King Edward VII Hospital, Windsor, UK.
J Cataract Refract Surg. 2010 Nov;36(11):1839-48. doi: 10.1016/j.jcrs.2010.06.058.
To assess an adherent ocular bandage for clear corneal incisions (CCIs) in cataract surgery using optical coherence tomography (OCT).
Prince Charles Eye Unit, Windsor, United Kingdom.
Case-control study.
Patients having coaxial microincision cataract surgery (MICS) were allocated to an adherent ocular bandage group or to a control group. The CCIs were examined postoperatively within 2 hours and at 24 hours and 7 days using OCT imaging and a slitlamp fluorescein 2% Seidel test.
The ocular bandage group comprised 22 eyes and the control group, 23 eyes. The mean intraocular pressure (IOP) in the immediate postoperative period was significantly lower in the control group (13.4 mm Hg ± 5.28 [SD]; range 5 to 23 mm Hg) than in the bandage group (19.4 ± 5.94 mm Hg, range 11 to 29 mm Hg) (P<.001, t test). In the bandage group, all incisions were Seidel negative. In the control group, 1 main incision was Seidel positive. In 2 cases, the bandage successfully captured a micro-leak and thus maintained an intact anterior chamber. Differences in OCT architectural features between the bandage group and control group were noted.
The adherent ocular bandage protected the incisions, selectively adhering to deepithelialized areas and rapidly clearing from reepithelialized areas. The bandage helped maintain a more desirable IOP in the immediate postoperative period, likely by preventing micro-leaks.
使用光学相干断层扫描（OCT）评估白内障手术中用于透明角膜切口（CCI）的粘性眼绷带。
英国温莎的查尔斯王子眼科中心。
病例对照研究。
接受同轴微切口白内障手术（MICS）的患者被分配到粘性眼绷带组或对照组。使用 OCT 成像和裂隙灯荧光素 2％Seidel 测试，在术后 2 小时内、24 小时和 7 天内检查 CCI。
眼绷带组包括 22 只眼，对照组包括 23 只眼。对照组的即时术后眼压（IOP）明显低于绷带组（13.4mmHg±5.28[SD]；范围 5 至 23mmHg）（P<.001，t 检验）。在绷带组中，所有切口均未出现 Seidel 阳性。在对照组中，1 个主切口 Seidel 阳性。在 2 例中，绷带成功捕获了微渗漏，从而维持了完整的前房。注意到绷带组和对照组之间 OCT 结构特征存在差异。
粘性眼绷带保护了切口，选择性地附着于去上皮化区域，并迅速从再上皮化区域清除。绷带有助于在术后即刻维持更理想的 IOP，可能是通过防止微渗漏。
