Comparison of Intraoperative vs Postoperative Adjustable Suture Strabismus Surgery in Adults

Abstract

Abstract: : Purpose: To compare postoperative alignment and complications in an adult population undergoing either intraoperative or postoperative adjustable suture strabismus surgery. Methods: Adults undergoing either intra- or postoperative adjustable suture strabismus surgery over a 5 year period were included. Ocular alignment was assessed using the alternate cover test. Surgical success was defined as alignment within 15 prism diopters of orthophoria at six weeks postop. Complications were categorized as ocular or those related to anesthesia. Results: Six weeks postoperatively, surgical success was achieved in 82% (23/28) of patients in the intraoperative group and in 73% (11/15) of patients in the postoperative group. The difference in surgical success rates was not statistically significant (p=0.8). There were no ocular complications, and one patient converted from local anesthesia with sedation to general anesthesia. Conclusion: The intraoperative adjustable suture technique is a useful option for the surgical repair of adult patients with strabismus.

Keywords: 591 strabismus: treatment