Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus
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Adjustable-suture techniques are commonly used to decrease the reoperation rate in adults undergoing strabismus surgery, but they are infrequently used in children because of the difficulty of performing adjustments on a conscious child. The purpose of this study is to evaluate a new technique for using adjustable sutures in children, which makes the second stage of the procedure unnecessary if no adjustment is needed. ⋯ This new adjustable-suture technique was associated with excellent short-term eye alignment. It is particularly suited for pediatric surgery because it eliminates the necessity of further manipulation of children who do not require adjustment.