Immediate post-operative adjustable suture strabismus surgery using a target-controlled infusion of propofol-remifentanil.
OBJECTIVE
To determine the outcome of immediate suture adjustment in adjustable suture strabismus surgery using a general anaesthetic technique.


METHODS
Adjustable suture strabismus surgery was performed in 69 patients using a target-controlled infusion of propofol-remifentanil. Sutures were adjusted immediately following surgery and patient satisfaction and ocular alignment were assessed at 3 months postoperatively.


RESULTS
Preoperatively, 71% (49/69) of patients were divergent (group 1) and 29% (20/69) were convergent (group 2). Following surgery, the mean deviation in group 1 was 3.5 +/- 13.08 Delta exodeviation for near and 0.8 +/- 10.66 Delta exodeviation for distance. The mean postoperative deviation in group 2 was 2.6 +/- 9.1 Delta esodeviation for near and 2 +/- 9.0 Delta esodeviation for distance. Overall, 80% (45/69) were within 10 Delta of orthotropia.


CONCLUSIONS
Single-stage adjustable suture strabismus surgery produces good results and is well suited to day case surgery.
Tatham
Andrew
A
Lincoln County Hospital, Lincoln, UK. andrewtatham@yahoo.co.uk
Amaya
Luis
L
D000293:Adolescent; D000328:Adult; D000368:Aged; D000556:Ambulatory Surgical Procedures / Q000379:methods; D000758:Anesthesia / Q000379:methods; D018686:Anesthetics, Intravenous / Q000008:administration & dosage*; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D010880:Piperidines / Q000008:administration & dosage*; D011183:Postoperative Complications / Q000517:prevention & control; D011184:Postoperative Period; D015742:Propofol / Q000008:administration & dosage*; D000077208:Remifentanil; D012189:Retrospective Studies; D013285:Strabismus / Q000601:surgery*; D013536:Suture Techniques; D055815:Young Adult
D018686:Anesthetics, Intravenous; D010880:Piperidines; D000077208:Remifentanil; D015742:Propofol