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J. Foerster, B. Wabbels; Long-Term Follow-Up of Squint Surgery With Adjustable Sutures. Invest. Ophthalmol. Vis. Sci. 2010;51(13):3010.
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© ARVO (1962-2015); The Authors (2016-present)
Squint surgery with adjustable sutures has been practiced since the 1970s when Jampolsky technique became popular. Up to now, no long-term results about this operation technique have been published. Aim of the study was to analyze both objective findings and the patient satisfaction.
A questionnaire was sent to 378 patients, who were operated with adjustable sutures between 1989 and 2000. 270 patients were reached, 113 patients (41.9 %) answered the questionnaire and were included in the study. The collective contained cases, which appeared to be difficult in treatment: 52.2 % had undergone previous squint surgery, 15 % paretic strabismus, 4.4 % secondary strabismus, 29.2 % consecutive strabismus, 10.6 % congenital strabismus and 40.7 % with strabismus of unknown cause. The mean preoperative angle of deviation was 34.4 PD. Of 49 patients ophthalmologic long-term findings could been analyzed.
The mean age at surgery was 40.5 years (range 15 - 69), 42.1 % of patients were males and 57.9 % females. In 30 % of the cases postoperative adjustment was needed. After an average period of 10 years, the satisfaction was very high (median 100 %) and correlated inversely with the postoperative angle of deviation. The reoperation rate was 7.1 %. Satisfaction and cosmetics depended significantly on the angle of deviation. The postoperative angle of deviation as well as subjective impressions depended significantly on previous operations. Subjective impressions were also significantly influenced by diplopia.
Squint surgery with adjustable sutures is a valuable tool in difficult strabismus cases with good long-term patient satisfaction.
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