Timing of postoperative adjustment in adjustable suture strabismus surgery

Velez, Federico G.; Chan, T K J; Vives, Teresa; Chou, Tina; Clark, Robert A.; Keyes, Mary A.; Rosenbaum, Arthur L.; Isenberg, Sherwin J.

doi:10.1067/mpa.2001.114661

Cited by 31 publications

(23 citation statements)

References 26 publications

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“…10 Delaying the adjustment until the next day can decrease the nausea associated with adjustment. 11 Using subtenon ropivacaine has been described to lessen the pain of manipulation. 12 Coats 13 described a novel all-or-nothing rip-cord technique of adjustment.…”

Section: Discussionmentioning

confidence: 99%

Adjustable sutures in children using a modified technique

Engel¹,

Rousta²

2004

Journal of American Association for Pediatric Ophthalmology and

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Section: Discussionmentioning

confidence: 99%

Adjustable sutures in children using a modified technique

Engel¹,

Rousta²

2004

Journal of American Association for Pediatric Ophthalmology and

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“…Trabekülektomi, konjonktiva kapama, şaşılık ve küçük kesili katarakt cerrahisinde sklerayı kapatmada kullanılır. 20,21,28,29 Polydioxanone(PDS): Monofilament bir sütür olup paradioxanone'dan yapılan bir homopolimerdir. Kopma mukavemeti iyidir, 28. günde %58'ini korur, 180 günde absorbe olur.…”

Section: İğne Karakteristikleri Ve Seçimiunclassified

Oftalmik İğne Tipleri ve Sütür Materyalleri

...

2012

Tjo

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Sum maryNeedle types and suture materials are basic subjects which every surgeon dealing with ophthalmic surgery should know. Tissue-compatible needle and suture selection as well as careful surgery will have doubtlessly a positive effect on the success. The purpose of this manuscript is to provide a detailed review of needle types and suture materials, as well as of the current developments, and also to make recommendations to the ophthalmic surgeons about appropriate choices of suture and needles. (Turk J Ophthalmol 2012; 42: 139-45 Gi riflSütür materyalleri ve iğneler hakkında bilinmesi gerekenler, uygunsuz iğne veya materyal kullanımının doku hasarı veya yara yerinde ayrılma gibi önemli sorunlara yol açabilmesi nedeniyle önemlidir. Örneğin travmayı takiben oluşan skleral rüptürün onarımında absorbe edilebilen sütür kullanımı yara ayrılmasına, cutting (kesici) yada reverse-cutting (ters kesici) iğne kullanımı koroidal ve/veya retinal hasara neden olabilmektedir. Cerrah yarayı kapatırken sütür, iğne, sütürlerin yerleşimi ve düğüm tipi seçimininin nasıl olacağıyla ilgili kararları vermek zorunda kalmaktadır. 1 İğneler 1959'dan önce gözlü iğneler(eyed needles) oküler sütürasyon için Amerika Birleşik Devletleri'nde oldukça yaygın kullanılmıştır. 2,3 Bu iğneler elbise dikiş iğnesine benzer şekilde çalışmaktaydı. İnsizyona sadece tek kat sütür bağlanıp bırakılmasına karşın gözlü iğneye bağlanan sütür iki kat halinde geçirildiğinden dokuyu daha fazla travmatize etmekteydi.4 Sonuçta iğnenin geçtiği hat sütür çapından daha geniş olmakta ve bu da kaçağa eğilim oluşturmaktaydı. Üretim esnasında iğnenin dövülmesi yada iğneye kalıcı sütür eklenmesi 1914'te patent alarak popüler bir şekilde kullanıma girmiş ve oküler sütürasyon tekniklerinin gelişmesine yol açmıştır.

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“…Spierer 31 found that muscle adjustments performed 8 or 24 h after horizontal strabismus surgery had similar outcomes. Velez et al 32 Adjustable suture strabismus surgery BR Nihalani and DG Hunter also found no difference between performing adjustment on the same day of surgery or the next day with respect to pain before, during, or after adjustment, to the ease of performing the adjustment, and to the final alignment. We generally perform suture adjustment 1-2 h after surgery if the patient is sufficiently alert, 33 enhancing alertness by asking patients to sit up on the edge of the bed without support and with legs dangling.…”

Section: Timing Of Adjustmentmentioning

confidence: 99%

Adjustable suture strabismus surgery

Nihalani

Hunter

2011

Eye

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Surgical management of strabismus remains a challenge because surgical success rates, short-term and long-term, are not ideal. Adjustable suture strabismus surgery has been available for decades as a tool to potentially enhance the surgical outcomes. Intellectually, it seems logical that having a second chance to improve the outcome of a strabismus procedure should increase the overall success rate and reduce the reoperation rate. Yet, adjustable suture surgery has not gained universal acceptance, partly because Level 1 evidence of its advantages is lacking, and partly because the learning curve for accurate decision making during suture adjustment may span a decade or more. In this review we describe the indications, techniques, and published results of adjustable suture surgery. We will discuss the option of 'no adjustment' in cases with satisfactory alignment with emphasis on recent advances allowing for delayed adjustment. The use of adjustable sutures in special circumstances will also be reviewed. Consistently improved outcomes in the adjustable arm of nearly all retrospective studies support the advantage of the adjustable option, and strabismus surgeons are advised to become facile in the application of this approach.

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Timing of postoperative adjustment in adjustable suture strabismus surgery

Cited by 31 publications

References 26 publications

Adjustable sutures in children using a modified technique

Adjustable sutures in children using a modified technique

Oftalmik İğne Tipleri ve Sütür Materyalleri

Adjustable suture strabismus surgery

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