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Title of the item:

Adjustable versus non-adjustable suture techniques for concomitant horizontal strabismus: a comparative study

Title:
Adjustable versus non-adjustable suture techniques for concomitant horizontal strabismus: a comparative study
Authors:
Galton C. Vasconcelos
Henderson C. de Almeida
Subject Terms:
Estrabismo/cirurgia
Procedimentos cirúrgicos oftalmológicos/métodos
Avaliação de resultados
Técnicas de sutura
Músculos oculomotores/cirurgia
Ophthalmology
RE1-994
Source:
Arquivos Brasileiros de Oftalmologia, Vol 78, Iss 6, Pp 352-355 (2015)
Publisher:
Conselho Brasileiro de Oftalmologia, 2015.
Publication Year:
2015
Collection:
LCC:Ophthalmology
Document Type:
article
File Description:
electronic resource
Language:
English
ISSN:
1678-2925
0004-2749
Relation:
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492015000600352&lng=en&tlng=en; https://doaj.org/toc/1678-2925
DOI:
10.5935/0004-2749.20150093
Access URL:
https://doaj.org/article/a945e226992c408c9bb77b221711e9a7  Link opens in a new window
Accession Number:
edsdoj.945e226992c408c9bb77b221711e9a7
Academic Journal
ABSTRACT Purpose: To compare the surgical results of adjustable and non-adjustable horizontal strabismus surgery for concomitant horizontal strabismus. Methods: The charts of 231 patients, who underwent horizontal strabismus surgery, selected using probabilistic sampling, were retrospectively reviewed. Patients were divided into two groups according to the surgical technique used and strabismus type. The adjustable suture technique was used for 107 patients (Group 1), and non-adjustable or conventional surgery was performed in the remaining 124 patients (Group 2). Patients with esotropia (ET) or exotropia (XT) of 5 PD, syndromes, restrictive or paretic strabismus, reoperations, botulinum toxin injection, and patients postoperatively followed up for 50% was present in all subgroups. Significant differences between strabismus groups submitted to adjustable technique and non-adjustable on postoperative day 1 were observed (p=0.00 for ET and p=0.01 for XT) and at the last visit for the XT group with a follow-up of at least 1 year (p=0.05). Conclusion: The adjustable suture technique produced a higher success rate than non-adjustable strabismus surgery for both ET and XT groups on postoperative day 1. For XT patients, the adjustable suture technique appears to produce better surgical results than non-adjustable surgery, when the surgical goal is long-lasting maintenance of a small hypercorrection.

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