Scleral Flap-Everting Suture for Glaucoma-filtering Surgery.
Figus Michele, Posarelli Chiara, Nasini Francesco, Casini Giamberto, Martinelli Paolo, Nardi Marco
AI Summary
This study proposes an everting suture technique for glaucoma filtering surgery to safely lift the scleral flap postoperatively, potentially reducing early failure and avoiding conjunctival puncture complications.
Abstract
Purpose
Most filtering surgery failures develop in the early postoperative period. The possibility to apply an everting suture to lift the flap in the postoperative period and reduce the possibility of an early failure is reported.
Methods
Surgical technique description.
Results
An everting suture may be applied to the scleral flap in all types of ab externo anterior filtering surgeries. It could allow the surgeon to lift the scleral flap after the removal of the releasable sutures.
Conclusions
The use of an everting suture would eliminate the need to use procedures for lifting the flap that involve puncturing the conjunctiva and may cause hemorrhages and leakage and promote scarring.
MeSH Terms
Shields Classification
Key Concepts4
An everting suture may be applied to the scleral flap in all types of ab externo anterior filtering surgeries.
The everting suture could allow the surgeon to lift the scleral flap after the removal of releasable sutures in ab externo anterior filtering surgeries.
The use of an everting suture in glaucoma-filtering surgery would eliminate the need for procedures that involve puncturing the conjunctiva to lift the flap, which may cause hemorrhages, leakage, and promote scarring.
Most filtering surgery failures develop in the early postoperative period.
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