Only 5% of cases needed corneal incision suturing during combined phacovitrectomy.
Outcomes of Combined Phacovitrectomy Without Corneal Suturing.
Amir Hadayer … Rita Ehrlich
The Israel Medical Association journal : IMAJ · 2023
Background
During combined phacovitrectomy, it is common practice to suture the main corneal incision to prevent intraoperative and postoperative wound leak.
Purpose
To evaluate the clinical outcome, safety, and complications of combined phacovitrectomy without preventive suturing.
Methods
This retrospective case series study included consecutive patients who underwent combined phacovitrectomy between January 2018 and June 2019 for mixed indications.
n = 106 eyes
Results
5%
needed stitches to close the clear front-of-eye incision
n = 106 eyes
More results
The cohort included 106 eyes of 102 patients.
No other complications related to the absence of prophylactic corneal sutures were encountered during surgery or follow-up.
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Conclusion
Preventive corneal suturing may not be necessary in combined phacovitrectomy surgery and can be used in the few cases in which it is indicated during surgery.
