Abstract
The purpose of this study is to evaluate the anatomic and visual outcomes of patients who underwent full-thickness corneal suture in full-thickness corneal lacerations. A retrospective observational study was conducted. Medical records of 7 patients who presented to the Ophthalmology Department of the Hospital Universitario San Ignacio were analyzed, during January 2020 and December 2021, with a diagnosis of full-thickness corneal lacerations requiring corneal suture and who underwent anterior segment ocular tomography (ASOCT) at 2 weeks post-trauma. Intraocular foreign body was found in 2 of 7 patients. The average age at presentation of the trauma was 47 years, with a higher rate (71.4%) in men. The average time between trauma and surgery was approximately 2 ± (3–) days. In 100% of the patients, the corneal architecture was restored, defined by the adequate apposition of the inner cornea between both sides of the wound. The present study provides promising results regarding the use of full-thickness corneal suture in the context of corneal tears. This intervention, employed on 100% of study patients, adequately restores corneal architecture, positively impacting postoperative visual acuity.
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All data generated or analyzed during this study are included in this article. Further enquiries can be directed to the corresponding author. This report does not contain any personal identifying information.
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References
Whitcher JP, Srinivasan M, Upadhyay MP. Corneal blindness: a global perspective. Bull World Health Organ. 2001;79(3):214–21.
Dalma-Weiszhausz J, Galván-Chávez M, Guinto-Arcos EB, Miyake-Martínez DY, Rodríguez-Reyes A, Golzarri MF, et al. Full- versus partial-thickness sutures: experimental models of corneal injury repair. Int Ophthalmol. 2021;41(1):325–34.
Thylefors B. Epidemiological patterns of ocular trauma. Aust N Z J Ophthalmol. 1992;20(2):95–8.
The global impact of eye injuries. A.-D. Négrel & B. Thylefors,. The global impact of eye injuries. Ophthalmic Epidemiol. 1998;5(3):143–69. https://doi.org/10.1076/opep.5.3.143.8364.
Erikitola O, Oluwa C, Shahid SM, Waqar S, Hewick SA. Ocular trauma: classification, management and prognosis. British Journal of Hospital Medicine. 2013;74(Sup7):C108-11.
Macsai MS. The management of corneal trauma: advances in the past twenty-five years. Cornea. 2000;19(5):617–24.
Cárdenas DT. Heridas corneales: ¿suturar a espesor completo o parcial? Rev Cub Oftal. 2020;33(4):1–3.
Ljubimov AV, Saghizadeh M. Progress in corneal wound healing. Prog Retin Eye Res. 2015;49:17–45.
Cheung CA, et al. Hospital-based ocular emergencies: epidemiology, treatment, and visual outcomes. Am J Emerg Med. 2014;32:221–4. https://doi.org/10.1016/j.ajem.2013.11.015.
Vinger PF. Injury to the postsurgical eye. In: Kuhn F, Pieramici D, editors. Ocular trauma: principles and practice. New York: Thieme; 2002. p. 280–92.
Fini ME, Stramer BM. How the cornea heals: cornea- specific repair mechanisms affecting surgical outcomes. Cornea. 2005;24(8 Suppl):S2–11.
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Sara Margarita Pérez Pérez contributed to the design of the article and writing and reviewing of the manuscript. Camilo Martínez performed the surgical treatment and follow-up of the patient, image acquisition, and critical review of the manuscript. Valentina Cárdenas and Margarita María Pino contributed to the writing and reviewing of the manuscript. All authors meet the current ICMJE criteria for authorship and approve the final version of the manuscript.
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Pérez, S.M., Arias, V.C., Pino, M.M.P. et al. Full-Thickness Corneal Suture Analysis Using Anterior Segment Ocular Coherence Tomography (AS-OCT) in Traumatic Wounds. SN Compr. Clin. Med. 5, 113 (2023). https://doi.org/10.1007/s42399-023-01447-7
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DOI: https://doi.org/10.1007/s42399-023-01447-7