Comparison of adjustable suture strabismus surgery at 8 hours versus 24 hours

Adjustable sutures as a new method used to increase the success rate of strabismus surgery. There is no consensus regarding appropriate time of adjusting suture. In this study we compare the results of adjustable sutures 8 hours versus 24 hours. In a clinical trials study 25 patiens in each group [8 patients with esotropia and 17 patients with exotropia] underwent strabismus surgery and sutures adjusted 8 hours [group 1] and 24 hours [group 2] after surgery. Minimum follow up was 6 months. In exotropias mean preoperative deviation were 39.8 and 35.2 and 6 months after adjustment were 2.3 and 3.4 prism diopter in groups 1 and 2 respectively. There was not statistically significant difference between two groups. In esotropias mean preoperative deviation were 46.2 and 43.1 and 6 months after adjustment were 2.3 and 2.2 prism diopters in groups 1 and 2 respectively. There was not statistically significant difference between two groups. Adjustable suture technique was an effective method in strabismus surgeries. Adjusting sutures at 8 hours and 24 hours after surgery were comparable and surgeon can be full free in adjusting sutures at those period

[Familial exudative vitreoretinopathy]

To report a relatively rare case of familial exudative vitreoretinopathy [FEVR]. A 13-year-old body referred with decreased visual acuity of both eyes, specially right eye from 6 years ago. He had several ophthalmologist and optometrist visits and spectacle prescription without any improvement of vision. Best corrected visual acuity [BCVA] was 25 cm of count finger in right eye and 10/10 in left eye. Right eye had +2 APD without positive finding on slit-lamp examination. Blurred optic disk margin with large and diffuse exudate involving macular region and avascular zone, especially on temporal side with fibrovascular tissue between avascular zone were detected on funduscopy in the right eye. Following several laboratory examination, diagnosis of FEVR was determined and patient underwent full panretinal photocoagulation. Early detection of FEVR plays an important role on preventing the progression of the diseases and improving the vision of patient and his/her family