Yonsei Med J.  2006 Oct;47(5):667-671. 10.3349/ymj.2006.47.5.667.

Intraoperative Adjustment in Strabismus Surgery under Topical Anesthesia

• Chang YH
• Ryu IH
• Han SH
• Lee SJ
• Lee JB

• KMID: 1381247
• DOI: http://doi.org/10.3349/ymj.2006.47.5.667

Abstract

We evaluated the one-stage intraoperative adjustment strabismus surgery with adjustable suture under topical anesthesia. Medical records of the patients who had intraoperative adjustment surgery under topical anesthesia for horizontal or vertical strabismus in our hospital from March 1997 to March 2003 with follow-up of 6 months were analyzed retrospectively. Of the 71 patients, 48 patients had exotropia, 16 had esotropia, and 7 had hyper- or hypotropia. The overall success rates were 85.9% at 1 week, 83% at 1 month, 78.9% at 3 months, and 76.1% at 6 months after surgery. The procedure was not stopped in any patients, and no serious intra-operative or postoperative complications were noted. Intraoperative adjustment strabismus surgery under topical anesthesia is a simple, well-tolerated and effective procedure.

Keyword

Intraoperative adjustment; topical anesthesia

MeSH Terms

Treatment Outcome
*Suture Techniques
Strabismus/*surgery
Retrospective Studies
Ophthalmologic Surgical Procedures/methods
Middle Aged
Male
Intraoperative Period
Humans
Female
Anesthetics, Local/administration & dosage
Adult
Adolescent
Administration, Topical

Reference

1. Jampolsky A. Current techniques of adjustable strabismus surgery. Am J Ophthalmol. 1979. 88:406–418.

2. Weston B, Enzenauer RW, Kraft SP, Gayowksy GR. Stability of the postoperative alignment in adjustable-suture strabismus surgery. J Pediatr Ophthalmol Strabismus. 1991. 28:206–211.

3. Wright KW. Color Atlas of Ophthalmic Surgery: Strabismus. 1991. Philadelphia: JB Lippincott Co;87–124.

4. Isenberg SJ, Apt L, Yamada S. Overnight admission of outpatient strabismus patients. Ophthalmic Surg. 1990. 21:540–543.

5. Wisnicki HJ, Repka MX, Guyton GL. Reoperation rate in adjustable strabismus surgery. J Pediatr Ophthalmol Strabismus. 1988. 25:112–114.

6. Rauz S, Govan JA. One stage vertical rectus muscle recession using adjustable sutures under local anesthesia. Br J Ophthalmol. 1996. 80:713–718.

7. Klyve P, Nicolaissen B Jr. Topical anesthesia and adjustable sutures in strabismus surgery. Acta Ophthalmologica. 1992. 70:637–640.

8. Krupin T, Waltman SR. Complications in ophthlamic surgery. 1984. Philadelphia: JB Lippincott Co.

9. Rosenbaum AL, Metz HS, Carlson M, Jampolsky AJ. Adjustable recuts muscle recession surgery: a follow up study. Arch Ophthalmol. 1977. 95:817–820.

10. Wygnanski-Jaffe T, Wysanbeek Y, Bessler E, Spierer A. Strabismus surgery using the adjustable suture technique. J Pediatr Ophthalmol Strabismus. 1999. 36:184–188.