title: Minimal incision surgery in strabismus: Modified fornix-based approach.
abstract: OBJECTIVE
  To evaluate the modified fornix-based technique as an approach for minimal incision surgery in strabismus.
  
  
  METHODS
  The medical records of all consecutive patients that underwent strabismus surgery with fornix-based conjunctival incision between 2007 and 2012 were retrospectively reviewed. As a primary variable, an analysis was made of the wound size depending on the number of stitches. A descriptive study was performed on the variables related to patients and to the type of strabismus and surgery.
  
  
  RESULTS
  Out of 153patients identified, 138 with 294 surgeries were included. In 200 (68%) interventions, the incision was sutured with one stitch, in 77 (26.2%) with 2, in 13 (4.4%) with 3, and in 4 (1.4%) with 4, with the mean number of stitches being 1.39±0.64. The mean age of the patients was 39years (2-80), and 36 (26.1%) had previous strabismus surgery, with topical anaesthesia being used in 35 (25.4%) cases. At 3months after surgery deviation was ≤10DP in 114 (82.6%) patients. There were no wound-related complications.
  
  
  CONCLUSIONS
  The modified fornix-based technique is an effective and safe approach for minimal incision surgery in strabismus, in patients at all ages, with previous history of strabismus surgery and with topical anaesthesia.
authors.affiliation: Servicio de Oftalmología, Hospital Povisa, Vigo, Pontevedra, España. Electronic address: inespf00@yahoo.es.
authors.forename: I
authors.initials: I
authors.lastname: Pérez-Flores
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D003228:Conjunctiva / Q000601:surgery*; D005143:Eyelids / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation / Q000379:methods; D012189:Retrospective Studies; D013285:Strabismus / Q000601:surgery*; D000072836:Surgical Wound; D013537:Sutures; D058106:Wound Closure Techniques; D055815:Young Adult
keywords: Base fórnix; Cirugía de estrabismo; Conjunctival incision; Fornix-based; Incision techniques; Incisión conjuntival; Minimal incision; Mínima incisión; Strabismus surgery; Técnicas de incisión