Agrawal Siddharth, Singh Vinita, Singh Priyanka
Department of Ophthalmology, King Georges' Medical University, Lucknow, Uttar Pradesh, India.
Indian J Ophthalmol. 2015 Jul;63(7):611-3. doi: 10.4103/0301-4738.167117.
To compare the surgical outcome of adjustable with the conventional recession in patients with horizontal comitant strabismus.
A prospective comparative nonrandomized interventional pilot study was performed on patients with horizontal comitant strabismus. Fifty-four patients (27 in each group) were allocated into 2 groups to undergo either adjustable suture (AS) recession or non-AS (NAS) recession along with conventional resection. The patients were followed up for 6 months. A successful outcome was defined as deviation ±10 prism diopters at 6 months. The results were statistically analyzed by Chi-square test, Fisher's exact test, and Student's t-test.
A successful outcome was found in 24 (88.8%) patients in AS and 17 (62.9%) in NAS group (P = 0.02). The postoperative adjustment was done in 13 (48.1%) patients in AS group. There was one complication (tenon's cyst) in AS group.
AS recession may be considered in all cooperative patients undergoing strabismus surgery for comitant deviations.
比较水平共同性斜视患者采用可调节缝线手术与传统后徙术的手术效果。
对水平共同性斜视患者进行一项前瞻性、比较性、非随机干预性试验研究。54例患者（每组27例）被分为两组，分别接受可调节缝线（AS）后徙术或非可调节缝线（NAS）后徙术并联合传统切除术。对患者进行6个月的随访。成功的结果定义为6个月时斜视度±10棱镜度。采用卡方检验、Fisher精确检验和学生t检验对结果进行统计学分析。
AS组24例（88.8%）患者手术结果成功，NAS组17例（62.9%）患者手术结果成功（P = 0.02）。AS组13例（48.1%）患者进行了术后调整。AS组出现1例并发症（腱膜囊肿）。
对于所有接受斜视手术治疗共同性斜视的合作患者，可考虑采用AS后徙术。
