The benefits of phacotrabeculectomy using 10-0 polyglactin sutures

Abstract

These mid-term results show that 10-0 Vicryl compares favourably with other suture materials the results of which have been reported, and obviates the need for routine use of antimetabolites or for post-operative manipulations at the slit-lamp.

Safety and Efficacy of Single-site Phacotrabeculectomy With Mitomicin C Using Nylon and Polyglactin Suture for Scleral Tunnel Closure

“…However, light ocular massage was required in 12.5% of their patients in the immediate postoperative period. 8 In our retrospective study, we could not determine the accurate number of patients who required ocular massage. However, despite the use of polygalactin sutures, 16 (11.5%) eyes needed argon laser suturelysis of the nylon suture at the end of 3 months.…”

“…One can further argue that the method of using the polyglactin suture for scleral flap closure can be used for wound modulation after glaucoma surgery in the early postoperative period. Vyas et al 8 have reported the benefits of 10-0 polyglactin use in phacotrabeculectomy using a 5-mm scleral tunnel and single-piece polymethyl methacrylate (PMMA) intraocular lens without antimetabolite in a prospective study. They found that the use of polyglactin eliminated the need for the routine use of antimetabolites or for postoperative manipulations at the slit lamp.…”

“…The use of a 10-0 polyglactin (Vicryl) suture alone for scleral flap closure has been reported for plain trabeculectomy and phacotrabeculectomy. 8,10 The suggested advantage with polyglactin was that the suture gets absorbed gradually and allows the trabeculectomy flap to loosen in a controlled manner without much inflammatory changes. Theoretically, this can avoid the use of releasable sutures or minimize the need for laser suturelysis.…”

“…The variations are mainly in terms of 2 sites versus 1 site, the shape of the trabeculectomy flap, the suture material used to close the flap, and the use of antimetabolites. [5][6][7][8][9] Conventionally, the trabeculectomy flap is closed with a 10-0 nylon suture, and wound modulation is performed either with a releasable suture or with laser suturelysis. The use of a 10-0 polyglactin (Vicryl) suture alone for scleral flap closure has been reported for plain trabeculectomy and phacotrabeculectomy.…”

Treatment of Mechanical Corneal Wounds Emergencies during the COVID-19 Pandemic: Absorbable 10-0 Vicryl (Polyglactin 910) Sutures as a Suitable Strategy

“…The V10-0 sutures seemed particularly appropriate to treat non-penetrating corneal lacerations in zone 1 (OTC group) in first-line therapy, for mutually non-exclusive reasons: 1) The properties of the polyglactin 910 has shown advantages since the seventies [ 19 ]: mainly in pediatric cataract surgery [ 6 ] avoiding suture removal, and more marginally in adults cataract surgery [ 9 ], or in combined glaucoma surgery [ 20 , 21 , 22 ] reducing the risk of early over-filtration and preserving filtering bleb without additional inflammation. Its characteristics have only been studied on simple linear surgical incisions and never to our knowledge in mechanical corneal wounds.…”