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Abstract #21880 Published in IGR 10-3
Releasable suture technique
de Barros DS; Gheith ME; Siam GA; Katz LJJournal of Glaucoma 2008; 17: 414-421
PURPOSE: Releasable scleral flap sutures have been effectively used with trabeculectomy to provide a safer postoperative course. This review will assess the indications for using releasable sutures, with the consideration of their advantages and disadvantages, after trabeculectomy. METHODS: A review of the literature provided the most common releasable suture techniques. RESULTS: Releasable scleral flap sutures reduce the incidence of complications of early postoperative overfiltration after trabeculectomy. As a result, there are fewer cases that might require reformation of the anterior chamber and drainage of suprachoroidal fluid. In contrast to performing laser suture lysis; there is no need for a laser, suture visibility under the conjunctiva is irrelevant, and no contact lens is required. CONCLUSIONS: The use of releasable scleral flap sutures in guarded filtration surgery safely provides an effective and simple way of titrating intraocular pressure postoperatively. It allows the transition from a relatively low flow state to a higher rate of subconjunctival filtration to achieve a satisfactory long-term outcome of glaucoma surgery.
Dr. D.S. Barros, Glaucoma Department, Wills Eye Institute, Jefferson Medical College, Philadelphia, PA 19107, USA
Classification:
12.8.1 Without tube implant (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
