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J AAPOS. 2014 Jun;18(3):278-84. doi: 10.1016/j.jaapos.2013.12.015.

Adjustable sutures in children.

Author information

  • 1Division of Pediatric Ophthalmology, Robert Wood Johnson Medical School, New Brunswick, New Jersey.
  • 2The Krieger Children's Eye Center at The Wilmer Institute, The Johns Hopkins University School of Medicine, Baltimore, Maryland.
  • 3Department of Ophthalmology, Boston Children's Hospital, Boston, Massachusetts; Department of Ophthalmology, Harvard Medical School, Boston. Electronic address:


Although adjustable sutures are considered a standard technique in adult strabismus surgery, most surgeons are hesitant to attempt the technique in children, who are believed to be unlikely to cooperate for postoperative assessment and adjustment. Interest in using adjustable sutures in pediatric patients has increased with the development of surgical techniques specific to infants and children. This workshop briefly reviews the literature supporting the use of adjustable sutures in children and presents the approaches currently used by three experienced strabismus surgeons.

Copyright © 2014 American Association for Pediatric Ophthalmology and Strabismus. Published by Mosby, Inc. All rights reserved.

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