Ocular Wound Healing with Particular Reference to the Cataract Incision

Dunnington, John H.

doi:10.1001/archopht.1956.00930040647001

Cited by 36 publications

(6 citation statements)

References 49 publications

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“…In another comparable study [Gnanadoss, 1976], the sutures were buried under a conjunctival flap. It has been well documented earlier also that all sutures cause a foreign-body-type reaction, devital ize the tissues, and their presence lowers the tensile strength of structures in their immediated vicinity [Dunnington, 1956]. In addi tion, we found that at the time of suture removal the vessels growing onto the sutures and wound area were causing significant conjunctival bleeding.…”

Section: Discussionsupporting

confidence: 66%

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Comparative Study of Continuous and Interrupted Sutures in Cataract Surgery in Eye Camps

Singh¹

1983

Ophthalmologica

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In a comparative study performed to evaluate continuous and interrupted corneoscleral sutures under special conditions of eye operation camps, we performed 86 cataract extractions under local anaesthesia. Ab interno corneoscleral incisions were closed with 8/0 virgin silk suture material by three interrupted sutures in 42 cases and by five-bite continuous sutures in 44 cases. The results and complications were comparable in the two groups. Keeping in view the large number of cataract operations to be done under eye camp conditions, three interrupted sutures were found more advantageous than five-bite continuous sutures. These needed less time for placing and removal, caused less tissue damage and gave equally good results.

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Section: Discussionsupporting

confidence: 66%

“…The only advantage of continuous su tures wc could think of is in non-cooperative patients as they permit to stitch the wound more tightly than three interrupted sutures [Gnanadoss, 1970], This has also been said to be only a surgeon's feeling [Dunnington. 1956],…”

Section: Discussionmentioning

confidence: 99%

Comparative Study of Continuous and Interrupted Sutures in Cataract Surgery in Eye Camps

Singh¹

1983

Ophthalmologica

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“…Sclerokeratitis -4 cases (Nos. 2, 7, 12,17). Clear grafts in the first 2 cases, mostly clear in the third and somewhat cloudy in the last.…”

Section: Resultsmentioning

confidence: 97%

Problems of Penetrating Corneal Grafting Late Results in 18 Cases

Røe

1960

Acta Ophthalmologica

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It is well-known that the outcome of corneal grafting depends largely on the disease responsible for the corneal opacities. In this connection it may be mentioned that clear grafts were obtained in between 80-900/0 of cases with keratoconus and Groenouws keratitis, in 60 O/O of interstitial luetic keratitis and in nearly 30 O/O of cases in the explosion injuries, traumatic lesions and chemical burns group (37).Possible improvements in operation results must be based upon the study of the causes responsible for the complications that arise. In this respect a clinical material, though too small for statistical evaluation of the results, may nevertheless be of value. Experience gained from the 18 cases reported in this paper provides grounds for debating the question of how long graft fixation should be maintained so that adaptation to the recipient cornea will not be disturbed during the first post-operative stage. The hospital stay of the patients usually lasted from 6 to 8 weeks, thereby making it possible to carry out careful control of the complications which so often arise during the critical post-operative period.Control of the effects of cortisone on oedema and vascular invasion of the graft and recipient cornea was of particular interest. Although the patients in this series did not undergo either pre-or post-operative radiation treatment, a short discussion of the therapy will be included in this paper.

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“…The firm and tight closure of the wound provided by this type of suture makes it possible to leave routinely a monocular dressing and to get the patient up the following day. Dunnington (1951) and Verdaguer (1955) have made histological studies proving that the sloughing caused by a deep suture tightly tied is a definite cause of a weakened spot in the wound, and that if the slough is sufficiently deep or if the suture penetrates into the anterior chamber the stage is set for aqueous escape. Vail (1935) stated that among the precursors of epithelialization of the anterior chamber the most important are: a slowly healing wound, delayed formation of the chamber, an aqueous leakage, and fistulization of the wound.…”

Section: Discussionmentioning

confidence: 99%

Corneal "Flap" Incision for Cataract Operation

Gormaz¹

1958

British Journal of Ophthalmology

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Ocular Wound Healing with Particular Reference to the Cataract Incision

Cited by 36 publications

References 49 publications

Comparative Study of Continuous and Interrupted Sutures in Cataract Surgery in Eye Camps

Comparative Study of Continuous and Interrupted Sutures in Cataract Surgery in Eye Camps

Problems of Penetrating Corneal Grafting Late Results in 18 Cases

Corneal "Flap" Incision for Cataract Operation

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