About this item:

925 Views | 44 Downloads

Author Notes:

Correspondence: Scott R. Lambert, MD, 1365-B Clifton Road NE, Atlanta, GA 30322; Email: slamber@emory.edu; Telephone: 404-778-4417; Fax: 404-778-5203.

Acknowledgments: We would like to thank Phoebe Lenhart and Natario Couser for their insightful suggestions.

Disclosures: None of the authors have any conflicts of interest to disclose.


Research Funding:

Supported in part by NIH Departmental Core Grant EY06360 and Research to Prevent Blindness, Inc, New York, New York.

Improved Ocular Alignment with Adjustable Sutures in Adults Undergoing Strabismus Surgery


Journal Title:

Ophthalmology (Section 12 EMBASE)


Volume 119, Number 2


, Pages 396-402

Type of Work:

Article | Post-print: After Peer Review


Objective: To assess whether outcomes of strabismus surgery are improved by using the adjustable suture technique and to determine which subgroups of strabismus patients benefit most from the adjustable suture technique. Design: A retrospective chart review. Participants: Five hundred thirty-five adults who had strabismus surgery between 1989–2010. Methods: Success was defined as ≤10 prism diopters (PD) for horizontal deviations and ≤2 PD for vertical deviations. Differences in the proportion of successful strabismus surgery were analyzed using a chi-square test with an alpha of 0.05. Main outcome measures: Ocular alignment in primary position at a 7-day to 12-week follow-up examination. Results: 491 patients met the inclusion criteria (adjustable suture, n=305; non-adjustable, n=186). The success rates for non-adjustable and adjustable groups were 61.3% and 74.8% respectively (χ2=9.91, p=0.0016). Adjustable suture use was particularly beneficial for patients undergoing a reoperation for childhood strabismus (success rate: non-adjustable, 42.4%; adjustable, 65.7% p=0.0268; n=100). The differences in outcomes were not statistically significant for patients with childhood strabismus undergoing a primary surgery (non-adjustable, 65.0%; adjustable, 81.4% p=0.1354; n=90) or with thyroid orbitopathy (non-adjustable, 76.7%; adjustable, 74.1% p=0.8204; n=57). Conclusions: Strabismus surgery using adjustable sutures was associated with improved short-term ocular alignment compared to strabismus surgery without the use of adjustable sutures. Adjustable sutures were most beneficial for patients undergoing reoperations for childhood strabismus.

Copyright information:

© 2011 American Academy of Ophthalmology, Inc. Published by Elsevier Inc. All rights reserved.

This is an Open Access work distributed under the terms of the Creative Commons Attribution-NonCommerical-NoDerivs 3.0 Unported License (http://creativecommons.org/licenses/by-nc-nd/3.0/).

Creative Commons License

Export to EndNote