Study finds novel minimally invasive strabismus surgery suture technique safe
J Pediatr Ophthalmol. 2010;47(5):292-296.
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A transconjunctival suturing technique is safe and requires a smaller incision than previously reported techniques for performing minimally invasive strabismus surgery, according to a study.
"The [transconjunctival suturing] technique was associated with no increase in complication rate and was accomplished through a conjunctival approach with an incision that was smaller by 31% ± 11% compared to incisions for previously described [minimally invasive strabismus surgery] approaches," the study said.
Researchers evaluated 20 patients age 1 to 73 years who were undergoing horizontal rectus muscle recession, plication or advancement for primary muscle displacements of 4.5 mm or greater or for repeat muscle displacements of 3 mm or greater.
Of the 19 patients with postoperative follow-up, 11 had minimal redness, but no further complications were reported.
At 6 months, visual acuity and refractive error were not significantly different from preoperative values, according to the study.
"A limitation of this study is the relatively small size of the population. Further study is needed to exclude the possibility that this suturing technique might increase the risk of ocular penetration," the authors said.