Applications for a corneal mattress suture in anterior limbal wound repairs.
We describe the use of a corneal mattress suture to manage two complications of trabeculectomy: first, to repair an anterior conjunctival tear/disinsertion in a limbus-based conjunctival flap; and, second, to restore wound integrity by reinforcing a focal section of scleromalacia or to close a perforation remaining from a previous cataract wound encountered during complicated trabeculectomy. In each setting, a single, double-armed 10-0 nylon corneal mattress suture is used as an anchor to establish a watertight limbal-wound closure. Additionally, for repairing an area of a scleromalacia/perforation, the corneal mattress suture can be used to incorporate a graft of Tenon's fascia into the wound.
Palmer
R M
RM
LSU Eye Center, Louisiana State University Medical Center School of Medicine, New Orleans.
Burgoyne
C F
CF
D000368:Aged; D000369:Aged, 80 and over; D000869:Anterior Eye Segment / Q000293:injuries / Q000601:surgery*; D003315:Cornea / Q000601:surgery*; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D016850:Limbus Corneae / Q000293:injuries* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013524:Surgical Flaps; D013536:Suture Techniques; D014130:Trabeculectomy / Q000009:adverse effects; D014945:Wound Healing