| Timing of postoperative adjustment in adjustable suture strabismus surgery. | |
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MedLine Citation:
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PMID: 11404745 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: The use of adjustable sutures in strabismus surgery has increased the rate of surgical success. Little data are available on the optimum timing for postoperative adjustment after strabismus surgery. We wanted to compare 2 common practices of adjustable suture technique after strabismus surgery. METHODS: Two comparable groups of 40 patients each, who had strabismus surgery with adjustable suture technique, were prospectively studied. Group A had early adjustment the same day of the surgery about 6 hours after the operation, and group B had late adjustment the next day about 24 hours after the operation. Subjective scoring tables were used to evaluate the pain felt by the patient before, during, and after the adjustment and any difficulties of the adjustment process. Requirements of postoperative pain medications and final alignment 6 weeks after surgery were also compared. RESULTS: Despite adequate statistical power, no significant differences were found between the groups regarding pain before, during, and after adjustment, difficulties performing the adjustment, and final alignment after 6 weeks (P > .05). Both adjustment schedules were equally associated with mild to moderate pain before, during, and after the adjustment. In the first 24 hours after surgery, no overall difference in the use of pain medications was found. Nausea and vomiting in the first 24 postoperative hours were more common in the early adjustment group (P = .02). CONCLUSION: The surgeon can feel free to choose the timing for postoperative adjustment. However, when performing an early adjustment, the surgeon should be especially prepared to control nausea and vomiting. |
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Authors:
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F G Velez; T K Chan; T Vives; T Chou; R A Clark; M Keyes; A L Rosenbaum; S J Isenberg |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus / American Association for Pediatric Ophthalmology and Strabismus Volume: 5 ISSN: 1091-8531 ISO Abbreviation: J AAPOS Publication Date: 2001 Jun |
Date Detail:
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Created Date: 2001-06-13 Completed Date: 2001-08-16 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9710011 Medline TA: J AAPOS Country: United States |
Other Details:
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Languages: eng Pagination: 178-83 Citation Subset: IM |
Affiliation:
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Department of Ophthalmology and Anesthesiology, University of California, Los Angeles, California 90095, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Female Humans Male Middle Aged Nausea / etiology, prevention & control Oculomotor Muscles / surgery* Ophthalmologic Surgical Procedures Pain / etiology, prevention & control Pain, Postoperative / etiology, prevention & control Polyglactin 910 Prospective Studies Strabismus / surgery* Suture Techniques* / adverse effects Sutures Time Factors Vision, Binocular Vomiting / etiology, prevention & control |
| Chemical | |
Reg. No./Substance:
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34346-01-5/Polyglactin 910 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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