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.
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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)
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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
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