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Clinical science
Delayed adjustable sutures: a multicentred clinical review
  1. S L Robbins1,
  2. D B Granet1,
  3. C Burns2,
  4. R S Freeman3,
  5. H S Eustis4,
  6. S Yafai1,
  7. F Cruz1,
  8. K Danylyshyn-Adams1,
  9. K Langham1
  1. 1Anne and Abraham Ratner Children's Eye Center at the University of California, San Diego, La Jolla, California, USA
  2. 2Suncoast Eye Center, Palm Harbor, Florida, USA
  3. 3Northwest Eye Clinic, Minneapolis, MN, USA
  4. 4Louisiana State University Eye Center, New Orleans, Louisiana, USA
  1. Correspondence to David B Granet, University of California, San Diego, 9415 Campus Point Drive, La Jolla, CA 92093, USA; dgranet{at}ucsd.edu

Abstract

Purpose To characterise the results of the largest patient series to date undergoing closed conjunctival delayed adjustable suture techniques.

Methods A multicentre retrospective review of 440 operations (patients aged 10–91 years) by five surgeons at four centres were evaluated for surgical outcomes associated with the delayed adjustable suture technique.

Results 26% (116 of 440) of all patients required postoperative manipulation, with individual surgeon rates ranging from 13% to 56%. The majority of these patients did not complain of diplopia in target gaze and/or had satisfactory cosmetic improvement as evaluated at the 1–3 months follow-up visit (84%). Transient complications included dellen, poor conjunctival appearance, filamentary keratitis, infection, granuloma, exposed suture and corneal abrasion. Serious complications were rare.

Conclusions This large multicentred series characterises the closed conjunctival delayed adjustable suture technique for the correction of strabismus. It may present some significant advantages to more traditional adjustable suture techniques.

  • Adjustable
  • strabismus
  • delayed
  • extraocular
  • suture
  • muscles
  • treatment surgery

http://dx.doi.org/10.1136/bjo.2009.169987

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    Footnotes

    • Presented in part at the American Association for Pediatric Ophthalmology and Strabismus, Orlando, Florida, USA, 10 March 2005.

    • Competing interests None.

    • Ethics approval This study was conducted with the approval of the University of California, San Diego, Institutional Review Board (#040764).

    • Provenance and peer review Not commissioned; externally peer reviewed.

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