在睫状体扁平部玻璃体切割术中行改良非缝合性巩膜切口

来源 :世界核心医学期刊文摘.眼科学分册 | 被引量 : 0次 | 上传用户:moreee
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To describe a modified technique for performing sutureless sclerotomies for pa rs plana vitrectomy and to examine its efficacy and safety. Retrospective, inter ventional case series. Selfsealing sclerotomies were created in 35 consecutive c ases by oblique penetration of the sclera with a 19G MVR blade. All but two (2.9 %) of the sclerotomies were watertight without suturing at the end of surgery. A conjunctival bleb was observed during the first postoperative week in one case , but it resolved without intervention. Construction of sutureless sclerotomies by this technique is simpler and more rapid compared with previously described t echniques. The resulting sclerotomies are more resistant to stretching and teari ng of the tunnel’s roof, they rarely need suturing, and insertion of instrument s is facilitated. To describe a modified technique for performing sutureless sclerotomies for pa rs plana vitrectomy and to examine its efficacy and safety. Retrospective, interventional case series. Selfsealing sclerotomies were created in 35 consecutive c ases by oblique penetration of the sclera with a 19G MVR blade. All but two (2.9%) of the sclerotomies were watertight without suturing at the end of surgery. A conjunctival bleb was observed during the first postoperative week in one case, but it resolved without intervention. Construction of sutureless sclerotomies by this technique is simpler and more rapid compared with previously described t echniques. The resulting sclerotomies are more resistant to stretching and teari ng of the tunnel’s roof, they rarely need suturing, and insertion of instrument s is facilitated.
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