The adjustable globe: a technique for adjustable strabismus surgery. J Pediatr Ophthalmol Strabismus 1996;33(3):156-63
Date
05/01/1996Pubmed ID
8771517DOI
10.3928/0191-3913-19960501-07Scopus ID
2-s2.0-0030028234 (requires institutional sign-in at Scopus site)Abstract
BACKGROUND: Conventional adjustable strabismus surgery involves postoperative repositioning of individual muscles anchored to the sclera via adjustable sutures. Greaves has described anchoring opposing rectus muscles to one another, via sutures passing on either side of the limbus. With the muscles disinserted, the "freed" globe can be adjusted to the desired position within the resulting suture cradle. Friction of the sutures against the sclera holds the muscles in place until healing occurs.
METHODS: Using a cul-de-sac approach, we performed 23 horizontal and three vertical adjustable globe procedures, with median follow-up of 7 weeks. Four procedures were performed on nonhuman primates, monitored with iris fluorescein angiography.
RESULTS: Esodeviations were well corrected, but exodeviations were often grossly undercorrected. Prolonged postoperative discomfort and photophobia were experienced. Possible evidence for mild anterior segment ischemia was noted.
CONCLUSION: Concern about poor results with exodeviations, discomfort, and possible anterior segment ischemia led us to abandon this procedure.
Author List
Connor TB, Guyton DL, Repka MX, Jain RAuthor
Thomas B. Connor MD Professor in the Ophthalmology and Visual Sciences department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentAdult
Aged
Animals
Child
Eye Movements
Female
Fluorescein Angiography
Follow-Up Studies
Fundus Oculi
Humans
Intraocular Pressure
Macaca fascicularis
Male
Middle Aged
Oculomotor Muscles
Postoperative Complications
Strabismus
Suture Techniques
