Article
One Stitch Subconjunctival Suture – a new Suture Technique for Transconjunctival Vitrectomy
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Published: | September 21, 2010 |
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Background: After complex transconjunctival vitrectomy sclerotomies often may leak. Frequently, a suture is required in order to avoid hypotony, haemorrhage or even endophthalmitis. Most surgeons use a single transconjunctival stitch under these circumstances. However, this traditional suturing technique may provide an entry port for intraocular infections. Moreover, the knot may cause considerable ocular irritation.
Methods: With the presented one stitch subconjunctival suture technique sclerotomies after transconjunctival vitrectomy can be closed with the suture and the knot completely covered by conjunctiva.
Results: Compared to traditional transconjunctival closure patients experience less ocular irritation when the subconjunctival one stitch technique is employed. The high patient comfort that is associated with small port transconjunctival vitrectomy can be maintained with subconjunctival one stitch suturing technique. Apart from that, the risk for endophthalmitis may be lowered.
Conclusions: The subconjunctival one stitch technique is a facility for further improvement of transconjunctival vitrectomy.