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首页> 外文期刊>Retina >Repair of a traumatic scleral rupture with scleral imbrication and BioGlue.
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Repair of a traumatic scleral rupture with scleral imbrication and BioGlue.

机译：用巩膜固定术和BioGlue修复外伤性巩膜破裂。

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摘要

Surgery for posterior ruptures of the eye after blunt trauma is usually unsuccessful. In most cases, cyclitic membranes, massive intraocular hemorrhage, and retinal disruption preclude visual rehabilitation. Jagged wound margins, active hemorrhage, and prolapse of intraocular contents into the surgical field amplify the complexity of the primary repair. Standard surgical texts recommend careful exploration of the globe and meticulous watertight wound closure with fine-to-medium nonabsorbable suture. Precise end-to-end approximation of the wound margin is stressed, especially in anterior scleral wounds, to avoid distortion of the corneal curvature. Temporary 5-0 nylon interrupted and mattress sutures are recommended for wound apposition as needed, before closure with 8-0 nylon gauge permanent sutures. We illustrate a method of imbrication (in turning) for repair of a case involving a large jagged equatorial scleral rupture. 5-0 Braided polyester horizontal mattress sutures enhanced secure closure. A watertight closure was secured by the application of BioGlue (CyoLife, Inc., Keenesaw, GA) to the external wound.
机译：钝性创伤后进行眼后破裂手术通常是不成功的。在大多数情况下，睫状细胞膜，眼内大量出血和视网膜破坏妨碍了视觉康复。锯齿状的伤口边缘，活动性出血和眼内内容物脱出进入手术视野，扩大了一次修复的复杂性。标准的外科手术建议对球体进行仔细的探查，并用中细不可吸收的缝合线进行细密的防水伤口闭合。尤其是在前巩膜伤口中，特别要注意伤口边缘的精确的端到端逼近，以避免角膜曲率变形。建议使用临时5-0尼龙线打断，并根据需要建议使用床垫缝合线，然后再使用8-0尼龙规格的永久性缝合线进行缝合。我们说明了一种修复（旋转）的方法，该方法用于修复涉及大锯齿状赤道巩膜破裂的病例。 5-0编织聚酯水平床垫缝合线增强了安全性。通过将BioGlue（CyoLife，Inc.，Keenesaw，GA）应用于外部伤口来确保防水密封。

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