Equis ISSN 2398-2977

Cornea / sclera: suturing

Contributor(s): Dennis E Brooks, Graham Munroe

Introduction

  • Repair of the cornea.
  • Undertaken for various reasons but unless careful attention is paid to patient and surgeon preparation, selection of appropriate suture material, instrumentation and suture patterns the results will be unpredictable.

Uses

  • Perforated cornea - post-trauma or ulceration   Keratitis: traumatic / ulcerative  .
  • Deep stromal ulcers.
  • Surgical access to intra-ocular structures if clear corneal approach is used.

Advantages

  • Shortens healing time and minimizes scar formation.
  • Decreases secondary complications, eg uveitis   Uveitis: traumatic  .
  • Encourages anterior chamber reformation.

Disadvantages

  • High level of skill required.
  • Specialist equipment and consumables required.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Same as individual disease conditions.

Further Reading

Publications

Refereed papers

Other sources of information

  • Brooks D E (1999)Equine Ophthalmology.In:Veterinary Ophthalmology.Ed: Gelatt K N. 3rd edn.


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