Late iris cerclage suture cheese-wiring.
| Autor: | Ladki MS; From the University of Texas Medical Branch at Galveston, School of Medicine, Galveston, Texas (Ladki); Cincinnati Eye Institute, Cincinnati, Ohio (Ladki, Snyder); University of Cincinnati School of Medicine, Cincinnati, Ohio (Snyder)., Snyder ME |
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| Jazyk: | angličtina |
| Zdroj: | Journal of cataract and refractive surgery [J Cataract Refract Surg] 2024 Aug 01; Vol. 50 (8), pp. 836-839. |
| DOI: | 10.1097/j.jcrs.0000000000001459 |
| Abstrakt: | Purpose: To describe a case series of cerclage failures due to cheese-wiring; iris repair can develop late cheese-wiring of cerclage sutures with resultant loss of benefits. Setting: Cincinnati Eye Institute, Cincinnati, Ohio. Design: Retrospective single-surgeon case series. Methods: A retrospective chart review sought patients who underwent iris cerclage at the Cincinnati Eye Institute who later developed suture cheese-wiring. The patient symptoms, demographics, cerclage size, suture type, knot type, iris status, and suture status at final follow-up were ascertained. Results: 6 cases of cerclage suture cheese-wiring with loss of the original surgical benefit were identified. 10-0 polypropylene suture and a 3-1-1 knot were used in each case. The suture remained intact with an intact knot and suture loop in all cases. Conclusions: Cheese-wiring with return of mydriasis is a potential long-term outcome of iris cerclage suture placement, with return of preoperative symptoms. Awareness of this potential eventuality provides physicians and patients a broader perspective when selecting between cerclage suture, iris prosthesis placement, or other surgical and nonsurgical options. (Copyright © 2024 Published by Wolters Kluwer on behalf of ASCRS and ESCRS.) |
| Databáze: | MEDLINE |
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