Accuracy of Suture Adjustment in Sliding Noose Type Adjustable Strabismus Surgery
| Autor: | Fumitaka Nonaka, Chiaki Nakatsuka, Takashi Yamane, Satoshi Hasebe, Hiroshi Ohtsuki, Hiroyuki Fujiwara |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Adult
Male Adjustable suture medicine.medical_specialty Adolescent Eye Movements Resection Suture (anatomy) Muscle transposition medicine Prism diopters Humans Strabismus Aged Vision Binocular business.industry Suture Techniques General Medicine Middle Aged medicine.disease eye diseases Surgery Ophthalmology Treatment Outcome Female business Esotropia Strabismus surgery |
| Zdroj: | Japanese Journal of Ophthalmology. 46:595 |
| ISSN: | 0021-5155 |
| DOI: | 10.1016/s0021-5155(02)00567-1 |
| Popis: | PURPOSE To clarify the efficacy of adjustable suture strabismus surgery with sliding noose, we evaluated the accuracy of suture adjustment. METHODS AND SUBJECTS Thirty-four patients with various types of strabismus participated [age range: 12-79 years, range of far deviation: 4-123 prism diopters(PD)]. Under sub-Tenon anesthesia, a recession(with or without an additional resection or a muscle transposition) was performed with an adjustable suture(Guyton's procedure), and the suture was adjusted 6-24 hours after the surgery. Based on the initial postoperative examination performed 1-4 weeks(mean: 2.8 weeks) after the surgery, errors in the far deviation from the individual target were analyzed. RESULTS Twenty-six(76%) patients required suture adjustment 1-8 times. In 50% and 75% of our patients, the errors were within +/- 0.8 and +/- 2.0 PD, respectively, whereas 2(6%) patients with esotropia showed an undercorrection larger than 10 PD. Distribution of the errors was the same throughout the range of pre-operative deviation. CONCLUSION By using the sliding noose type adjustable suture, a pin-point alignment of the eyes can be established in more than 50% of cases, at least, in the early post-operative period. |
| Databáze: | OpenAIRE |
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