The University of Southampton
University of Southampton Institutional Repository

Comparison of standard eyelid margin closure using silk with a modified repair using 7/0 vicryl and a buried knot

Comparison of standard eyelid margin closure using silk with a modified repair using 7/0 vicryl and a buried knot
Comparison of standard eyelid margin closure using silk with a modified repair using 7/0 vicryl and a buried knot
AIMS: To assess the efficacy and complications of eyelid margin closure with 7/0 Vicryl or Vicryl Rapide suture with a buried knot at the grey line and to compare this with standard closure using silk with an external knot.

METHODS: Analysis of a prospective, non-comparative, interventional case series using 7/0 Vicryl or Vicryl Rapide with a buried grey-line knot (modified lid margin closure). Detailed assessment during the healing period was directed to (1) the lid margin profile, (2) the grey line suture and (3) the tissue reaction. Patients were seen for assessment within two days following surgery, at 14 days and at two months. A retrospective, comparative series of silk with an external knot (standard lid margin closure) and 7/0 Vicryl or Vicryl Rapide (modified lid margin closure) was also studied. An analysis was made of the hospital records of patients who had undergone direct lid margin closure with 7/0 Vicryl, Vicryl Rapide or silk. Short- and long-term complications were noted.

RESULTS: The prospective series included 24 patients whose lid margin closure had been performed with the modified technique with 7/0 Vicryl or 7/0 Vicryl Rapide. All lids healed well and there was no difference between these two sutures. The retrospective series included 123 patients. Seventy-one patients had the modified technique using 7/0 Vicryl or Vicryl Rapide. Fifty-two patients had lid margin closure with the standard technique using 6/0 silk. All lids healed well. In summary, in both the prospective and retrospective groups, no significant complications were encountered and the healing was excellent.

CONCLUSIONS: 7/0 Vicryl and Vicryl Rapide with a buried knot at the grey line allows excellent lid margin healing comparable with standard closure using silk. Vicryl sutures do not need to be removed.
eyelid surgery, lid margin closure, grey-line suture, vicryl, silk
0167-6830
103-108
Tyers, A.G.
6cb4bd6f-853d-4d96-b53e-9025127729bc
Mokete, B.
295176a1-b754-4101-b86e-4ea79e14f67f
Self, J.
0f6efc58-ae24-4667-b8d6-6fafa849e389
Tyers, A.G.
6cb4bd6f-853d-4d96-b53e-9025127729bc
Mokete, B.
295176a1-b754-4101-b86e-4ea79e14f67f
Self, J.
0f6efc58-ae24-4667-b8d6-6fafa849e389

Tyers, A.G., Mokete, B. and Self, J. (2005) Comparison of standard eyelid margin closure using silk with a modified repair using 7/0 vicryl and a buried knot. Orbit, 24 (2), 103-108. (doi:10.1080/01676830590926701). (PMID:16191797)

Record type: Article

Abstract

AIMS: To assess the efficacy and complications of eyelid margin closure with 7/0 Vicryl or Vicryl Rapide suture with a buried knot at the grey line and to compare this with standard closure using silk with an external knot.

METHODS: Analysis of a prospective, non-comparative, interventional case series using 7/0 Vicryl or Vicryl Rapide with a buried grey-line knot (modified lid margin closure). Detailed assessment during the healing period was directed to (1) the lid margin profile, (2) the grey line suture and (3) the tissue reaction. Patients were seen for assessment within two days following surgery, at 14 days and at two months. A retrospective, comparative series of silk with an external knot (standard lid margin closure) and 7/0 Vicryl or Vicryl Rapide (modified lid margin closure) was also studied. An analysis was made of the hospital records of patients who had undergone direct lid margin closure with 7/0 Vicryl, Vicryl Rapide or silk. Short- and long-term complications were noted.

RESULTS: The prospective series included 24 patients whose lid margin closure had been performed with the modified technique with 7/0 Vicryl or 7/0 Vicryl Rapide. All lids healed well and there was no difference between these two sutures. The retrospective series included 123 patients. Seventy-one patients had the modified technique using 7/0 Vicryl or Vicryl Rapide. Fifty-two patients had lid margin closure with the standard technique using 6/0 silk. All lids healed well. In summary, in both the prospective and retrospective groups, no significant complications were encountered and the healing was excellent.

CONCLUSIONS: 7/0 Vicryl and Vicryl Rapide with a buried knot at the grey line allows excellent lid margin healing comparable with standard closure using silk. Vicryl sutures do not need to be removed.

This record has no associated files available for download.

More information

Published date: June 2005
Keywords: eyelid surgery, lid margin closure, grey-line suture, vicryl, silk
Organisations: Faculty of Medicine

Identifiers

Local EPrints ID: 357148
URI: http://eprints.soton.ac.uk/id/eprint/357148
ISSN: 0167-6830
PURE UUID: 1fc18589-ae83-42c7-87f1-c0337b678e19
ORCID for J. Self: ORCID iD orcid.org/0000-0002-1030-9963

Catalogue record

Date deposited: 20 Sep 2013 12:00
Last modified: 15 Mar 2024 03:24

Export record

Altmetrics

Contributors

Author: A.G. Tyers
Author: B. Mokete
Author: J. Self ORCID iD

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×