title: A new, removable, sliding noose for adjustable-suture strabismus surgery.
abstract: We describe a new removable sliding polyglactin 910 suture noose for postoperative suture adjustment following extraocular muscle surgery. No excess suture material remains after adjustment has been completed, helping to reduce discomfort, inflammation, and scarring. We have used this noose with the cul-de-sac conjunctival incision in approximately 360 patients over a period of 18 months. This report details how to fashion, use, and remove the noose.
authors.affiliation: The Krieger Children's Eye Center at The Wilmer Institute, The Johns Hopkins University School of Medicine, Baltimore, Maryland. Electronic address: edeschl1@jhmi.edu.
authors.forename: Emily K
authors.initials: EK
authors.lastname: Deschler
authors.forename: Kristina
authors.initials: K
authors.lastname: Irsch
authors.forename: Kristina L
authors.initials: KL
authors.lastname: Guyton
authors.forename: David L
authors.initials: DL
authors.lastname: Guyton
mesh_terms: D006801:Humans; D008488:Medical Illustration; D009801:Oculomotor Muscles / Q000601:surgery; D013508:Ophthalmologic Surgical Procedures / Q000379:methods; D011098:Polyglactin 910 / Q000627:therapeutic use; D013285:Strabismus / Q000601:surgery*; D013536:Suture Techniques
chemical_list: D011098:Polyglactin 910