Intraoperative adjustable suture strabismus surgery under topical and subconjunctival anesthesia.
OBJECTIVE
To assess the postoperative surgical results of intraoperative adjustable suture strabismus surgery under topical and subconjunctival anesthesia.


METHODS
For 44 patients who had undergone intraoperative adjustable suture technique under topical anesthesia, the deviations were measured preoperatively, at 1 day, 1 month, and 3 months postoperatively, and at the last postoperative follow-up visit. The mean follow-up period was 7.8 months.


RESULTS
Thirty-three patients had exotropia and 11 had esotropia. Mean age was 28.8 years. The success rates for exotropia and esotropia at the last follow-up visit were 81.8%.


CONCLUSIONS
Intraoperative adjustable suture strabismus surgery under topical and subconjunctival anesthesia is the recommended surgical technique due to the successful results and various advantages compared with non-adjustable surgery, including the decreased rates of overcorrection or undercorrection that appear immediately after surgery and reoperation. Postoperative "drift" toward the original deviation was observed under longer follow-up periods than other studies.
Park
Jun Mo
JM
Department of Ophthalmology, College of Medicine, Pusan National University, Busan, Korea.
Lee
Soo Jung
SJ
Choi
Hee Young
HY
D000293:Adolescent; D000328:Adult; D000368:Aged; D000772:Anesthesia, Local / Q000379:methods*; D000779:Anesthetics, Local / Q000008:administration & dosage; D002648:Child; D005260:Female; D006801:Humans; D007430:Intraoperative Care; D008012:Lidocaine / Q000008:administration & dosage; D008297:Male; D008875:Middle Aged; D009801:Oculomotor Muscles / Q000601:surgery*; D013508:Ophthalmologic Surgical Procedures; D011430:Propoxycaine / Q000008:administration & dosage; D012189:Retrospective Studies; D013285:Strabismus / Q000601:surgery*; D013536:Suture Techniques; D016896:Treatment Outcome
D000779:Anesthetics, Local; D008012:Lidocaine; C005717:proxymetacaine; D011430:Propoxycaine