Adjustable Knot Technique

I believe the adjustable knot technique described by Dangel is the best method for tying most ophthalmic sutures. The main advantages are no slippage, predictable suture tension, and a compact knot that is easy to bury in tissue. I learned this technique almost two decades ago from Douglas Koch, MD during the first week of my fellowship, and since that time I exclusively use it for closing corneal and scleral incisions.

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