Improved suture for fornix-based conjunctival flap in filtering surgery

Pfeiffer, Norbert ; Grehn, Franz
Springer
Published 1992
ISSN:
1573-2630
Keywords:
surgery ; glaucoma ; trabeculectomy ; goniotrephination ; suture
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract Major problems in the early postoperative phase in filtering surgery are hypotony, flattening of the anterior chamber and choroidal detachment. We describe a new suture technique for the closure of the conjunctiva in goniotrephination with a fornix-based conjunctival flap which is helpful in reducing these complications. After dissecting the conjunctiva from the limbus, a shallow groove is cut directly behind the former conjunctival insertion. At the end of the operation the conjunctiva is sutured into this groove using a running 10.0 nylon suture in a meander-like fashion. A very tight wound closure results. We used this technique in 104 consecutive goniotrephinations. We found a low incidence of only mild external fistulation, hypotony, flattening of the anterior chamber and choroidal detachment. Astigmatism induced by the operation was-1.2+±1.2D, usually with the rule.
Type of Medium:
Electronic Resource
URL:
_version_ 1798296653867778050
autor Pfeiffer, Norbert
Grehn, Franz
autorsonst Pfeiffer, Norbert
Grehn, Franz
book_url http://dx.doi.org/10.1007/BF00917998
datenlieferant nat_lic_papers
hauptsatz hsatz_simple
identnr NLM194444546
issn 1573-2630
journal_name International ophthalmology
materialart 1
notes Abstract Major problems in the early postoperative phase in filtering surgery are hypotony, flattening of the anterior chamber and choroidal detachment. We describe a new suture technique for the closure of the conjunctiva in goniotrephination with a fornix-based conjunctival flap which is helpful in reducing these complications. After dissecting the conjunctiva from the limbus, a shallow groove is cut directly behind the former conjunctival insertion. At the end of the operation the conjunctiva is sutured into this groove using a running 10.0 nylon suture in a meander-like fashion. A very tight wound closure results. We used this technique in 104 consecutive goniotrephinations. We found a low incidence of only mild external fistulation, hypotony, flattening of the anterior chamber and choroidal detachment. Astigmatism induced by the operation was-1.2+±1.2D, usually with the rule.
package_name Springer
publikationsjahr_anzeige 1992
publikationsjahr_facette 1992
publikationsjahr_intervall 8009:1990-1994
publikationsjahr_sort 1992
publisher Springer
reference 16 (1992), S. 391-396
schlagwort surgery
glaucoma
trabeculectomy
goniotrephination
suture
search_space articles
shingle_author_1 Pfeiffer, Norbert
Grehn, Franz
shingle_author_2 Pfeiffer, Norbert
Grehn, Franz
shingle_author_3 Pfeiffer, Norbert
Grehn, Franz
shingle_author_4 Pfeiffer, Norbert
Grehn, Franz
shingle_catch_all_1 Pfeiffer, Norbert
Grehn, Franz
Improved suture for fornix-based conjunctival flap in filtering surgery
surgery
glaucoma
trabeculectomy
goniotrephination
suture
surgery
glaucoma
trabeculectomy
goniotrephination
suture
Abstract Major problems in the early postoperative phase in filtering surgery are hypotony, flattening of the anterior chamber and choroidal detachment. We describe a new suture technique for the closure of the conjunctiva in goniotrephination with a fornix-based conjunctival flap which is helpful in reducing these complications. After dissecting the conjunctiva from the limbus, a shallow groove is cut directly behind the former conjunctival insertion. At the end of the operation the conjunctiva is sutured into this groove using a running 10.0 nylon suture in a meander-like fashion. A very tight wound closure results. We used this technique in 104 consecutive goniotrephinations. We found a low incidence of only mild external fistulation, hypotony, flattening of the anterior chamber and choroidal detachment. Astigmatism induced by the operation was-1.2+±1.2D, usually with the rule.
