Binder P S
Ophthalmology. 1985 Oct;92(10):1412-6. doi: 10.1016/s0161-6420(85)33856-3.
Two hundred four consecutive eyes underwent penetrating keratoplasty by a single surgeon using eight interrupted 10-0 monofilament nylon sutures in the cardinal position combined with a continuous 11-0, 16-bite monofilament nylon suture technique. The interrupted 10-0 monofilament nylon sutures were selectively removed postkeratoplasty based on central keratometry readings and corneal topography. Sutures were removed in 56 eyes in Group I as early as six to eight weeks after surgery and in 148 eyes in Group II as early as three weeks after surgery. The mean astigmatism for all groups decreased from 7.5 diopters in the first postoperative month to 2.6 diopters 14 to 16 months after surgery. Sutures were completely removed in 75 eyes in this study between 2 and 46 months after surgery without producing significant changes in corneal curvature. The complications associated with this suturing technique were no different from those associated with other suturing techniques. The selective removal of interrupted sutures postkeratoplasty can improve the recovery of vision after corneal transplantation without subjecting the eyes to increased risks.
204只连续的眼睛由一位外科医生进行穿透性角膜移植术，采用在主要位置使用8根间断的10-0单丝尼龙缝线并结合连续的11-0、16针单丝尼龙缝线技术。角膜移植术后，根据中央角膜曲率计读数和角膜地形图，选择性地拆除间断的10-0单丝尼龙缝线。I组56只眼睛在术后6至8周尽早拆除缝线，II组148只眼睛在术后3周尽早拆除缝线。所有组的平均散光度数从术后第一个月的7.5屈光度降至术后14至16个月的2.6屈光度。本研究中75只眼睛在术后2至46个月之间完全拆除缝线，角膜曲率未产生明显变化。与这种缝线技术相关的并发症与其他缝线技术相关的并发症并无不同。角膜移植术后选择性拆除间断缝线可改善角膜移植术后的视力恢复，而不会增加眼睛的风险。
