• By using the adjustable strabismus suture technique, one may alter the results of strabismus surgery in the immediate postoperative period. The adjustment requires an alert and attentive patient who will cooperate during covertest measurements in primary and other important positions of gaze. A modification of the cul-de-sac approach for adjustable recession and resection techniques, as well as postoperative adjustment methods, is described.
Nelson LB, Calhoun JH, Harley RD, Freeley DA. Cul-de-sac Approach to Adjustable Strabismus Surgery. Arch Ophthalmol. 1982;100(8):1305-1307. doi:10.1001/archopht.1982.01030040283016