequently used in children because of the difficulty of performing adjustments on a conscious child. The purpose of this study is to evaluate a new technique for using adjustable sutures in children, which makes the second stage of the procedure unnecessary if no adjustment is needed. This was a retrospective study of children who underwent surgery for exotropia or esotropia. The technique used was a variation of the standard fornix-based adjustable suture with a separate slipknot. The pole sutures were buried within the sclera and tied; then the incision of the conjunctiva was closed to cover the adjustable sutures. The patients were then measured 4 to 6 hours after the initial surgery. The decision of whether to adjust was based on predetermined criteria. Those children not adjusted were discharged with no further manipulation needed because the conjunctiva was already closed. For those children who were adjusted, the adjustment was made with the patient under intravenous propofol sedation or laryngeal mask anesthesia. A total of 61 consecutive children ages 12 months to 14 years underwent s...Continue Reading

References

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Citations

Jul 16, 2011·Eye·B R Nihalani, D G Hunter
Jan 7, 2018·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Seok Hyun BaeDong Gyu Choi
Aug 9, 2012·Current Opinion in Ophthalmology·J Mark Engel
Sep 22, 2005·Current Opinion in Ophthalmology·Angela N Buffenn
Dec 19, 2020·Clinical Ophthalmology·Ahmed A HannonSherif M Hegazy
Jan 6, 2005·Journal of the American College of Surgeons·Douglas R Lazzaro
Oct 14, 2008·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Ahmed AwadeinDavid L Guyton
Jul 22, 2010·Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie·Andrew S BudningAlphonse Nguyen

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