- Email: [email protected]
Technique for Suture Removal After Penetrating Keratoplasty
3. Levin, M. P., Getter, L., Adrian, [.. and Cutright, D. E.: Healing of periodontal defects with ceramic implants. J. CHn. Periodont. 1:197, 1974. 4. Heller, A. L., Koenigs, J. F., and Driskell, T. D.: Use of a resorbable ceramic (synthos) in direct pulp-capping. J. Dent. Res. 54:100, 1975. 5. Ferraro, J. W.: Experimental evaluation of ceramic calcium phosphate as a substitute for bone grafts. Plast, Reconstr. Surg. 63:634, 1979. 6. Cameron, H. U., McNab, I., and Pilliar, R. M.: Evaluation of a biodegradable ceramic. J. Biomed. Mater. Res. 11:179, 1977. 7. Nystrom, G.: Plugging of bone cavities with Rivanol-plaster-porridge. Acta Chir. Scand. 63:296, 1928. 8. Peltier, L. F., Bickel, E. Y., Lillo, R., and Thein, M. S.: The use of plaster to fill defects in bone. Ann. Surg, 146:61, 1957. 9. Jarcho, M., Salsburg, R. L., Thomas, M. B., and Doremus, R. H.: Synthesis and fabrication of 13 tricalcium phosphate (whitlockite) ceramics for potential prosthetic applications. J. Mater. Sci. 14:142, 1979. 10. Rejda, B. V., Peelen, J. G. J., and de Groot, K.: Tricalcium phosphate as a bone substitute. J. Bioeng, 1:93, 1977.
TECHNIQUE FOR SUTURE REMOVAL AFTER PENETRATING KERATOPLASTY STEVEN KOENIG, M. D., ROBERT Guss, M.D., AND WILLIAM DE LA PE~A, M.
D.
after penetrating keratoplasty rather than discarded. The barbed tip can be maneuvered to retrieve buried sutures without excessive manipulation of the cornea, thus decreasing the possibility of wound disruption. Occasionally, the tips of disposable super-sharp microsurgical blades are noted to be bent at the time of surgery. Rather than being discarded, such knives can be resterilized in the autoclave and used to remove sutures after penetrating keratoplasty. The cutting edge of the bent instrument tip is used to incise the running suture at several sites along the recipient cornea (Figure). Where the suture emerges from the recipient cornea, it is hooked with the barbed tip of the knife and gently withdrawn from the wound. Partially withdrawn sutures can then be easily grasped with a fine-tipped forceps if necessary. This technique uses an inexpensive disposable microsurgical blade to remove buried sutures without excessive manipulation of the cornea. As a result, damage to the corneal epithelium is minimal and wound disruption is less likely.
New Orleans, Louisiana
A disposable microsurgical blade found to be bent at surgery can be used to remove sutures Accepted for publication Aug. 2, 1982. From the Lions Eye Research Laboratories, Louisiana State University Eye Center, LSU Medical Center School of Medicine, New Orleans, Louisiana. This study was supported in part by grants EY02580 and EY02377 from the National Eye Institute and a postdoctoral fellowship from Fight for Sight, Inc., New York, New York (Dr. Koenig). Reprint requests to Steven B. Koenig, M.D., LSU Eye Center, 136 S. Roman St., New Orleans, LA 70112. ©A\1ERICA~ JOUR~AL
Figure (Koenig, Cuss, and De La Penal. Barbed tip of the microsurgical blade withdrawing a segment of a running suture.
OF OPHTHALMOLOGY 94:549, 1982
549
TECHNIQUE FOR SUTURE REMOVAL AFTER PENETRATING KERATOPLASTY STEVEN KOENIG, M. D., ROBERT Guss, M.D., AND WILLIAM DE LA PE~A, M.
D.
after penetrating keratoplasty rather than discarded. The barbed tip can be maneuvered to retrieve buried sutures without excessive manipulation of the cornea, thus decreasing the possibility of wound disruption. Occasionally, the tips of disposable super-sharp microsurgical blades are noted to be bent at the time of surgery. Rather than being discarded, such knives can be resterilized in the autoclave and used to remove sutures after penetrating keratoplasty. The cutting edge of the bent instrument tip is used to incise the running suture at several sites along the recipient cornea (Figure). Where the suture emerges from the recipient cornea, it is hooked with the barbed tip of the knife and gently withdrawn from the wound. Partially withdrawn sutures can then be easily grasped with a fine-tipped forceps if necessary. This technique uses an inexpensive disposable microsurgical blade to remove buried sutures without excessive manipulation of the cornea. As a result, damage to the corneal epithelium is minimal and wound disruption is less likely.
New Orleans, Louisiana
A disposable microsurgical blade found to be bent at surgery can be used to remove sutures Accepted for publication Aug. 2, 1982. From the Lions Eye Research Laboratories, Louisiana State University Eye Center, LSU Medical Center School of Medicine, New Orleans, Louisiana. This study was supported in part by grants EY02580 and EY02377 from the National Eye Institute and a postdoctoral fellowship from Fight for Sight, Inc., New York, New York (Dr. Koenig). Reprint requests to Steven B. Koenig, M.D., LSU Eye Center, 136 S. Roman St., New Orleans, LA 70112. ©A\1ERICA~ JOUR~AL
Figure (Koenig, Cuss, and De La Penal. Barbed tip of the microsurgical blade withdrawing a segment of a running suture.
OF OPHTHALMOLOGY 94:549, 1982
549