Phẫu thuật chỉ • Vitrectomy - đường truyền - Sclerotomies đóng cửa kết mạc - kỹ thuật phụ trợ • Scleral khóa bao vây các ban nhạc - yếu tố kinh tuyến Instrumentation • Vitrectomy - Dụng cụ - đường khớp • Scleral khóa - Dụng cụ - Kỹ thuật phẫu thuật đường khớp | Chapter 9 Sclera and Retina Suturing Techniques 9 Kirk H. Packo and Sohail J. Hasan Key Points Surgical Indications Vitrectomy - Infusion line If - Sclerotomies S m - Conjunctival closure - Ancillary techniques Scleral buckles - Encircling bands - Meridional elements Instrumentation Vitrectomy - Instruments - Instruments - Sutures - Sutures Scleral buckles - Instruments - Instruments - Sutures - Sutures Surgical Technique Vitrectomy - Suturing the infusion line in place - Closing sclerotomies Scleral buckles - Rectus muscle fixation sutures R fix - Suturing encircling elements to the sclera - Suturing meridional elements to the sclera - Closing sclerotomy drainage sites Closure of the conjunctiva Complications General complications - Break in sterile technique with suture needles - Breaking sutures - Inappropriate knot creation Vitrectomy - Complications associated with sclerotomy closure Intraoperative Postoperative Scleral buckles - Complications associated with suturing to the sclera - Complications associated with suturing conjunctiva Future advances and alternatives to sutures Vitrectomy Scleral buckles 9. 1 Introduction Discussion of ophthalmic microsurgical suturing techniques as they apply to retinal surgery warrants attention to two main categories of operations vitrectomy and scleral buckling. This chapter reviews the surgical indications basic instrumentation surgical techniques and complications associated with suturing techniques in vitrectomy and scleral buckle surgery. A brief discussion of future advances in retinal surgery appears at the end of this chapter. Surgical Indications Vitrectomy Typically there are three indications for suturing during vitrectomy surgery placement of the infusion cannula closure of sclerotomy and the conjunctival closure. A variety of ancillary suturing techniques may be employed during vitrectomy including the external securing of a lens ring for contact lens visualization placement of transconjunctival or .
