Abstract
Suturing technique remains one of the most vital skills in the art of contemporary corneal surgery. Although the main purpose of suture placement remains adequate wound apposition and closure, meticulous attention to appropriate suture placement cannot only minimize postoperative astigmatism, but also may facilitate more rapid visual recovery and lead to a more stable wound long term. A variety of factors remain critical for suture placement, including avoidance of mismatch between radial and nonradial suture bite placement, appropriate donor and recipient bite lengths, appropriate bite depth, and symmetrical and adequately dispersed suture tension in each quadrant of the cornea, with special care to prevent excessive tightening. Th e evolution of corneal suturing techniques from overlay sutures to direct appositional suture closure, along with the discovery of small, monofilament suture material has revolutionized suturing techniques and postoperative success. This chapter focuses on the suturing techniques in penetrating keratoplasty, including indications, instrumentation, various surgical techniques, complications, and future considerations. Corneal suturing in settings other than keratoplasty is discussed elsewhere in this book.
| Original language | English (US) |
|---|---|
| Title of host publication | Ophthalmic Microsurgical Suturing Techniques |
| Publisher | Springer Berlin Heidelberg |
| Pages | 49-59 |
| Number of pages | 11 |
| ISBN (Print) | 3540280693, 9783540280699 |
| DOIs | |
| State | Published - 2007 |
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ASJC Scopus subject areas
- Medicine(all)
Cite this
Corneal suturing techniques. / Lee, W. Barry; Mannis, Mark J.
Ophthalmic Microsurgical Suturing Techniques. Springer Berlin Heidelberg, 2007. p. 49-59.Research output: Chapter in Book/Report/Conference proceeding › Chapter
}
TY - CHAP
T1 - Corneal suturing techniques
AU - Lee, W. Barry
AU - Mannis, Mark J
PY - 2007
Y1 - 2007
N2 - Suturing technique remains one of the most vital skills in the art of contemporary corneal surgery. Although the main purpose of suture placement remains adequate wound apposition and closure, meticulous attention to appropriate suture placement cannot only minimize postoperative astigmatism, but also may facilitate more rapid visual recovery and lead to a more stable wound long term. A variety of factors remain critical for suture placement, including avoidance of mismatch between radial and nonradial suture bite placement, appropriate donor and recipient bite lengths, appropriate bite depth, and symmetrical and adequately dispersed suture tension in each quadrant of the cornea, with special care to prevent excessive tightening. Th e evolution of corneal suturing techniques from overlay sutures to direct appositional suture closure, along with the discovery of small, monofilament suture material has revolutionized suturing techniques and postoperative success. This chapter focuses on the suturing techniques in penetrating keratoplasty, including indications, instrumentation, various surgical techniques, complications, and future considerations. Corneal suturing in settings other than keratoplasty is discussed elsewhere in this book.
AB - Suturing technique remains one of the most vital skills in the art of contemporary corneal surgery. Although the main purpose of suture placement remains adequate wound apposition and closure, meticulous attention to appropriate suture placement cannot only minimize postoperative astigmatism, but also may facilitate more rapid visual recovery and lead to a more stable wound long term. A variety of factors remain critical for suture placement, including avoidance of mismatch between radial and nonradial suture bite placement, appropriate donor and recipient bite lengths, appropriate bite depth, and symmetrical and adequately dispersed suture tension in each quadrant of the cornea, with special care to prevent excessive tightening. Th e evolution of corneal suturing techniques from overlay sutures to direct appositional suture closure, along with the discovery of small, monofilament suture material has revolutionized suturing techniques and postoperative success. This chapter focuses on the suturing techniques in penetrating keratoplasty, including indications, instrumentation, various surgical techniques, complications, and future considerations. Corneal suturing in settings other than keratoplasty is discussed elsewhere in this book.
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UR - http://www.scopus.com/inward/citedby.url?scp=69249247645&partnerID=8YFLogxK
U2 - 10.1007/978-3-540-68041-3_6
DO - 10.1007/978-3-540-68041-3_6
M3 - Chapter
AN - SCOPUS:69249247645
SN - 3540280693
SN - 9783540280699
SP - 49
EP - 59
BT - Ophthalmic Microsurgical Suturing Techniques
PB - Springer Berlin Heidelberg
ER -