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Adjustable Suture Squint Surgery

Patient Information on Adjustable Suture Squint Surgery

The most accurate way of straightening your eyes is to do what is called "adjustable suture squint surgery". Most of the operation will be carried out under general anaesthetic (when you are asleep) but the stitches (sutures) are left loose. Several hours later when you are back in the ward and have woken up the orthoptist and the doctor will check the position of your eyes. If they need to be adjusted this can be done because the stitches have not been tightened. We will then put local anaesthetic drops into your eye to help numb it. We will then start to adjust the stitches, and this usually takes between 15 and 30 minutes.

After Surgery

Once you are ready to go home you will be given antibiotic drops and steroid drops and you will be also told how often to put them in. You will probable need to use them for at least 1 month. You will also be given an appointment to return to the outpatient clinic which is usually around 2-3 weeks after your operation. To begin with your eye may scratchy and this can last for several weeks before gradually settling. Your eye will also be red for at least 3-4 weeks but this can occasionally take several months to settle.

Risks of surgery

If you have any questions we should be able to answer them at the pre-operative assessment which is normally carried out 1-2 weeks before the day of your operation.

Any operation involving the eye also carries a very small risk of damaging your eyesight permanently.

The majority of patients notice an improvement in their squint after the operation. Unfortunately we can never give a 100% guarantee that the operation will be successful and it is possible you will require further operations in the future. Even with the adjustable suture technique there is a risk that the operation will not fully correct your squint. There is also a risk that it may over-correct your squint. Some patients are also at risk of developing double vision following the operation. If this is the case it will be discussed with you in more detail as it can affect everyday tasks such as driving. If you have double vision before your operation it may persist afterwards and you may still need to use a prism or to cover the eye to overcome it.

Contact details:

Orthoptic Department 0141 211-1042

Ward 1C 0141 211-3238

Day Ward 0141 211-2485

Gartnavel General Hospital

Consultant Ophthalmologist

Leaflet prepared by Dr C Weir

Tel.: 0141 211 4692 • 169407-1

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