دورية أكاديمية
Corset suture: A novel technique of overlay appositional continuous sutures with air tamponade for management of large acute corneal hydrops
| العنوان: | Corset suture: A novel technique of overlay appositional continuous sutures with air tamponade for management of large acute corneal hydrops |
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| المؤلفون: | Gautam Singh Parmar, Ashish Agrawal, Ashok Meena, Priyanka Mutha, Bharat Gurnani |
| المصدر: | Indian Journal of Ophthalmology, Vol 72, Iss 4, Pp 592-595 (2024) |
| بيانات النشر: | Wolters Kluwer Medknow Publications, 2024. |
| سنة النشر: | 2024 |
| المجموعة: | LCC:Ophthalmology |
| مصطلحات موضوعية: | appositional suture, corneal hydrops, corset suture, overlay suture, Ophthalmology, RE1-994 |
| الوصف: | Management of large acute corneal hydrops (ACH) has always been a challenge. Various medical and surgical management options have been used, such as topical steroids, cycloplegics, antiglaucoma medications, antibiotics, Descemet's membrane reposition, and pre-Descematic sutures, for the management of acute hydrops, but have shown limited benefit. We hereby describe a novel technique of appositional continuous overlay sutures along with air tamponade for surgical management of corneal edema following large ACH. In this technique, the epithelium is scraped to visualize the stromal cleft, and then corneal marking is done to locate the suture placement site. Next, a continuous overlay, 10-0 nylon suture is passed in a crisscross fashion, just like the laces of a corset. A small paracentesis is made to lower the intraocular pressure. Stromal fluid is milked out using two iris spatulas, simultaneous suture tension adjustment is done, and the knot is secured. Appropriate anterior chamber tamponade is achieved using air, paracentesis is hydrated, and a bandage contact lens is applied. We noted complete resolution of corneal edema within 2 weeks of the procedure, with significant improvement in visual acuity. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 0301-4738 1998-3689 |
| Relation: | http://www.ijo.in/article.asp?issn=0301-4738;year=2024;volume=72;issue=4;spage=592;epage=595;aulast=Parmar; https://doaj.org/toc/0301-4738; https://doaj.org/toc/1998-3689 |
| DOI: | 10.4103/IJO.IJO_1006_23 |
| URL الوصول: | https://doaj.org/article/42de1175bc394a0fa6c09e8a076d9ee7 |
| رقم الأكسشن: | edsdoj.42de1175bc394a0fa6c09e8a076d9ee7 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 03014738 19983689 |
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| DOI: | 10.4103/IJO.IJO_1006_23 |