Koerner F
Klin Monbl Augenheilkd. 1980 May;176(5):864-6. doi: 10.1055/s-2008-1057573.
A safety suture with twisted 6-0 silk material for immediate closure of a sclerotomy wound after pars plana vitrectomy is described. The needle is first carried about 5 mm intrasclerally toward the edge of the sclerotomy and, after an oblique pass across the scleral incision, another intrascleral passage of 5 mm follows on the opposite side (Fig. 1). Bimanual stretching of the safety suture (Fig. 2) by the assistant provides a watertight adaptation of the sclerotomy and facilitates the placing of about four 10-0 interrupted nylon sutures without loss of intraocular pressure. After closing the sclerotomy, the safety suture is cut close to the sclera, and the remaining end of the suture is gently pulled out of the sclera.
描述了一种采用6-0捻制丝线材料的安全缝线，用于在平坦部玻璃体切除术后立即闭合巩膜切开伤口。首先将针在巩膜内朝巩膜切开边缘行进约5毫米，在斜向穿过巩膜切口后，在对侧再进行5毫米的巩膜内穿行（图1）。助手通过双手拉伸安全缝线（图2）可实现巩膜切开处的水密贴合，并便于放置约四根10-0间断尼龙缝线，同时不会导致眼压降低。闭合巩膜切开伤口后，将安全缝线靠近巩膜处剪断，并将缝线的剩余末端轻轻从巩膜中拉出。
