Mester U, Zuche M, Rauber M
Augenklinik der Bundesknappschaft, Sulzbach, Germany.
J Cataract Refract Surg. 1993 Sep;19(5):616-9. doi: 10.1016/s0886-3350(13)80011-9.
The scleral pocket technique has dramatically changed wound closure after phacoemulsification with implantation of a posterior chamber lens. The use of single-stitch technique and wound closure by fibrin adhesive is now possible. We conducted a comparative study of 385 consecutive patients; 167 received only fibrin glue for wound closure and 218 had the single-stitch procedure. No complications were observed in either group. Surgically induced astigmatism was smaller in the fibrin group (vector analysis: 0.80 diopters [D]) than in the single-stitch group (vector analysis: 0.99 D). Minimal, statistically insignificant different against-the-rule astigmatism developed: single-stitch group: -0.07 D (Cravy), -0.09 D (Naeser); fibrin adhesive group: -0.13 D (Cravy), -0.17 D (Naeser). These results suggest that postoperative against-the-rule astigmatism can be prevented with fibrin glue.
巩膜瓣下技术极大地改变了白内障超声乳化吸除联合后房型人工晶状体植入术后的伤口闭合方式。现在，使用单缝线技术和纤维蛋白黏合剂进行伤口闭合成为可能。我们对385例连续患者进行了一项对比研究；167例仅使用纤维蛋白胶进行伤口闭合，218例采用单缝线技术。两组均未观察到并发症。纤维蛋白组的手术源性散光（矢量分析：0.80屈光度[D]）比单缝线组（矢量分析：0.99 D）小。出现了最小的、统计学上无显著意义的逆规散光：单缝线组：-0.07 D（克拉维），-0.09 D（内泽尔）；纤维蛋白黏合剂组：-0.13 D（克拉维），-0.17 D（内泽尔）。这些结果表明，使用纤维蛋白胶可预防术后逆规散光。
