Strabismus surgery using the intraoperative adjustable suture method underanesthesia with propofol

Purpose: To evaluate the feasibility and efficacy of using the intraoperati ve adjustable suture method with anesthesia induced by intravenously admini stered propofol for strabismus surgery. Methods: Seven adult patients (mean age, 29.7 +/- 18.5 years) with differen t types of strabismus were enrolled in this study. All patients underwent f ull ophthalmological and general medical examinations before surgery. Surge ry was performed after induction of anesthesia using intravenously administ ered propofol that was titrated to control consciousness. Results: Arousal of consciousness was observed at approximately 2 minutes a fter discontinuation of the propofol infusion in each case, and the conscio usness level was sufficient to allow accurate cover-uncover testing and int raoperative adjustment of sutures. Minor complications of nausea in three p atients and vomiting in one patient were noted after surgery. Conclusions: Strabismus surgery using the adjustable suture method with pro pofol intravenous anesthesia appears to be safe and useful for the treatmen t of adult strabismus. (C) 1999 Japanese Ophthalmological Society.