Can Adjustable Suture Surgery Be Performed With Conscious Sedation?

Abstract

We retrospectively reviewed the charts of 50 consecutively referred adult patients with horizontal ocular misalignment only. We wanted to evaluate anesthesia by conscious sedation as an alternative to general anesthesia for the primary surgical stage of adjustable suture repair. Parameters regarding patient acceptance, strabismus correction, and health-care facility utilization were studied. Conscious sedation is a safe and effective alternative to general anesthesia for adjustable suture repair of horizontal misalignment in adult patients.

Outcome of large angle exotropia treated by single stage adjustable strabismus surgery with monitored conscious anesthesia

“…Single-stage adjustable strabismus surgery (SSASS) under monitored conscious anesthesia has been reported to give good success rates for patients with comitant exotropia. [ 12 13 14 ] We used this technique in our study patients. The surgery is done on two/three horizontal rectus muscles (depending on the measured deviation) with the recessed muscle placed on adjustable sutures under topical anesthesia supplemented with subconjunctival lignocaine, intravenous (i.v.)…”