"Pinch and Stretch" technique to overcome ocular hypotony during scleral suturing of recti muscles.
Indian J Ophthalmol
; 71(7): 2901-2903, 2023 Jul.
Article
em En
| MEDLINE
| ID: mdl-37417143
ABSTRACT
During extraocular muscle surgery, an uneventful scleral suture pass is very essential. In presence of normal intraocular tension, the surgery is quite predictable and safe. However, in the presence of significant hypotony, it becomes challenging. Therefore, to mitigate complication rate in these cases, we have adopted a simple technique, that is, the "pinch and stretch" technique. The surgical steps of this technique are as follows In eyes with significant ocular hypotony, the surgery is initiated with a routine forniceal/limbal peritomy, following which the muscle is sutured and dis-inserted. Using three tissue fixation forceps, the scleral surface is stabilized. Using first forceps, the surgeon rotates the globe toward themself from the muscle stump, and with the remaining two forceps, the assistant pinches and stretches the episcleral tissue in an outward and upward direction just beneath the intended marks. This creates a flat scleral surface with significant firmness. Sutures are passed over this rigid sclera and the surgery is completed without any complications.
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Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Hipotensão Ocular
Tipo de estudo:
Etiology_studies
Limite:
Humans
Idioma:
En
Revista:
Indian J Ophthalmol
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Índia