Pagano Luca, Shah Haider, Al Ibrahim Omar, Gadhvi Kunal A, Coco Giulia, Lee Jason W, Kaye Stephen B, Levis Hannah J, Hamill Kevin J, Semeraro Francesco, Romano Vito
St. Paul's Eye Unit, Royal Liverpool University Hospital, Liverpool L7 8XP, UK.
Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, 20090 Milan, Italy.
J Clin Med. 2022 Feb 18;11(4):1078. doi: 10.3390/jcm11041078.
Effective suturing remains key to achieving successful outcomes in corneal surgery, especially anterior lamellar keratoplasty and full thickness transplantation. Limitations in the technique may result in complications such as wound leak, infection, or high astigmatism post corneal graft. By using a systematic approach, this study reviews articles and conducts content analysis based on update 2020 PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses criteria). The aim of this paper is to summarize the state of the art of corneal suturing techniques for every type of corneal transplant and patient age and also their outcomes regarding astigmatism and complications. Future developments for corneal transplantation will be also discussed. This is important because especially the young surgeon must have knowledge of the implications of every suture performed in order to achieve consistent and predictable post-operative outcomes and also be aware of all the possible complications.
有效的缝合仍然是角膜手术取得成功结果的关键，尤其是在前板层角膜移植术和全层移植术中。技术上的局限性可能导致诸如伤口渗漏、感染或角膜移植术后高散光等并发症。本研究采用系统的方法，根据2020年更新的PRISMA（系统评价和Meta分析的首选报告项目标准）对文章进行综述并进行内容分析。本文的目的是总结针对每种类型的角膜移植和患者年龄的角膜缝合技术的现状，以及它们在散光和并发症方面的结果。还将讨论角膜移植的未来发展。这很重要，因为尤其是年轻的外科医生必须了解每一针缝合的影响，以便获得一致且可预测的术后结果，同时还要意识到所有可能的并发症。
