11-0 mersilene as running suture for penetrating keratoplasty.

Abstract

We evaluated astigmatic results and complications of the combined suturing technique in penetrating keratoplasty by using 11-0 Mersilene as a running suture. Twenty-seven grafts were studied for a follow-up that ranged between ten and 46 months (mean, 27.2 months). During the study, complications included three graft failures, one instance of inadvertent breakage of the running suture, one instance of one suture bite cutting through the recipient cornea, and suture microabscesses in two eyes. Keratometric astigmatism was 2.5 +/- 2.1 diopters at six months, was 2.4 +/- 2.3 diopters at 12 months, and was 2.5 +/- 2.0 diopters at 24 months. Our data indicate that 11-0 Mersilene is suitable for the running suture in corneal transplants in the combined technique. Spontaneous suture dissolution did not occur throughout the follow-up period. The use of a less biodegradable suture enables the maintenance of low levels of astigmatism for longer periods when compared with a previous study that used 11-0 nylon suture.

• Authors: B E Frueh, S I Brown, S T Feldman
• Journal: American journal of ophthalmology (Am J Ophthalmol) Vol. 114 Issue 6 Pg. 675-9 (Dec 15 1992) ISSN: 0002-9394 [Print] United States
• PMID: 1463036 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, P.H.S.)

Chemical References

• Polyethylene Terephthalates
• Lavsan

Topics

• Adult
• Aged
• Aged, 80 and over
• Astigmatism (etiology)
• Corneal Diseases (surgery)
• Female
• Follow-Up Studies
• Graft Rejection (etiology)
• Humans
• Keratoplasty, Penetrating
• Male
• Middle Aged
• Polyethylene Terephthalates (adverse effects)
• Postoperative Complications
• Suture Techniques
• Sutures (adverse effects)
• Visual Acuity