Clinical methods have evolved over centuries. They reflect cumulative clinical wisdom of generations. Acquisition of skill of performing clinical methods has been regarded as a means of gaining knowledge. These skills not only help in learning psychomotor skills, but they also offer an opportunity to learn professionalism.1 Excellence in these skills have been sought and desired as the way to reach a diagnosis. To be proficient, it requires hard work of years and interactions among a community of professionals refine these acumen over time.
Purpose: To describe a new technique of suturing sclerotomy after 23- gauge pars plana vitrectomy using10 – 0 nylon suture with releasable knot. Study Design: Quasi experimental study. Place and Duration of Study: Sahiwal Teaching Hospital, Sahiwal, from January 2022 to June 2022. Methods: 10 – 0 nylon sutures with releasable knots were applied to close the sclerotomy after 23 – gauge pars plana vitrectomy in 100 cases. Complications like hypotony and wound leakage were recorded. Intra ocular pressures on 1st post-operative day and after 1 week were monitored. Inflammation at suture site, pain experienced by the patient and surgeon’s convenience of suture removal under a slit lamp after 1 week were documented. Results: Patients included 58 women and 42 men. Post-operatively, there was no wound leakage and hypotony in any patient, with mean intra ocular pressure of 13.5 ± 2.0 mmHg on 1st post-operative day and 17.6 ± .0.5 mmHg after 1 week of surgery. In 4% cases inflammation was observed at suture site. The mean pain score, measured according to visual analogue scale, at post-operative day 1 and day 7 was 1.25 ± 1.19 and 1.08 ± 0.99 respectively. No discomfort was reported during removal of releasable sutures in 96% of the patients. Surgeon found it convenient to remove the sutures under slit lamp illumination. Conclusion: Closure of 23 – gauge sclerotomy using nylon 10 – 0 suture with releasable knot is a useful option. It prevents post-operative wound leakage and hypotony.
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