Advanced Biomedical Research

A survey of outcome of adjustable suture as first operation in patients with strabismus

Authors

1 Department of Ophtalmology, Isfahan University of Medical Science, Isfahan, Iran

2 Department of Psychiatry, Iran University of Medical Science, Tehran, Iran

Abstract

Background: Adjustable suture used for years to improve the outcome of strabismus surgery. We surveyed outcome of our patients with strabismus who underwent adjustable suture.
Materials and Methods: This retrospective study was performed at Ophthalmology Centre of Feiz Hospital in Isfahan on 95 participants that candidate for adjustable suture strabismus surgery. Patients were divided into three age groups: Under 10 years, 10-19 years, and 20 years and over. Outcome of adjustable suture surgery consequence of residual postoperative deviation was divided into four groups: Excellent, good, acceptable, and unacceptable.
Results: Out of 95 patients studied, 51 (53.7%) were males and 44 (46.3%) were females. The mean of deviation angles were 53.8 ± 17.9 PD (Prism dioptres) in alt XT, 44.5 ± 12 PD in alt ET and 52 ± 13.5 PD in const ET, 47.1 ± 13.1PD in cons XT, respectively. There was no significant difference between the groups (P = 0.051). Results of surgery were in 38 patients (40%) excellent, in 31 patients (32.6%) good, in 19 patients (20%) acceptable, and in 7 patients (7.4%) unacceptable. Seven (7.4%) patients required reoperation.
Conclusions: In the present study, the frequency of re-operation was much lower than other similar studies (7.4% vs. 30-50%). This suggests that the adjustable technique that used in our study can be associated with lower reoperation than other adjustable techniques used in the other similar studies.

Keywords

1. Abrahamsson M, Magnusson G, Sjostrand J. Inheritance of strabismus and the gain of using heredity to determine populations at risk of developing strabismus. Acta Ophthalmol Scand 1999;77:653-7.  Back to cited text no. 1
    
2. Greenberg AE, Mohney BG, Diehl NN, Burke JP. Incidence and types of childhood esotropia: A population-based study. Ophthalmology 2007;114:170-4.  Back to cited text no. 2
    
3. Williams C, Northstone K, Howard M, Harvey I, Harrad RA, Sparrow JM. Prevalence and risk factors for common vision problems in children: Data from the ALSPAC study. Br J Ophthalmol 2008;92:959-64.  Back to cited text no. 3
    
4. O'Connor AR, Stephenson TJ, Johnson A, Tobin MJ, Ratib S, Fielder AR. Strabismus in children of birth weight less than 1701 g. Arch Ophthalmol 2002;120:767-73.  Back to cited text no. 4
    
5. Merrill K, Satterfield D, O'Hara M. Strabismus surgery on the elderly and the effects on disability. J AAPOS 2010;14:196-8.  Back to cited text no. 5
    
6. Jackson S, Harrad RA, Morris M, Rumsey N. The psychosocial benefits of corrective surgery for adults with strabismus. Br J Ophthalmol 2006;90:883-8.  Back to cited text no. 6
    
7. Nield LS, Mangano LM. Strabismus: What to Tell Parents and When to Consider Surgery. Consultant 2009;49:122-8.  Back to cited text no. 7
    
8. Razmjoo H. Adjustable suture in strabismus surgery. Med J Islam Repub Iran 1997;11:7-10.  Back to cited text no. 8
    
9. Awadein A, Sharma M, Bazemore MG, Saeed HA, Guyton DL. Adjastable suture strabismus surgery in infants and children. J AAPOS 2008;12:585-90.  Back to cited text no. 9
    
10. Dawson E, Bentley C, Lee J. Adjustable squint surgery in children. Strabismus 2001;9:221-4.  Back to cited text no. 10
    
11. Sundaram V, Haridas A. Adjustable versus non-adjustable sutures for strabismus. Cochrane Database Syst Rev 2005;1:CD004240.  Back to cited text no. 11
    
12. Buffenn AN. Adjustable suture use in strabismus surgery. Curr Opin Ophthalmol 2005;16:294-7.  Back to cited text no. 12
    
13. Neumann D, Neumann R, Isenberg SJ. A comparison of sutures for adjustable strabismus surgery. J AAPOS 1999;3:91-3.  Back to cited text no. 13
    
14. Velez FG, Chan TK, Vivez T, Chou T, Clark RA, Keyes M, et al. Timing of post operative adjustment in adjustable suture strabismus surgery. J AAPOS 2001;5:178-83.  Back to cited text no. 14
    
15. Tripathi A, Haslett R, Marsh IB. Strabismus surgery: Adjustable sutures-good for all? Eye (Lond) 2003;17:739-42.  Back to cited text no. 15
    
16. Bishop F, Doran RM. Adjustable and non-adjustable strabismus surgery: A retrospective case-matched study. Strabismus 2004;12:3-11.  Back to cited text no. 16
    
17. Zhang MS, Hutchinson AK. Improved ocular alignment with adjustable sutures in adults undergoing strabismus surgery. Ophthalmology 2012;119:396-402.   Back to cited text no. 17
    
18. Nihalani BR, Hunter DG. Adjustable suture strabismus surgery. Eye (Lond) 2011;25:1262-76.  Back to cited text no. 18
    
19. Weston B, Enzenauer RW, Kraft SP, Gayowsky GR. Stability of the postoperative alignment in adjustable-suture strabismus surgery. J Pediatr Ophthalmol Strabismus 1991;28:206-11.  Back to cited text no. 19
    
20. Keech RV, Scott WE, Christensen LE. Adjustable suture strabismus surgery. J Pediatric Ophthalmol Strabismus 1987;24:97-102.  Back to cited text no. 20
    
21. Pratt-Johnson JA. Adjustable-suture strabismus surgery: A review of 255 consecutive cases. Can J Ophthalmol 1985;20:105-9.  Back to cited text no. 21
    
22. Engel JM. Adjustable sutures: An update. Curr Opin Ophthalmol 2012;23:373-6.   Back to cited text no. 22
    
23. Park YC, Chun BY, Kwon JY. Comparison of the stability of postoperative alignment in sensory exotropia: Adjustable versus non-adjustable surgery. Korean J Ophthalmol 2009;23:277-80.  Back to cited text no. 23
    
24. Karhanová M, Vlác¡il O, Sín M, Mares¡ová K. Adjustable versus non-adjustable sutures in strabismus surgery in patients with thyroid ophthalmopathy. Cesk Slov Oftalmol 2012;68:207-13.  Back to cited text no. 24
    
25. Eino D, Kraft SP. Postoperative drifts after adjustable-suture strabismus surgery. Can J Ophthalmol 1997;32:163-9.  Back to cited text no. 25
    
26. Karmel M. Second chances: Adjustable sutures for strabismus corrections. Eyenet 2010:31-3. http: //www.aao.org/publications/eyenet/201005/strabismus.cfm. [Last accessed on 2013 April 31].  Back to cited text no. 26
    
27. Keech RV, Scott WE, Christensen LE. Adjustable suture strabismus surgery. J Pediatr Ophthalmol Strabismus 1987;24:97-102.  Back to cited text no. 27
    
28. Leuder GT, Scott WE, Kutschke PJ, Keech RV. Long term results of adjustable strabismus. surgery for strabismus secondary to thyroid ophthalmopathy. Ophthalmology 1992;99:993-7.  Back to cited text no. 28
Advanced Biomedical Research
Volume 2014, August
August 2014
Pages 1-5