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Br J Ophthalmol. 2010 Sep;94(9):1169-73. doi: 10.1136/bjo.2009.169987. Epub 2010 Jun 24.

Delayed adjustable sutures: a multicentred clinical review.

Author information

1
Anne and Abraham Ratner Children's Eye Center, University of California, San Diego, La Jolla, CA 92093, USA.

Abstract

PURPOSE:

To characterise the results of the largest patient series to date undergoing closed conjunctival delayed adjustable suture techniques.

METHODS:

A multicentre retrospective review of 440 operations (patients aged 10-91 years) by five surgeons at four centres were evaluated for surgical outcomes associated with the delayed adjustable suture technique.

RESULTS:

26% (116 of 440) of all patients required postoperative manipulation, with individual surgeon rates ranging from 13% to 56%. The majority of these patients did not complain of diplopia in target gaze and/or had satisfactory cosmetic improvement as evaluated at the 1-3 months follow-up visit (84%). Transient complications included dellen, poor conjunctival appearance, filamentary keratitis, infection, granuloma, exposed suture and corneal abrasion. Serious complications were rare.

CONCLUSIONS:

This large multicentred series characterises the closed conjunctival delayed adjustable suture technique for the correction of strabismus. It may present some significant advantages to more traditional adjustable suture techniques.

PMID:
20576786
DOI:
10.1136/bjo.2009.169987
[Indexed for MEDLINE]

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