Tatham Andrew, Amaya Luis
Lincoln County Hospital, Lincoln, UK.
Ophthalmologica. 2009;223(3):192-5. doi: 10.1159/000200766. Epub 2009 Feb 10.
To determine the outcome of immediate suture adjustment in adjustable suture strabismus surgery using a general anaesthetic technique.
Adjustable suture strabismus surgery was performed in 69 patients using a target-controlled infusion of propofol-remifentanil. Sutures were adjusted immediately following surgery and patient satisfaction and ocular alignment were assessed at 3 months postoperatively.
Preoperatively, 71% (49/69) of patients were divergent (group 1) and 29% (20/69) were convergent (group 2). Following surgery, the mean deviation in group 1 was 3.5 +/- 13.08 Delta exodeviation for near and 0.8 +/- 10.66 Delta exodeviation for distance. The mean postoperative deviation in group 2 was 2.6 +/- 9.1 Delta esodeviation for near and 2 +/- 9.0 Delta esodeviation for distance. Overall, 80% (45/69) were within 10 Delta of orthotropia.
Single-stage adjustable suture strabismus surgery produces good results and is well suited to day case surgery.
使用全身麻醉技术确定可调节缝线斜视手术中即时缝线调整的效果。
对69例患者采用丙泊酚-瑞芬太尼靶控输注进行可调节缝线斜视手术。术后立即调整缝线，并在术后3个月评估患者满意度和眼位。
术前，71%（49/69）的患者为外斜视（第1组），29%（20/69）为内斜视（第2组）。术后，第1组近距离平均斜视度为3.5±13.08三棱镜度外斜视，远距离为0.8±10.66三棱镜度外斜视。第2组术后近距离平均斜视度为2.6±9.1三棱镜度内斜视，远距离为2±9.0三棱镜度内斜视。总体而言，80%（45/69）的患者眼位在正位视10三棱镜度范围内。
单阶段可调节缝线斜视手术效果良好，非常适合日间手术。
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