Transconjunctival Plain Gut "Tape" for 23-Gauge Sclerotomy Closure

被引：6

作者：

Ryan, Edwin H., Jr. ^{[1
,2
]}

机构：

[1] VitreoRetinal Surg PA, Edina, MN USA

[2] Univ Minnesota, Minneapolis, MN USA

来源：

ARCHIVES OF OPHTHALMOLOGY | 2011年 / 129卷 / 08期

关键词：

PARS-PLANA VITRECTOMY; INCOMPETENT WOUND CLOSURE; SUTURELESS VITRECTOMY; 25-GAUGE VITRECTOMY; AFFER; 25-GAUGE; 20-GAUGE; OUTCOMES; SURGERY; OBLIQUE; ENDOPHTHALMITIS;

D O I：

10.1001/archophthalmol.2011.205

中图分类号：

R77 [眼科学];

学科分类号：

100212 ;

摘要：

Small-incision "sutureless" vitrectomy has become increasingly popular, but wound leaks still occur in some cases. This can lead to postoperative hypotony and may increase the risk of endophthalmitis. I have developed a new wound closure method using transconjunctival 6-0 plain gut suture fashioned as a "tape." Since the suture ends remain under the conjunctiva, the risk of both wicking and foreign body sensation is minimized. The patients treated with 6-0 plain gut "tape" are more comfortable than those managed with transconjunctival polyglactin 910 sutures and have low rates of hypotony. The plain gut sutures are well tolerated, showing little postoperative inflammatory reaction. This is a low-cost, effective, and simple method for wound closure when needed in small-incision vitrectomy. Arch Ophthalmol. 2011;129(8):1070-1072

引用

页码：1070 / 1072

页数：3

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