OBJECTIVE: To assess whether outcomes of strabismus surgery are improved by using the adjustable suture technique and to determine which subgroups of strabismus patients benefit most from the adjustable suture technique. DESIGN: A retrospective chart review. PARTICIPANTS: A total of 535 adults who underwent strabismus surgery between 1989 and 2010. METHODS: Success was defined as ≤10 prism diopters (PD) for horizontal deviations and ≤2 PD for vertical deviations. Differences in the proportion of successful strabismus surgery were analyzed using a chi-square test with an alpha of 0.05. MAIN OUTCOME MEASURES: Ocular alignment in primary position at a 7-day to 12-week follow-up examination. RESULTS: A total of 491 patients met the inclusion criteria (nonadjustable suture, n = 186; adjustable suture, n = 305). The success rates for the nonadjustable and adjustable groups were 61.3% and 74.8%, respectively (χ(2)=9.91, P=0.0016). Adjustable suture use was particularly beneficial for patients undergoing a reoperation for childhood strabismus (success rate: nonadjustable, 42.4%; adjustable, 65.7%; P=0.0268; n = 100). The differences in outcomes were not statistically significant for patients with childhood strabismus undergoing a primary surgery (nonadjustable, 65.0%; adjustable, 81.4%; P=0.1354; n = 90) or with thyroid orbitopathy (nonadjustable, 76.7%; adjustable, 74.1%; P=0.8204; n = 57). CONCLUSIONS: Strabismus surgery using adjustable sutures was associated with improved short-term ocular alignment compared with strabismus surgery without the use of adjustable sutures. Adjustable sutures were most beneficial for patients undergoing reoperations for childhood strabismus.
OBJECTIVE: To assess whether outcomes of strabismus surgery are improved by using the adjustable suture technique and to determine which subgroups of strabismus patients benefit most from the adjustable suture technique. DESIGN: A retrospective chart review. PARTICIPANTS: A total of 535 adults who underwent strabismus surgery between 1989 and 2010. METHODS: Success was defined as ≤10 prism diopters (PD) for horizontal deviations and ≤2 PD for vertical deviations. Differences in the proportion of successful strabismus surgery were analyzed using a chi-square test with an alpha of 0.05. MAIN OUTCOME MEASURES: Ocular alignment in primary position at a 7-day to 12-week follow-up examination. RESULTS: A total of 491 patients met the inclusion criteria (nonadjustable suture, n = 186; adjustable suture, n = 305). The success rates for the nonadjustable and adjustable groups were 61.3% and 74.8%, respectively (χ(2)=9.91, P=0.0016). Adjustable suture use was particularly beneficial for patients undergoing a reoperation for childhood strabismus (success rate: nonadjustable, 42.4%; adjustable, 65.7%; P=0.0268; n = 100). The differences in outcomes were not statistically significant for patients with childhood strabismus undergoing a primary surgery (nonadjustable, 65.0%; adjustable, 81.4%; P=0.1354; n = 90) or with thyroid orbitopathy (nonadjustable, 76.7%; adjustable, 74.1%; P=0.8204; n = 57). CONCLUSIONS: Strabismus surgery using adjustable sutures was associated with improved short-term ocular alignment compared with strabismus surgery without the use of adjustable sutures. Adjustable sutures were most beneficial for patients undergoing reoperations for childhood strabismus.
Authors: George R Beauchamp; Bradley C Black; David K Coats; Robert W Enzenauer; Amy K Hutchinson; Richard A Saunders; John W Simon; David R Stager; David R Stager; M Edward Wilson; Jitka Zobal-Ratner; Joost Felius Journal: J AAPOS Date: 2003-08 Impact factor: 1.220
Authors: Christopher T Leffler; Kamyar Vaziri; Kara M Cavuoto; Craig A McKeown; Stephen G Schwartz; Krishna S Kishor; Allison Pariyadath Journal: Am J Ophthalmol Date: 2015-05-19 Impact factor: 5.258
Authors: Jason H Peragallo; Beau B Bruce; Amy K Hutchinson; Phoebe D Lenhart; Valérie Biousse; Nancy J Newman; Scott R Lambert Journal: Neuroophthalmology Date: 2014-10-09
Authors: Jason H Peragallo; Beau B Bruce; Amy K Hutchinson; Phoebe D Lenhart; Valérie Biousse; Nancy J Newman; Scott R Lambert Journal: Neuroophthalmology Date: 2014-10-09