Adjustment versus no adjustment when using adjustable sutures in strabismus surgery
.....Of the 89 patients, 53 (60%) were adjusted and 36 (40%) were tied off.
Success rates were similar between patients who were simply tied off
immediately after surgery
and those who were adjusted. At 6 weeks, the success rate was 64% for
the nonadjusted group versus 81% for the adjusted group.... At 1 year, the success rate was
67% for the nonadjusted group versus 77% for the adjusted group....
Comments: So once again, even if you use adjustable sutures, the failure rate of strabismus surgery is about 1 out of 3. A 30% failure rate may be acceptable in some professions (actually if you are way below this in baseball you are still considered a great player!), but should not be acceptable in a learned profession like medicine. Go to http://COVD.org to find doctors who can help. DM