Division of Pediatric Ophthalmology, Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
Curr Opin Ophthalmol. 2012 Sep;23(5):373-6. doi: 10.1097/ICU.0b013e3283567321.
This review discusses outcomes and recent advances in the use of adjustable sutures in strabismus surgery for children and adults.
Several large studies have compared the success rates of strabismus surgery with adjustable sutures versus nonadjustable sutures by the same surgeon or group of surgeons, and demonstrate a significant increase in the short-term alignment for both children and adults with the use of adjustable sutures. Modifications of adjustable sutures technique that make adjustable sutures a more attractive option, especially for children.
Recent studies have shown better short-term success rates when using adjustable sutures versus conventional sutures in strabismus surgery. Improved outcomes combined with increased options in surgical technique may lead more surgeons to use adjustable sutures in both children and adults.
本文讨论了在儿童和成人斜视手术中使用可调缝线的结果和最新进展。
几项大型研究比较了同一位外科医生或一组外科医生使用可调缝线与不可调缝线的斜视手术成功率,结果显示,使用可调缝线可显著提高儿童和成人的短期眼位正位率。可调缝线技术的改进使得可调缝线成为一种更具吸引力的选择,尤其是对于儿童。
最近的研究表明,在斜视手术中使用可调缝线比传统缝线具有更高的短期成功率。更好的手术结果加上手术技术的选择增多,可能会促使更多的外科医生在儿童和成人中使用可调缝线。