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A 2025 meta-analysis evaluated adjustable versus non-adjustable sutures in childhood strabismus surgery. Five comparative studies comprising more than 8,700 children were included. The pooled analysis suggested a higher early surgical success rate with adjustable sutures, while the difference in reoperation rate was not statistically significant. The authors noted that the available evidence was heterogeneous and that long-term superiority remains uncertain. The clinical relevance is that adjustable sutures offer a mechanism for fine-tuning postoperative alignment when the child's cooperation and clinical setting allow it. However, practical feasibility can be limited in young children who cannot tolerate postoperative adjustment. For HCPs, technique selection should therefore be based on age, type of deviation, surgeon experience, anaesthetic plan and the likelihood that postoperative adjustment will materially change the final result. The evidence is particularly relevant to AIOC's paediatric ophthalmology and strabismus sessions, where surgical precision and outcome optimisation are central.
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A 2025 meta-analysis evaluated adjustable versus non-adjustable sutures in childhood strabismus surgery. Five comparative studies comprising more than 8,700 children were included. The pooled analysis suggested a higher early surgical success rate with adjustable sutures, while the difference in reoperation rate was not statistically significant. The authors noted that the available evidence was heterogeneous and that long-term superiority remains uncertain. The clinical relevance is that adjustable sutures offer a mechanism for fine-tuning postoperative alignment when the child's cooperation and clinical setting allow it. However, practical feasibility can be limited in young children who cannot tolerate postoperative adjustment. For HCPs, technique selection should therefore be based on age, type of deviation, surgeon experience, anaesthetic plan and the likelihood that postoperative adjustment will materially change the final result. The evidence is particularly relevant to AIOC's paediatric ophthalmology and strabismus sessions, where surgical precision and outcome optimisation are central.
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