ADJUSTABLE SUTURE STRABISMUS SURGERY: A REVIEW OF 850 CASES

Purpose. The aim of the study is to investigate the relationship between the different kinds of squint and the adjustament re- quired in post-op. Methods. Our personal case histories concerns 850 patients that underwent adjustable suture strabismus surgery during the last ten years, examinated in our Department of Ophtalmology over the period 2000-2009. The same surgeon (G.L.) performed adjustable suture strabismus surgery as routine duties, whether on horizontal or vertical rectus muscles, but never on oblique muscles. Adjustments were always performed in the 24 postoperative hours. With regard to the relationship between previous surgeries, and requested regulation: 669 cases not underwent previous sur- gery; 181 cases peviously underwent surgery one or more times. results. First we seek for the statistical significant difference between the various results found, computing X2, ρ and the rel- ative risk. We can conclude by saying that who made a vertical muscle squint surgery presents a relative risk of 3 times greater to take hypocorrection rather than hypercorrection and that who made before squint surgery presents a relative risk of 2,72 times greater to take regulation. Conclusions. We predicted this result because it confirms that the use of adjustable suture is the more frequent as the muscle fibrosis is the more significant. And the fibrosis is an usual outcome of previous squint surgery.