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David K. Coats, MD

Arch Ophthalmol. 2001;119:1364-1367.

ABSTRACT
Adjustable sutures in strabismus surgery may be difficult or impossible in poorly cooperative patients. An adjunct suture technique that allows a 1-step, all-or-nothing, preprogrammed adjustment in patients not considered good candidates for standard postoperative adjustable sutures is described. Twelve patients underwent adjustable strabismus surgery using the ripcord technique. Six patients had unacceptable alignment after surgery. In 5 of these, alignment was successfully adjusted. The ripcord adjustable suture technique is effective and is well tolerated by patients.

From the Cullen Eye Institute, Departments of Ophthalmology and Pediatrics, Baylor College of Medicine, Texas Children's Hospital, Houston. The author has no financial interest in the methods described in this report.