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    Short Tag noose adjustable suture for adjustment after strabismus surgery

    Take-home message: Thanks to a short tag noose adjustable suture technique that allows for optional suture adjustment, now it may be easier for strabismus surgeons to adopt adjustable sutures. 

    While there are no randomized, controlled trials to convince skeptics of the benefits of adjustable sutures in strabismus surgery, most comparative studies show improvements in success rates in the range of 10-30%. Now it may be easier than ever for strabismus surgeons to adopt adjustable sutures thanks to a short tag noose adjustable suture technique that allows for optional suture adjustment. The adjustment can be delayed for days after the initial strabismus surgery is performed or avoided entirely if the target alignment has been achieved.

    “The delayed adjustment procedure is tolerable and can rescue a patient from what may have been a poor outcome,” according to David G. Hunter, MD, PhD, who performs an in-office adjustment – if needed – 3 to 7 days postoperatively, giving the eye position some time to settle. Many patients require no adjustment at all, and only a small percentage need the delayed adjustment.

     

    NEXT: VIDEO OF TECHNIQUE

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