Immediate post-operative adjustable suture strabismus surgery using a target-controlled infusion of propofol-remifentanil.

Abstract

PURPOSE:

To determine the outcome of immediate suture adjustment in adjustable suture strabismus surgery using a general anaesthetic technique.

METHODS:

Adjustable suture strabismus surgery was performed in 69 patients using a target-controlled infusion of propofol-remifentanil. Sutures were adjusted immediately following surgery and patient satisfaction and ocular alignment were assessed at 3 months postoperatively.

RESULTS:

Preoperatively, 71% (49/69) of patients were divergent (group 1) and 29% (20/69) were convergent (group 2). Following surgery, the mean deviation in group 1 was 3.5 +/- 13.08 Delta exodeviation for near and 0.8 +/- 10.66 Delta exodeviation for distance. The mean postoperative deviation in group 2 was 2.6 +/- 9.1 Delta esodeviation for near and 2 +/- 9.0 Delta esodeviation for distance. Overall, 80% (45/69) were within 10 Delta of orthotropia.

CONCLUSIONS:

Single-stage adjustable suture strabismus surgery produces good results and is well suited to day case surgery.

• Authors: Andrew Tatham, Luis Amaya
• Journal: Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde (Ophthalmologica) Vol. 223 Issue 3 Pg. 192-5 ( 2009) ISSN: 1423-0267 [Electronic] Switzerland
• PMID: 19204411 (Publication Type: Journal Article)
• Copyright: Copyright 2009 S. Karger AG, Basel.

Chemical References

• Anesthetics, Intravenous
• Piperidines
• Remifentanil
• Propofol

Topics

• Adolescent
• Adult
• Aged
• Ambulatory Surgical Procedures (methods)
• Anesthesia (methods)
• Anesthetics, Intravenous (administration & dosage)
• Humans
• Middle Aged
• Patient Satisfaction
• Piperidines (administration & dosage)
• Postoperative Complications (prevention & control)
• Postoperative Period
• Propofol (administration & dosage)
• Remifentanil
• Retrospective Studies
• Strabismus (surgery)
• Suture Techniques
• Young Adult