Gloor B P
Klin Monbl Augenheilkd. 1978 Apr;172(4):414-9.
A presentation is given of some complications resulting from wound closure technique following cataract extraction, without postoperative loss of the anterior chamber. Group 1: In 3 cases a filtering bleb developed within the first 10 days postoperatively, due to faulty suture technique. Wound revision was not necessary. Group 2: In 6 cases wound dehiscence only developed after 3 weeks or longer. In 5 of these cases the fistula, and the subsequent dehiscence, occured at the site of a Barraquer silk suture; which appeared to be at least partially responsible for the complication. 2 of these 5 cases required resuturing, the remaining 3 slowly improved spontaneously. In the 6th case, which also required surgical intervention, the fistula was not situated near a suture. Due to the problems encountered with Barraquer silk sutures the same 3 step cataract incision previously employed was closed instead with interrupted Tübinger nylon sutures, the knots being buried whenever possible. The results were analysed in 81 eyes operated upon with this technique. Postoperative astigmatism lay within normal limits. In one case a filtering bleb developed at the site of a suture. Tübinger nylon sutures are now preferred to Barraquer silk sutures due to the better results obtained so far.
介绍了白内障摘除术后伤口闭合技术导致的一些并发症，且术后无前房丧失的情况。第一组：3例患者术后10天内出现滤过泡，原因是缝合技术有误。无需进行伤口修复。第二组：6例患者伤口裂开仅在3周或更长时间后出现。其中5例瘘管及随后的裂开发生在巴拉奎尔丝线缝合处；这似乎至少部分导致了该并发症。这5例中的2例需要重新缝合，其余3例自行缓慢好转。第6例也需要手术干预，瘘管不在缝合线附近。由于巴拉奎尔丝线缝合出现问题，之前采用的相同的三步白内障切口改用间断的图宾根尼龙缝线缝合，尽可能将结埋入。对用该技术手术的81只眼的结果进行了分析。术后散光在正常范围内。1例在缝合处出现滤过泡。由于迄今为止获得了更好的结果，现在图宾根尼龙缝线比巴拉奎尔丝线更受青睐。
