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Mersilene sutures for corneal surgery
1Department of Ophthalmology, Hadassah University Hospital, Jerusalem, Israel.
Ophthalmic Surgery
|March 1, 1995
Summary
Running Mersilene sutures in penetrating keratoplasty showed no breakage but required removal in two patients due to complications like astigmatism and herpetic keratitis. Further study is warranted despite observed scarring.
Area of Science:
- Ophthalmology
- Surgical Innovation
- Biomaterials Science
Background:
- Corneal transplantation, specifically penetrating keratoplasty, is a common procedure for vision restoration.
- Suture material choice impacts surgical outcomes and complication rates in corneal grafting.
Purpose of the Study:
- To evaluate the complications associated with running Mersilene suture use in penetrating keratoplasty for keratoconus.
- To compare the outcomes of Mersilene running sutures with traditional nylon stitches.
Main Methods:
- A prospective study involving 14 patients undergoing penetrating keratoplasty for keratoconus.
- Each procedure utilized an 11-0 Mersilene running suture combined with 12 interrupted 10-0 nylon stitches.
- Patients were followed for 22 to 48 months post-surgery.
Main Results:
- No Mersilene sutures fractured during the follow-up period.
- Four Mersilene sutures were removed from two patients due to sterile ulceration-induced loosening/astigmatism and herpetic keratitis.
- Significant scarring was observed along the Mersilene suture loops in 11 patients.
Conclusions:
- Running Mersilene sutures demonstrate potential advantages in penetrating keratoplasty, despite complications like scarring and the need for removal in specific cases.
- The use of Mersilene sutures, either alone or in conjunction with nylon, merits continued investigation for optimizing penetrating keratoplasty outcomes.