pm mfvt1
    • Main page
      • About journal
      • Articles. Working with contents
      • Editor-in-chief
      • Editorial Council
      • Editorial Board


      • For authors
      • Standards for formatting information
      • Reviewing
      • Politics editorial board
      • Ethics of journal publications


      • For advertisers
      • Subscription
      • About the Publishing House
      • Contact us
  • Analysis of the results of strabismus surgical treatment by the method of adjustable sutures

    Редактор | 2018, Practical medicine part 16 №05 (18) Ophthalmology. Otorhinolaryngologypractical | 26 сентября, 2018

    M.E. KONOVALOV1, D.A. KORKMASOVA2

    1Konovalov Ophthalmologic Center LLC, 56/6 3rd Tverskaya-Yamskaya Str., Moscow, Russian Federation, 125047

    2Institute for Doctors’ Advanced Qualification, 91 Volokolamskoye shosse, Moscow, Russian Federation, 125371

     Konovalov M.E. — Doc. Med. Sc., Professor of the Ophthalmology Department, Chief doctor, tel. (495) 150-56-06, e-mail: [email protected]

    Korkmasova D.A. — postgraduate student of the Ophthalmology Department, e-mail: [email protected]

     The article presents the results of comparative analysis of surgical treatment of strabismus by the method of adjustable sutures in 55 patients, which were divided into three groups depending on the type of strabismus. The 1st group (n=20) was comprised of the patients primarily operated for concomitant strabismus. Group II (n=20) was comprised of the patients previously operated for concomitant strabismus. Group III (n=15) was comprised of the patients with paralytic strabismus. In all cases, surgery was done with the method of adjustable sutures. The frequency of achieving the required angle of deviation before adjustment in group I (70 %) was reliably higher than in groups II and III (40 % and 46.7 %, respectively; p<0.05). However, no statistically significant differences in the frequencies of eso-, exo- and orthophoria between the researched groups after adjustment were found (p>0,05).

    This study shows the safety and effectiveness of the adjustable sutures method with concomitant, previously operated and paralytic strabismus. The success level was 94.5 %, the frequency of repeated surgeries was 10.9 %. The surgical treatment of strabismus by the method of adjustable sutures is a promising area in ophthalmosurgery.

    Key words: concomitant strabismus, operated strabismus, paralytic strabismus, adjustable sutures method.

    (For citation: Konovalov M.E., Korkmasova D.A. Analysis of the results of strabismus surgical treatment by the method of adjustable sutures. Practical Medicine. 2018)

    REFERENCES

    1. Abrahamsson M., Magnusson G., Sjostrand J. Inheritance of strabismus and the gain of using heredity to determine populations at risk of developing strabismus. ActaOphthalmol Scand. 1999;77:653–7.
    2. Greenberg A.E., Mohney B.G., Diehl N.N., Burke J.P. Incidence and types of childhood esotropia: A population-based study. Ophthalmology. 2007;114:170–4.
    3. Williams C., Northstone K., Howard M., Harvey I., Harrad R.A., Sparrow J.M. Prevalence and risk factors for common vision problems in children: Data from the ALSPAC study. Br J Ophthalmol., 2008;92:959–64.
    4. O’Connor A.R., Stephenson T.J., Johnson A., Tobin M.J., Ratib S., Fielder A.R. Strabismus in children of birth weight less than 1701 g. Arch Ophthalmol., 2002;120:767–73.
    5. Merrill K., Satterfield D., O’Hara M. Strabismus surgery on the elderly and the effects on disability. J AAPOS., 2010;14:196–8.
    6. Jackson S., Harrad R.A., Morris M., Rumsey N. The psychosocial benefits of corrective surgery for adults with strabismus. Br J Ophthalmol., 2006;90:883–8.
    7. Nield L.S., Mangano L.M. Strabismus: What to Tell Parents and When to Consider Surgery. Consultant., 2009;49:122–8.
    8. Razmjoo H. Adjustable suture in strabismus surgery. Med J Islam Repub Iran., 1997;11:7–10.
    9. Awadein A., Sharma M., Bazemore M.G., Saeed H.A., Guyton D.L. Adjastable suture strabismus surgery in infants and children. J AAPOS., 2008;12:585–90.
    10. Dawson E., Bentley C., Lee J. Adjustable squint surgery in children. Strabismus. 2001;9:221–4.
    11. Sundaram V., Haridas A. Adjustable versus non-adjustable sutures for strabismus. Cochrane Database Syst Rev., 2005;1:CD004240.
    12. Buffenn A.N. Adjustable suture use in strabismus surgery. CurrOpinOphthalmol., 2005;16:294–7.
    13. Neumann D., Neumann R., Isenberg S.J. A comparison of sutures for adjustable strabismus surgery. J AAPOS., 1999;3:91–3.
    14. Velez F.G., Chan T.K., Vivez T., Chou T., Clark R.A., Keyes M. et al. Timing of post operative adjustment in adjustable suture strabismus surgery. J AAPOS., 2001;5:178–83.
    15. Tripathi A., Haslett R., Marsh I.B. Strabismus surgery: Adjustable sutures-good for all? Eye (Lond), 2003;17:739–42.
    16. Bishop F., Doran R.M. Adjustable and non-adjustable strabismus surgery: A retrospective case-matched study. Strabismus, 2004;12:3–11.
    17. Nihalani B.R., Hunter D.G. Adjustable suture strabismus surgery. Eye (Lond), 2011;25:1262–76.
    18. Zhang M.S., Hutchinson A.K. Improved ocular alignment with adjustable sutures in adults undergoing strabismus surgery. Ophthalmology, 2012;119:396–402.
    19. Engel J.M. Adjustable sutures: An update. CurrOpinOphthalmol., 2012;23:373–6.
    20. Karhanová M., Vláčil O., Sín M., Maresšová K. Adjustable versus non-adjustable sutures in strabismus surgery in patients with thyroid ophthalmopathy. CeskSlovOftalmol., 2012;68:207–13.
    21. Park Y.C., Chun B.Y., Kwon J.Y. Comparison of the stability of postoperative alignment in sensory exotropia: Adjustable versus non-adjustable surgery. Korean J Ophthalmol., 2009;23:277–80.
    22. Eino D., Kraft S.P. Postoperative drifts after adjustable-suture strabismus surgery. Can J Ophthalmol., 1997;32:163–9.
    23. Keech R.V., Scott W.E., Christensen L.E. Adjustable suture strabismus surgery. J Pediatr Ophthalmol Strabismus. 1987;24:97–102.
    24. Leuder G.T., Scott W.E., Kutschke P.J., Keech R.V. Long term results of adjustable strabismus. surgery for strabismus secondary to thyroid ophthalmopathy. Ophthalmology, 1992;99:993–7.

    Метки: 2018, adjustable sutures method, concomitant strabismus, D.A. KORKMASOVA, M.E. KONOVALOV, operated strabismus, paralytic strabismus, Practical medicine part 16 №05 (18) Ophthalmology. Otorhinolaryngologypractical

    ‹ Surgical treatment of large macular holes by various modifications of the “inverted flap” technique using original suspension “Vitreocontrast” as a contrast agent Relex Smile refractive operation in a patient after scleral buckle with myopic refraction (clinical case) ›
    • rus Версия на русском языке


      usa English version site


      Findloupe

      

    • PARTNERS

      пов  logonew
    «Для
    Practical medicine. Scientific and practical reviewed medical journal
    All rights reserved ©