Strabismus Surgical Correction with Adjustable Sutures (Clinical Cases)

RETRACTED.

Methods for external surgery of the eye muscles are different and include the use of both adjustable and non-adjustable sutures, which affects the result in a long follow-up period. Surgical intervention using the method of adjustable sutures has been used for a number of years to improve the functional results of strabismus treatment. The basic principle of the method of adjustable sutures is to ensure the safety of extraocular muscles using a temporary or sliding node. The aim of the work is the development of a surgical treatment method of repeatedly operated strabismus with hypereffect and the analysis of clinical cases. We have proposed a method for correcting repeatedly operated strabismus with hypereffect using the method of adjustable sutures. Three clinical cases are described. 1) The patient is 34 years old, previously operated esophoria, deviation angle 15 degrees. A recession of the internal rectus muscle 4 mm and resection of the external rectus muscle 5 mm were performed. The next day after surgery, due to the hypoeffect, the sutures were adjusted. After 1 month, the deviation angle is 0 degrees. 2) The patient is 29 years old, with an exophoria, a deviation angle of 35 degrees, previously operated on for esophoria on the left eye. An operation on the left eye is done. The next day after the operation, the presence of hypereffect was revealed, for the correction of which, the repressed muscle was weakened and the recession was strengthened in accordance with the proposed method. We achieved the desired cosmetic result. After 1 month, the deviation angle is 0 degrees. 3) The patient is 24 years old, previously operated exophoria, the deviation angle is 15–20 degrees. The internal rectus muscle was repositioned by 4 mm, the external straight recession was 4 mm. The day after surgery, the desired cosmetic result is achieved. After 1 month, the deviation angle is 0 degrees. The presented method of surgical intervention and clinical cases indicate that the approach to the treatment of strabismus using adjustable sutures is a promising direction in ophthalmic surgery.

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