Purpose of review: This review discusses outcomes and recent advances in the use of adjustable sutures in strabismus surgery for children and adults.
Recent findings: Several large studies have compared the success rates of strabismus surgery with adjustable sutures versus nonadjustable sutures by the same surgeon or group of surgeons, and demonstrate a significant increase in the short-term alignment for both children and adults with the use of adjustable sutures. Modifications of adjustable sutures technique that make adjustable sutures a more attractive option, especially for children.
Summary: Recent studies have shown better short-term success rates when using adjustable sutures versus conventional sutures in strabismus surgery. Improved outcomes combined with increased options in surgical technique may lead more surgeons to use adjustable sutures in both children and adults.