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3-year period and provides parameters that other centers may find helpful as they establish sedated suture adjustment programs of their own. References 1. Nihalani BR, Whitman MC, Salgado CM, Loudon SE, Hunter DG. Short tag noose technique for optional and late suture adjustment in strabismus surgery. Arch Ophthalmol 2009;127:1584-90. 2. Apt L, Isenberg S, Gaffney WL. The oculocardiac reflex in strabismus surgery. Am J Ophthalmol 1973;76:533-6. 3. Eustis HS, Eiswirth CC, Smith DR. Vagal responses to adjustable sutures in strabismus correction. Am J Ophthalmol 1992;114:307-10. 4. Engel JM, Guyton DL, Hunter DG. Adjustable sutures in children. J AAPOS 2014;18:278-84. 5. Awadein A, Sharma M, Bazemore MG, Saeed HA, Guyton DL. Adjustable suture strabismus surgery in infants and children. J AAPOS 2008;12:585-90. 6. Merkel SI, Voepel-Lewis T, Shayevitz JR, Malviya S. The FLACC: a behavioral scale for scoring postoperative pain in young children. Pediatr Nurs 1997;23:293-7. 7. Rodgers A, Cox RG. Anesthetic management for pediatric strabismus surgery: Continuing professional development. Can J Anaesth 2010; 57:602-17. 8. Larsson S, Asgeirsson B, Magnusson J. Propofol-fentanyl anesthesia compared to thiopental-halothane with special reference to recovery and vomiting after pediatric strabismus surgery. Acta Anaesthesiol Scand 1992;36:182-6.
9. Watcha MF, Simeon RM, White PF, Stevens JL. Effect of propofol on the incidence of postoperative vomiting after strabismus surgery in pediatric outpatients. Anesthesiology 1991;75:204-9. 10. Mills MD. Perianesthesia care of adult and pediatric strabismus surgery patients. J Perianesth Nurs 1998;13:16-23. quiz 23–15. 11. Kovac AL. Management of postoperative nausea and vomiting in children. Paediatr Drugs 2007;9:47-69. 12. Williams AR, Conroy JM. The anesthetic management of the pediatric strabismus patient. J AAPOS 1998;2:113-15. 13. Watcha MF, Bras PJ, Cieslak GD, Pennant JH. The dose-response relationship of ondansetron in preventing postoperative emesis in pediatric patients undergoing ambulatory surgery. Anesthesiology 1995;82:47-52. 14. Cogen MS, Guthrie ME, Vinik HR. The immediate postoperative adjustment of sutures in strabismus surgery with comaintenance of anesthesia using propofol and midazolam. J AAPOS 2002;6:241-5. 15. Wan MJ, Mantagos IS, Shah AS, Kazlas M, Hunter DG. Comparison of botulinum toxin with surgery for the treatment of acute-onset, comitant esotropia in children. Am J Ophthalmol 2017;176:33-9. 16. Chan TK, Rosenbaum AL, Hall L. The results of adjustable suture technique in paediatric strabismus surgery. Eye (Lond) 1999;13: 567-70. 17. Dawson E, Bentley C, Lee J. Adjustable squint surgery in children. Strabismus 2001;9:221-4. 18. Mireskandari K, Cotesta M, Schofield J, Kraft SP. Utility of adjustable sutures in primary strabismus surgery and reoperations. Ophthalmology 2012;119:629-33.
An Eye on the Arts—the Arts on the Eye She was not beautiful. . Her best feature was her eyes, oblique and set wide apart: two perfect black almonds. She held out a small hand, which was engulfed by his own, and murmured a greeting without meeting his eyes. —Isabel Allende, The Infinite Plan (New York: Harper Collins, 1993), 207. Contributed by Alex V. Levin, MD, MHSc, Philadelphia, Pennsylvania
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