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Efficacy and safety of adjustable suture in horizontal strabismus: Comparative study of children versus adults.
Carreño C, D; Burgos-Blasco, B; Gómez de Liaño, R; Dávila T, A; Cañizares, R; Zúñiga Menéndez, J; Carreño C, J.
Afiliação
  • Carreño C D; Hospital del Día Dr. Efrén Jurado López; Instituto Ecuatoriano de Seguridad Social, Guayaquil, Ecuador.
  • Burgos-Blasco B; Servicio de Oftalmología, Hospital Clínico San Carlos, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, Spain. Electronic address: bburgos171@hotmail.com.
  • Gómez de Liaño R; Servicio de Oftalmología, Hospital Clínico San Carlos, Instituto de Investigaciones Oftalmológicas Ramón Castroviejo, Departamento de Inmunología, Oftalmología y ORL, Facultad de Medicina, Universidad Complutense de Madrid, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC
  • Dávila T A; Instituto Ecuatoriano de Seguridad Social, Guayaquil, Ecuador.
  • Cañizares R; Universidad Católica Santiago de Guayaquil, Guayaquil, Ecuador.
  • Zúñiga Menéndez J; Clínica Kennedy de Policentro, Guayaquil, Ecuador.
  • Carreño C J; Ministerio de Salud Pública, Guayaquil, Ecuador.
Arch Soc Esp Oftalmol (Engl Ed) ; 97(9): 483-489, 2022 Sep.
Article em En | MEDLINE | ID: mdl-35872000
OBJECTIVE: Adjustable suture procedures allow addressing the unpredictability of some postoperative results in strabismus surgery. The purpose of the study was to compare the effectiveness of adjustable and non-adjustable suture in the treatment of horizontal strabismus in children and adults. METHODS: Prospective study including patients undergoing strabismus surgery to correct horizontal strabismus with fixed hanging suture (non-adjustable suture group) and adjustable suture. Visual acuity, amblyopia, deviation, oblique muscle involvement, previous surgeries, nystagmus, need for adjustment, and complications were recorded. The variables were recorded in the immediate postoperative period, at one week and at 3 and 6 months. RESULTS: 186 patients were included: 157 (84.4%) with adjustable suture and 29 (15.6%) with non-adjustable suture, of which 119 were children and 67 were adults. Postoperatively, 19 children (16.0%) and 19 adults (28.4%) required adjustment (p = 0.044). Of 157 patients with adjustable suture, it was adjusted in 20% (32/157). Success after adjustment was higher for adjustable suture (91.72% vs 79.31%; p = 0.043) and remained for 6 months (p < 0.05). Previous surgery (p = 0.004) and exotropia (p = 0.018) correlated with the need for adjustment. CONCLUSIONS: 20% of patients with horizontal strabismus can benefit from a postoperative adjustment to improve the surgical result. The adjustable suture was shown to be superior to the fixed hanging suture and is an excellent surgical option, both in children and adults.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Procedimentos Cirúrgicos Oftalmológicos / Estrabismo Tipo de estudo: Observational_studies Limite: Adult / Child / Humans Idioma: En Revista: Arch Soc Esp Oftalmol (Engl Ed) Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Equador País de publicação: Espanha
Texto completo
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Procedimentos Cirúrgicos Oftalmológicos / Estrabismo Tipo de estudo: Observational_studies Limite: Adult / Child / Humans Idioma: En Revista: Arch Soc Esp Oftalmol (Engl Ed) Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Equador País de publicação: Espanha