Our Summary

This research paper explores the effectiveness of adjustable sutures (AS) versus nonadjustable sutures (NAS) in adult strabismus surgeries. Strabismus is a condition where the eyes do not properly align with each other when looking at an object. The researchers looked at patient records from 2000 to 2014 and found no significant difference in eye alignment between those treated with AS and those with NAS one to two months after surgery. Success rates were also similar. This led to the conclusion that while AS can be a useful technique, it wasn’t necessarily better than NAS. The researchers suggest a future study looking at long-term results could be beneficial. This is because the extra time and discomfort associated with AS may not be justified if the outcomes are the same as with NAS.

FAQs

  1. What is strabismus and how is it treated through surgery?
  2. Did the research find any significant difference in eye alignment between those treated with adjustable sutures and nonadjustable sutures?
  3. Why do the researchers suggest a future study looking at long-term results of adjustable sutures versus nonadjustable sutures in strabismus surgeries?

Doctor’s Tip

A helpful tip a doctor might tell a patient about strabismus surgery is to follow all post-operative instructions carefully, including any eye exercises or medications prescribed. It is important to attend all follow-up appointments to monitor progress and ensure the best possible outcome. It is also important to be patient, as it may take time for the eyes to fully align after surgery. If there are any concerns or changes in vision, it is important to contact the doctor immediately.

Suitable For

Patients who are typically recommended strabismus surgery are those who have:

  1. Persistent misalignment of the eyes despite other treatments such as glasses, patching, or vision therapy.
  2. Strabismus that is causing double vision, headaches, or difficulty with depth perception.
  3. Strabismus that is affecting the patient’s ability to perform daily activities or impacting their quality of life.
  4. Strabismus that is causing social or emotional distress due to the appearance of misaligned eyes.
  5. Strabismus that is worsening over time or is associated with underlying medical conditions such as neurological disorders.

It is important for patients considering strabismus surgery to consult with an ophthalmologist or strabismus specialist to determine if they are a suitable candidate for the procedure and to discuss the potential risks and benefits.

Timeline

Before strabismus surgery, a patient typically undergoes a thorough eye examination to determine the severity of their condition and whether surgery is necessary. The patient may also undergo pre-operative testing to ensure they are healthy enough for surgery.

After surgery, the patient may experience some discomfort, redness, and swelling in the eye area. They may also have temporary double vision or blurry vision as their eyes adjust to the new alignment. The patient will be prescribed eye drops or medication to help manage pain and prevent infection.

In the weeks following surgery, the patient will have follow-up appointments with their eye surgeon to monitor their progress and ensure the eyes are healing properly. Adjustments to the sutures may be made if necessary to achieve optimal alignment.

Overall, the timeline of a patient’s experience before and after strabismus surgery involves pre-operative preparation, the surgical procedure itself, and post-operative care and follow-up to ensure the best possible outcome.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with strabismus surgery?
  2. How long is the recovery period after strabismus surgery?
  3. What is the success rate of strabismus surgery in terms of improving eye alignment?
  4. Will I need to wear glasses or use any other aids after the surgery?
  5. Are there any alternative treatments or procedures available for strabismus?
  6. How many strabismus surgeries have you performed, and what is your success rate?
  7. Will I need to undergo any additional tests or evaluations before the surgery?
  8. How long will the effects of the surgery last, and will I need additional surgeries in the future?
  9. What can I expect in terms of post-operative care and follow-up appointments?
  10. Are there any lifestyle changes or precautions I need to take before or after the surgery?

Reference

Authors: Liu D, Kumar A, Shieh D, Bhargava S, Zobal-Ratner J, Simon JW. Journal: J Binocul Vis Ocul Motil. 2020 Jul-Sep;70(3):94-97. doi: 10.1080/2576117X.2020.1776567. Epub 2020 Jun 8. PMID: 32511075