Outcomes of Combined Phacovitrectomy Without Corneal Suturing

Amir Hadayer, Yehonatan Weinberger, Tal Corina Sela*, Orly Gal-Or, Dov Weinberger, Rita Ehrlich

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Background: During combined phacovitrectomy, it is common practice to suture the main corneal incision to prevent intraoperative and postoperative wound leak. However, it may be possible to avoid suturing using a self-sealing corneal incision technique as in standard cataract surgery. Objectives: 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. Surgeries were performed at a tertiary university hospital. All surgeries were performed by the same two retinal surgeons. Cataract surgery was performed first, followed by insertion of trocars and vitrectomy. Corneal sutures were not planned but were used at the discretion of the surgeon. Results: The cohort included 106 eyes of 102 patients. Suturing of the main corneal incision was deemed necessary in five cases (5%) because of a main incision leak or anterior chamber shallowing during trocar insertion. No other complications related to the absence of prophylactic corneal sutures were encountered during surgery or follow-up. Conclusions: 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.

Original languageEnglish
Pages (from-to)608-611
Number of pages4
JournalIsrael Medical Association Journal
Volume25
Issue number9
StatePublished - Sep 2023

Keywords

  • cataract
  • combined surgery
  • phacoemulsification
  • sutureless
  • vitrectomy

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