title: A survey of outcome of adjustable suture as first operation in patients with strabismus.
abstract: BACKGROUND
  Adjustable suture used for years to improve the outcome of strabismus surgery. We surveyed outcome of our patients with strabismus who underwent adjustable suture.
  
  
  METHODS
  This retrospective study was performed at Ophthalmology Centre of Feiz Hospital in Isfahan on 95 participants that candidate for adjustable suture strabismus surgery. Patients were divided into three age groups: Under 10 years, 10-19 years, and 20 years and over. Outcome of adjustable suture surgery consequence of residual postoperative deviation was divided into four groups: Excellent, good, acceptable, and unacceptable.
  
  
  RESULTS
  Out of 95 patients studied, 51 (53.7%) were males and 44 (46.3%) were females. The mean of deviation angles were 53.8 ± 17.9 PD (Prism dioptres) in alt XT, 44.5 ± 12 PD in alt ET and 52 ± 13.5 PD in const ET, 47.1 ± 13.1PD in cons XT, respectively. There was no significant difference between the groups (P = 0.051). Results of surgery were in 38 patients (40%) excellent, in 31 patients (32.6%) good, in 19 patients (20%) acceptable, and in 7 patients (7.4%) unacceptable. Seven (7.4%) patients required reoperation.
  
  
  CONCLUSIONS
  In the present study, the frequency of re-operation was much lower than other similar studies (7.4% vs. 30-50%). This suggests that the adjustable technique that used in our study can be associated with lower reoperation than other adjustable techniques used in the other similar studies.
authors.affiliation: Department of Ophtalmology, Isfahan University of Medical Science, Isfahan, Iran.
authors.forename: Hasan
authors.initials: H
authors.lastname: Razmjoo
authors.affiliation: Department of Ophtalmology, Isfahan University of Medical Science, Isfahan, Iran.
authors.forename: Hosein
authors.initials: H
authors.lastname: Attarzadeh
authors.affiliation: Department of Ophtalmology, Isfahan University of Medical Science, Isfahan, Iran.
authors.forename: Najmeh
authors.initials: N
authors.lastname: Karbasi
authors.affiliation: Department of Psychiatry, Iran University of Medical Science, Tehran, Iran.
authors.forename: Mohammad Reza
authors.initials: MR
authors.lastname: Najarzadegan
authors.affiliation: Department of Ophtalmology, Isfahan University of Medical Science, Isfahan, Iran.
authors.forename: Hasan
authors.initials: H
authors.lastname: Salam
authors.affiliation: Department of Ophtalmology, Isfahan University of Medical Science, Isfahan, Iran.
authors.forename: Aliraza
authors.initials: A
authors.lastname: Jamshidi
keywords: Adjustable sutures; complex strabismus; pediatric strabismus; strabismus surgery