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Scleral Flap-Everting Suture for Glaucoma-filtering Surgery.
Michele Figus1, Chiara Posarelli, Francesco Nasini
1Department of Surgical, Medical, Molecular Pathology and of Emergency, University of Pisa, Pisa, Italy.
Journal of Glaucoma
|September 16, 2015
Summary
An everting suture can be used after filtering surgery to lift the scleral flap, potentially reducing early surgical failures. This technique avoids conjunctival puncturing, minimizing risks like bleeding and scarring.
Area of Science:
- Ophthalmology
- Surgical Techniques
Background:
- Filtering surgery is crucial for managing glaucoma.
- Early postoperative failure is a significant complication of filtering surgery.
Purpose of the Study:
- To introduce and describe the application of an everting suture.
- To evaluate its potential in preventing early filtering surgery failure.
Main Methods:
- Description of a surgical technique involving an everting suture.
- Application of the suture to the scleral flap in ab externo anterior filtering surgeries.
Main Results:
- The everting suture can be applied to the scleral flap in all ab externo anterior filtering surgeries.
- It enables lifting of the scleral flap post-removal of releasable sutures.
Conclusions:
- The everting suture technique offers an alternative to traditional flap-lifting procedures.
- This method may reduce complications such as conjunctival hemorrhages, leakage, and scarring.
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