1573-2630
15732630
Springer
shingle_catch_all_2 Pfeiffer, Norbert
Grehn, Franz
Improved suture for fornix-based conjunctival flap in filtering surgery
surgery
glaucoma
trabeculectomy
goniotrephination
suture
surgery
glaucoma
trabeculectomy
goniotrephination
suture
Abstract Major problems in the early postoperative phase in filtering surgery are hypotony, flattening of the anterior chamber and choroidal detachment. We describe a new suture technique for the closure of the conjunctiva in goniotrephination with a fornix-based conjunctival flap which is helpful in reducing these complications. After dissecting the conjunctiva from the limbus, a shallow groove is cut directly behind the former conjunctival insertion. At the end of the operation the conjunctiva is sutured into this groove using a running 10.0 nylon suture in a meander-like fashion. A very tight wound closure results. We used this technique in 104 consecutive goniotrephinations. We found a low incidence of only mild external fistulation, hypotony, flattening of the anterior chamber and choroidal detachment. Astigmatism induced by the operation was-1.2+±1.2D, usually with the rule.
1573-2630
15732630
Springer
shingle_catch_all_3 Pfeiffer, Norbert
Grehn, Franz
Improved suture for fornix-based conjunctival flap in filtering surgery
surgery
glaucoma
trabeculectomy
goniotrephination
suture
surgery
glaucoma
trabeculectomy
goniotrephination
suture
Abstract Major problems in the early postoperative phase in filtering surgery are hypotony, flattening of the anterior chamber and choroidal detachment. We describe a new suture technique for the closure of the conjunctiva in goniotrephination with a fornix-based conjunctival flap which is helpful in reducing these complications. After dissecting the conjunctiva from the limbus, a shallow groove is cut directly behind the former conjunctival insertion. At the end of the operation the conjunctiva is sutured into this groove using a running 10.0 nylon suture in a meander-like fashion. A very tight wound closure results. We used this technique in 104 consecutive goniotrephinations. We found a low incidence of only mild external fistulation, hypotony, flattening of the anterior chamber and choroidal detachment. Astigmatism induced by the operation was-1.2+±1.2D, usually with the rule.
1573-2630
15732630
Springer
shingle_catch_all_4 Pfeiffer, Norbert
Grehn, Franz
Improved suture for fornix-based conjunctival flap in filtering surgery
surgery
glaucoma
trabeculectomy
goniotrephination
suture
surgery
glaucoma
trabeculectomy
goniotrephination
suture
Abstract Major problems in the early postoperative phase in filtering surgery are hypotony, flattening of the anterior chamber and choroidal detachment. We describe a new suture technique for the closure of the conjunctiva in goniotrephination with a fornix-based conjunctival flap which is helpful in reducing these complications. After dissecting the conjunctiva from the limbus, a shallow groove is cut directly behind the former conjunctival insertion. At the end of the operation the conjunctiva is sutured into this groove using a running 10.0 nylon suture in a meander-like fashion. A very tight wound closure results. We used this technique in 104 consecutive goniotrephinations. We found a low incidence of only mild external fistulation, hypotony, flattening of the anterior chamber and choroidal detachment. Astigmatism induced by the operation was-1.2+±1.2D, usually with the rule.
1573-2630
15732630
Springer
shingle_title_1 Improved suture for fornix-based conjunctival flap in filtering surgery
shingle_title_2 Improved suture for fornix-based conjunctival flap in filtering surgery
shingle_title_3 Improved suture for fornix-based conjunctival flap in filtering surgery
shingle_title_4 Improved suture for fornix-based conjunctival flap in filtering surgery
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source_archive Springer Online Journal Archives 1860-2000
timestamp 2024-05-06T09:55:31.938Z
titel Improved suture for fornix-based conjunctival flap in filtering surgery
titel_suche Improved suture for fornix-based conjunctival flap in filtering surgery
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