Titre du document / Document title

The paralimbal approach with deferred conjunctival closure for adjustable strabismus surgery

Auteur(s) / Author(s)

SANTIAGO A. P. ^{(1 2)} ; ISENBERG S. J. ^{(1 2)} ; NEUMANN D. ⁽³⁾ ; SPIERER A. ⁽⁴⁾ ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

⁽¹⁾ Department of Ophthalmology, Jules Stein Eye Institute, Harbor-UCLA Medical Center, UCLA School of Medicine, Los Angeles, CA, ETATS-UNIS
⁽²⁾ Department of Ophthalmology, Jules Stein Eye Institute, Harbor-UCLA Medical Center, UCLA School of Medicine, Torrance, CA, ETATS-UNIS
⁽³⁾ Pediatric Ophthalmology and Strabismus Unit, Edith Wolfson Medical Center, Holon, ISRAEL
⁽⁴⁾ Chaim Sheba Medical Center, Maurice and Gabriela Goldschleger Eye Institute, Tel Aviv University Sackler School of Medicine, Tel-Hashomer, ISRAEL

Résumé / Abstract

Interest in the adjustable suture technique was renewed in the mid-1970s. The authors report a new modification of the fornix and limbal conjunctival approaches that combines the advantages of both. A paralimbal conjunctival incision is placed halfway between the limbus and the muscle insertion and directed parallel to the muscle insertion. This approach permits easy access to the rectus muscle. After the adjustable suture is temporarily secured with a bow-tie knot, the conjunctiva is partially closed using a loop suture over the muscle suture. An optional modification is the use of a sweep suture to break early adhesions at the time of adjustment. The adjustment procedure is performed at least 6 hours after the surgery. The conjunctiva is retracted as necessary for access to the muscle suture. If a sweep suture is used, this is first withdrawn before attempting any adjustment. After adjustment, the conjunctival loop suture is closed, covering the muscle suture. The sweep suture serves as a safeguard for what may otherwise be a difficult adjustment. This approach increases patient comfort after the surgery.

Revue / Journal Title

Ophthalmic surgery and lasers   ISSN 1082-3069   CODEN OSLAF2 

Source / Source

1998, vol. 29, n^o2, pp. 151-156 (15 ref.)

Langue / Language

Anglais

Editeur / Publisher

Slack, Thorofare, NJ, ETATS-UNIS  (1995-2000) (Revue)

Mots-clés anglais / English Keywords

Strabismus ; Surgical approach ; Conjunctiva ; Fornix ; Surgery ; Treatment ; Technique ; Process improvement ; Surgical incision ; Human ; Eye disease ; Oculomotor syndrome ;

Mots-clés français / French Keywords

Strabisme ; Voie abord ; Conjonctive ; Fornix ; Chirurgie ; Traitement ; Technique ; Amélioration procédé ; Incision chirurgicale ; Homme ; Oeil pathologie ; Oculomotricité syndrome ;

Mots-clés espagnols / Spanish Keywords

Estrabismo ; Vía abordaje ; Conjuntiva ; Trígono cerebral ; Cirugía ; Tratamiento ; Técnica ; Mejoramiento procedimiento ; Incisión quirúrgica ; Hombre ; Ojo patología ; Oculomotricidad síndrome ;

Localisation / Location

INIST-CNRS, Cote INIST : 14946, 35400007836068.0100