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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.

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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

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Date deposited: 20 Sep 2013 12:00
Last modified: 18 Feb 2021 17:06

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Contributors

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

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