Comparison of the immediate with the 24-hour postoperative prism and cover measurements in adjustable muscle surgery: Is immediate postoperative adjustment reliable?

Delayed adjustable sutures: a multicentred clinical review

“…Previous reports have quantified the effect of delayed adjustment on alignment measurements 20. Postoperative alignment measurements were significantly different in immediate and 24 h postoperative measurements in adjustable suture patients in 84% of patients with a mean drift of 7.2±4.3 PD.…”

Propofol–remifentanil-based anaesthesia vs. sevoflurane–fentanyl-based anaesthesia for immediate postoperative ophthalmic evaluation following strabismus surgery

“…A potential biophysical monitor of anaesthetic recovery that may be used in the clinical setting is saccadic eye movements [7,8]. Saccades are rapid, semivoluntary, conjugate eye movements, triggered in an attempt to fixate a visual target.…”

“…To increase patients' comfort, some ophthalmologists have suggested immediate postoperative adjustments in the operating room or in the post anaesthesia care unit (PACU) using special anaesthetic techniques that allow rapid recovery [4][5][6][7]. For this purpose, rapid return of ocular motility is needed to enable measurements in the immediate postoperative period [8]. Cogen and colleagues [7] used saccadic eye movements to test the complete recovery from general anaesthesia in patients undergoing ophthalmic evaluation in the immediate postoperative period.…”

Adjustable suture strabismus surgery

“…In addition, the cost of extended time for patients and staff in the recovery room is eliminated. In contrast, Bleik and Karam 35 cautioned against immediate postoperative adjustment. They reported that the immediate postoperative ocular alignment, measured just 7-22 min after surgery, was significantly different from the alignment 24 h later.…”