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Adjustable versus non-adjustable sutures for strabismusSundaram V, Haridas A
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SummaryAdjustable versus non-adjustable sutures for the eye muscles in strabismus surgeryStrabismus occurs when the eye deviates from its normally perfect alignment, and can be corrected with surgery. A variety of surgical techniques are available, including the use of adjustable or non-adjustable sutures for the muscles surrounding the eye. There is uncertainty as to which of these suture techniques results in a more accurate alignment of the eye, and whether there are specific situations in which it is of benefit to use a particular technique. This review could not find enough evidence to answer these questions and suggests that more research is needed.
This is a Cochrane review abstract and plain language summary, prepared and maintained by The Cochrane Collaboration, currently published in The Cochrane Database of Systematic Reviews 2009 Issue 4, Copyright © 2009 The Cochrane Collaboration. Published by John Wiley and Sons, Ltd.. The full text of the review is available in The Cochrane Library (ISSN 1464-780X).
This version first published online:
January 24. 2005 AbstractBackgroundStrabismus, or squint, can be defined as a deviation from perfect ocular alignment and can be classified in many ways according to its aetiology and presentation. Treatment can be broadly divided into medical and surgical options, with a variety of surgical techniques being available, including the use of adjustable or non-adjustable sutures for the extra ocular muscles. There exists an uncertainty as to which of these techniques produces a better surgical outcome, and also an opinion that the adjustable suture technique may be of greater benefit in certain situations. ObjectivesThe objectives of this review were to examine whether adjustable or non-adjustable sutures are associated with a more accurate long-term ocular alignment following strabismus surgery and to identify any specific situations in which it would be of benefit to use a particular method. Search strategyWe searched the Cochrane Central Register of Controlled Trials - CENTRAL in The Cochrane Library (which includes the Cochrane Eyes and Vision Group Trials Register) (Issue 3, 2006), MEDLINE (1966 to September 2006), EMBASE (1980 to September 2006), LILACS (Latin American and Caribbean Literature on Health Sciences) (September 2006). We contacted experts in the field for further information. There were no language restrictions in the electronic searches. Selection criteriaWe planned to include only randomised controlled trials comparing adjustable to non-adjustable sutures for strabismus surgery. Data collection and analysisWe did not find any studies that met the inclusion criteria for this review. Main resultsWe did not find any studies that met the inclusion criteria for this review, therefore none were included for analysis. Results of non-randomised studies that compared these techniques are reported. Authors' conclusionsNo reliable conclusions could be reached regarding which technique (adjustable or non-adjustable sutures) produces a more accurate long-term ocular alignment following strabismus surgery or in which specific situations one technique is of greater benefit than the other. High quality randomised controlled trials are needed to obtain clinically valid results and to clarify these issues. |