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Synthetic absorbable suture for strabismus surgery

E M Helveston, M A Callahan

    American Journal of Ophthalmology
    |August 1, 1976
    PubMed
    Summary
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    Polyglactin 910 (Vicryl) sutures are effective for eye muscle surgery, showing a low 1.5% allergic reaction rate compared to collagen sutures. However, exposed Vicryl can cause irritation at the conjunctival limbus.

    Area of Science:

    • Ophthalmology
    • Surgical Materials Science

    Background:

    • Extraocular muscle surgery requires reliable and safe suture materials.
    • Synthetic absorbable sutures offer potential advantages over traditional materials.

    Purpose of the Study:

    • To evaluate the efficacy and safety of Polyglactin 910 (Vicryl) sutures in extraocular muscle recession and resection procedures.
    • To compare the incidence of adverse reactions between Polyglactin 910 and collagen sutures.

    Main Methods:

    • A study involving 89 cases of extraocular muscle surgery using 5-0 or 6-0 Polyglactin 910 sutures.
    • Comparison of allergic reaction rates with historical data for collagen sutures of similar size.

    Main Results:

    • Polyglactin 910 sutures were satisfactory for extraocular muscle recession and resection.

    Related Experiment Videos

  • An acute allergic reaction occurred in only 1.5% of cases with Polyglactin 910, versus 19% with collagen sutures.
  • Partially exposed Polyglactin 910 sutures at the conjunctival limbus can cause irritation and excessive reactions.

    • Conclusions:

    • Polyglactin 910 (Vicryl) is a safe and effective suture for extraocular muscle surgery with a low allergic reaction profile.
    • Careful placement is necessary to avoid suture exposure at the conjunctival limbus, which may lead to irritation.