ABSTRACT
Strabismus surgery with adjustable suture technique which is first described by Mc Mullen was popularized in early 1970’s by Jampolsky. Adjustable sutures were introduced as an adjunct to traditional surgery to allow the surgeon to place the eyes in the desired alignment in the immediate postoperative period (within 24-48 hours ), with the goal of promoting the best possible long-term alignment once postoperative drift, if any, occured. Especially the cases in which we can not predict amount of deviation correction with conventional surgery due to contracture or scarring of extraocular muscles are the most important advantages of this technique. (Howard, C.W. 1986) Other indications are reoperations, large angle deviations, thyroid ophthalmopathy, blow out fracture, paralytic strabismus, combined horizontal and vertical muscle surgery. (Jampolsky, A.J. 1975, Jampolsky, A.J. 1979, Franklin, S.R. 1989) In this study we aimed to investigate the efficiacy and effectiveness of the hypermaximum lateral rectus muscle recession surgery with the adjustable suture technique in the large angle exotropia patients.
