玻璃体切除术平面内改良无缝线巩膜切开术
Modified sutureless sclerotomies in pars plana vitrectomy.
作者信息
Kwok A K, Tham C C, Lam D S, Li M, Chen J C
机构信息
Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin.
出版信息
Am J Ophthalmol. 1999 Jun;127(6):731-3. doi: 10.1016/s0002-9394(98)00427-9.
PURPOSE
To study the effectiveness and safety of a modified sutureless sclerotomy technique in pars plana vitrectomy.
METHODS
We rotated the scleral tunnels of the original sutureless sclerotomy technique through 90 degrees, thus rendering them parallel to the corneoscleral limbus. This modified technique was applied to 25 consecutive eyes (25 patients) that had pars plana vitrectomy during a 2-month period.
RESULTS
Twenty (80%) of 25 eyes (25 patients) did not require suturing of the sclerotomy sites associated with pars plana vitrectomy. Eight (11%) of 75 sclerotomy sites required suturing to ensure watertight closure. No clinically significant complications were encountered.
CONCLUSION
The modified sutureless sclerotomy technique was found to be safe, more convenient, and easier to perform, especially in eyes with small interpalpebral space.
目的
研究改良无缝线巩膜切开术在玻璃体切割术中的有效性和安全性。
方法
我们将原无缝线巩膜切开术的巩膜隧道旋转90度，使其与角巩膜缘平行。在2个月的时间里，将这种改良技术应用于连续25只眼（25例患者）的玻璃体切割术中。
结果
25只眼（25例患者）中有20只（80%）在玻璃体切割术相关的巩膜切开部位无需缝合。75个巩膜切开部位中有8个（11%）需要缝合以确保水密性闭合。未遇到具有临床意义的并发症。
结论
改良无缝线巩膜切开术被发现是安全的，更方便且易于实施，尤其适用于睑裂间距离小的眼睛。
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