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白内障手术中用于控制散光的巩膜隧道切口的深层缝合与对位缝合

Deep versus appositional suturing of the scleral pocket incision for astigmatic control in cataract surgery.

作者信息

Masket S

出版信息

J Cataract Refract Surg. 1987 Mar;13(2):131-5. doi: 10.1016/s0886-3350(87)80126-8.

DOI:10.1016/s0886-3350(87)80126-8
PMID:3553532
Abstract

A study was performed to determine whether alternative suturing techniques of a standard wound play a significant role in the immediate and long-term postoperative course of corneal astigmatism. Two groups of patients had phacoemulsification and posterior chamber lens implantation through a scleral pocket incision closed with a continuous suture. In one group, the sutures were apposed to the posterior edge of the scleral incision; in the second group, deep suture placement designed to incorporate the internal layer of the scleral pocket was used. The deep suture group demonstrated significantly reduced transient iatrogenic astigmatism but the eventual healed astigmatic results were similar for the two groups. The deep suture group developed no filtration blebs; these did occur in three of 50 cases sutured with the appositional technique.

摘要

进行了一项研究,以确定标准伤口的替代缝合技术在角膜散光术后近期和长期病程中是否起重要作用。两组患者均通过巩膜隧道切口行超声乳化白内障吸除及后房型人工晶状体植入术,并采用连续缝合关闭切口。一组将缝线置于巩膜切口后缘;另一组采用深层缝线置入技术,旨在纳入巩膜隧道内层。深层缝线组的短暂医源性散光明显减少,但两组最终的散光愈合结果相似。深层缝线组未出现滤过泡;而采用对位缝合技术的50例中有3例出现了滤过泡。

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Deep versus appositional suturing of the scleral pocket incision for astigmatic control in cataract surgery.白内障手术中用于控制散光的巩膜隧道切口的深层缝合与对位缝合
J Cataract Refract Surg. 1987 Mar;13(2):131-5. doi: 10.1016/s0886-3350(87)80126-8.
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