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白内障手术中7-0聚乙醇酸(德克松)缝线的晚期并发症

Late complications of 7-0 polyglycolic (Dexon) sutures in cataract surgery.

作者信息

Klemetti A

出版信息

Acta Ophthalmol (Copenh). 1979 Feb;57(1):33-40. doi: 10.1111/j.1755-3768.1979.tb06656.x.

Abstract

The late complications of corneo-scleral wound healing after the 15th postoperative day were recorded in 108 routine adult cataract operations using 7-0 polyglycolic acid (Dexon) sutures and compared with 80 routine adult cataract operations using 9-0 monofilament nylon (9-10 Ethilon Nylon) sutures. In 37 eyes of the 7-0 Dexon group filtrating blebs, gaping of the corneoscleral wound, anterior chamber collapse, or decrease in the intraocular pressure were observed compared with one filtrating bleb in the 9-0 nylon group. The majority of late complications occurred 22 to 42 days after surgery. Ten filtrating blebs remained after a 5 months' follow-up period. The most probable cause of the late complications in corneo-scleral wound healing was discussed.

摘要

在108例采用7-0聚乙醇酸(德克斯隆)缝线的常规成人白内障手术中记录了术后第15天之后的角巩膜伤口愈合晚期并发症,并与80例采用9-0单丝尼龙(9-10伊思纶尼龙)缝线的常规成人白内障手术进行比较。在7-0德克斯隆组的37只眼中观察到滤过泡、角巩膜伤口裂开、前房塌陷或眼压降低,而9-0尼龙组只有1只眼出现滤过泡。大多数晚期并发症发生在术后22至42天。经过5个月的随访期后仍有10个滤过泡存在。文中讨论了角巩膜伤口愈合晚期并发症最可能的原因。

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