Postoperative results of absorbable, subconjunctival adjustable sutures

Eustis, H. Sprague, Elmer, Thomas R. and Ellis, George (2004) Postoperative results of absorbable, subconjunctival adjustable sutures. Journal of Aapos, 8 3: 240-242. doi:10.1016/j.jaapos.2004.01.013

Author Eustis, H. Sprague
Elmer, Thomas R.
Ellis, George
Title Postoperative results of absorbable, subconjunctival adjustable sutures
Journal name Journal of Aapos   Check publisher's open access policy
ISSN 1091-8531
Publication date 2004-06-01
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1016/j.jaapos.2004.01.013
Volume 8
Issue 3
Start page 240
End page 242
Total pages 3
Place of publication Philadelphia, PA United States
Publisher Mosby
Language eng
Formatted abstract
Background Adjustable sutures have improved our ability to treat patients with strabismus. Inherent with its use, however, is the postoperative chore of dealing with the exposed sutures necessitating intervention in all patients. We describe a new surgical technique that utilizes a fornix incision in which absorbable sutures are placed in the subconjunctival space. Methods We conducted a retrospective review of patients in which this technique was utilized. Thirty patients were identified. Results Twenty-one patients required postoperative manipulation; ten were aligned in the postoperative recovery area in the period prior to discharge and eight in an office setting between days 1 and 4 postoperatively. Three patients were adjusted at both times. The patients adjusted in the immediate postoperative period experienced slightly less discomfort. Twenty-seven of the 30 patients (90%) had successful surgical outcome. Postoperative complications included more tissue response than is normally seen: four patients had a suture granuloma and two patients had a subconjunctival infection postoperatively. Conclusion The use of absorbable subconjunctival sutures in strabismus surgery reduces the need for postoperative manipulation in some patients and allows for delayed adjustment in other patients.
Keyword Conjunctiva diseas
Absorbable Implants
Biocompatible Materials
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collection: School of Medicine Publications
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