University of Iowa Health Care

Ophthalmology and Visual Sciences

EyeRounds.org

Adjustable Suture Technique

Strabismus surgery involves sewing the eye muscle to the wall of the eye after altering the insertion position and/or the length of the muscle. Standard strabismus surgery (no adjustable suture) utilizes a permanent knot. Adjustable suture technique utilizes a bow-knot or slip-knot (temporary knot) in an accessible position. After surgery the eye alignment can be altered by adjusting the temporary knot. The adjustment is typically done while awake and the operated eye numbed. (description compliments of AAPOS)

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last updated: 2002
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