Suture-related complications following keratoplasty - A 5-year retrospective study
Suture-related complications following keratoplasty - A 5-year retrospective study
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DOI：
10.1097/00003226-200111000-00008
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发表时间：
2001-11-01
期刊：
影响因子：
2.8
通讯作者：
Beekhuis, WH
中科院分区：
文献类型：
--
作者：
Christo, CG;van Rooij, J;Beekhuis, WH
目的.研究穿透性角膜移植术（PK）后缝线相关并发症的发生率及其对角膜移植成功的影响。方法.回顾了1993年和1994年接受361例移植物的332例患者的记录，并记录了缝合相关并发症。这些并发症分为5组：缝线侵蚀、缝线部位浸润、感染性角膜炎、缝线松动伴伤口即将裂开和缝线取出后伤口裂开。结果发生率为缝线侵蚀，10.8%;浸润，9.4%;与缝线相关的感染性角膜炎，3.3%;缝线松动，伤口即将分离，需要手术修复，8.3%;缝线拆除后伤口裂开，2.4%。结论. PK后经常发生缝线相关并发症。需要手术修复的感染性角膜炎和伤口分离可能会因瘢痕形成、诱导的同种异体移植反应和/或散光增加而导致最佳矫正视力丧失。提出了PK后缝线管理的建议。
Purpose. To study the incidence of suture-related complications following penetrating keratoplasty (PK) and their effect on the success of corneal grafting. Methods. The records of 332 patients receiving 361 grafts in 1993 and 1994 were reviewed, and suture-related complications were recorded. These complications were divided into five groups: suture erosions, infiltrates at the Suture sites, infectious keratitis, loose sutures with imminent wound dehiscence, and wound dehiscence after suture removal. Results. Occurrence rates were suture erosions, 10.8%; infiltrates, 9.4%; infectious keratitis related to sutures, 3.3%; loose sutures with imminent wound separation in need of surgical repair, 8.3%; and wound dehiscence following suture removal, 2.4%. Conclusions. Suture-related complications frequently occur after PK. Infectious keratitis and wound separations needing surgical repair may lead to loss of best-corrected visual acuity due to scarring, induced allograft reactions, and/or increased astigmatism. Recommendations for post-PK suture management are proposed.