Suture Erosion After Penetrating Keratoplasty
Because suture erosion after keratoplasty is an important risk factor for inflammation, infection, vascularization, and graft rejection, we aimed to delineate patient characteristics associated with these erosions. One hundred eyes of 97 consecutive patients who presented to our service with 10-0 ny...
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| Veröffentlicht in: | Cornea 1995-05, Vol.14 (3), p.243-248 |
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| creator | Dana, Mohamad-Reza Goren, Matthew B Gomes, Jose A.P Laibson, Peter R Rapuano, Christopher J Cohen, Elisabeth J |
| description | Because suture erosion after keratoplasty is an important risk factor for inflammation, infection, vascularization, and graft rejection, we aimed to delineate patient characteristics associated with these erosions. One hundred eyes of 97 consecutive patients who presented to our service with 10-0 nylon suture erosion after keratoplasty were selected for study. Patient age, preoperative diagnosis, duration from surgery, location and type of eroded suture, vascularity of recipient bed, contact lens or topical steroid use, and presence of infiltrate at the erosion site and subsequent culture results were tabulated. The average duration from keratoplasty to presentation was 33 (range 1-144) months. The locations of the eroded sutures were superior in 53%, nasal in 17%, temporal in 16%, and inferior in 14% of eyes (p |
| doi_str_mv | 10.1097/00003226-199505000-00003 |
| format | Article |
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One hundred eyes of 97 consecutive patients who presented to our service with 10-0 nylon suture erosion after keratoplasty were selected for study. Patient age, preoperative diagnosis, duration from surgery, location and type of eroded suture, vascularity of recipient bed, contact lens or topical steroid use, and presence of infiltrate at the erosion site and subsequent culture results were tabulated. The average duration from keratoplasty to presentation was 33 (range 1-144) months. The locations of the eroded sutures were superior in 53%, nasal in 17%, temporal in 16%, and inferior in 14% of eyes (p<0.005). Seventy-one percent of the eyes presented with broken sutures (an average 36 months postoperatively) and 29% with intact but loosened eroded sutures (an average 25 months postoperatively, p<0.05). Sixty-nine percent of the eyes were being treated with topical steroids and presented 11 months earlier (29 months postoperatively) than did those not being treated with topical steroids (40 months postoperatively, p<0.05). Eyes that had been subjected to keratoplasty for inflammatory conditions presented with suture erosion 10 months earlier than did those that had been subjected to keratoplasty for noninflammatory conditions (p=0.09). Of the 10 eyes with a suture-related stromal infiltrate, one was culture-positive. Increased elapsed time from surgery, superior position of the suture, topical steroid use, and inflammatory ocular disorders are associated with suture erosions after penetrating keratoplasty.</description><identifier>ISSN: 0277-3740</identifier><identifier>EISSN: 1536-4798</identifier><identifier>DOI: 10.1097/00003226-199505000-00003</identifier><identifier>PMID: 7600806</identifier><language>eng</language><publisher>United States: Lippincott-Raven Publishers</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Contact Lenses ; Cornea - surgery ; Corneal Diseases - surgery ; Eye Infections, Bacterial - etiology ; Female ; Glucocorticoids - therapeutic use ; Humans ; Keratitis - microbiology ; Keratoplasty, Penetrating - adverse effects ; Male ; Middle Aged ; Postoperative Complications ; Retrospective Studies ; Risk Factors ; Suture Techniques ; Sutures</subject><ispartof>Cornea, 1995-05, Vol.14 (3), p.243-248</ispartof><rights>Lippincott-Raven Publishers.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3843-80aecbf846bd710f1031702fb507789b92b3878ea67cb0ce9ea938552489e34f3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7600806$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dana, Mohamad-Reza</creatorcontrib><creatorcontrib>Goren, Matthew B</creatorcontrib><creatorcontrib>Gomes, Jose A.P</creatorcontrib><creatorcontrib>Laibson, Peter R</creatorcontrib><creatorcontrib>Rapuano, Christopher J</creatorcontrib><creatorcontrib>Cohen, Elisabeth J</creatorcontrib><title>Suture Erosion After Penetrating Keratoplasty</title><title>Cornea</title><addtitle>Cornea</addtitle><description>Because suture erosion after keratoplasty is an important risk factor for inflammation, infection, vascularization, and graft rejection, we aimed to delineate patient characteristics associated with these erosions. One hundred eyes of 97 consecutive patients who presented to our service with 10-0 nylon suture erosion after keratoplasty were selected for study. Patient age, preoperative diagnosis, duration from surgery, location and type of eroded suture, vascularity of recipient bed, contact lens or topical steroid use, and presence of infiltrate at the erosion site and subsequent culture results were tabulated. The average duration from keratoplasty to presentation was 33 (range 1-144) months. The locations of the eroded sutures were superior in 53%, nasal in 17%, temporal in 16%, and inferior in 14% of eyes (p<0.005). Seventy-one percent of the eyes presented with broken sutures (an average 36 months postoperatively) and 29% with intact but loosened eroded sutures (an average 25 months postoperatively, p<0.05). Sixty-nine percent of the eyes were being treated with topical steroids and presented 11 months earlier (29 months postoperatively) than did those not being treated with topical steroids (40 months postoperatively, p<0.05). Eyes that had been subjected to keratoplasty for inflammatory conditions presented with suture erosion 10 months earlier than did those that had been subjected to keratoplasty for noninflammatory conditions (p=0.09). Of the 10 eyes with a suture-related stromal infiltrate, one was culture-positive. Increased elapsed time from surgery, superior position of the suture, topical steroid use, and inflammatory ocular disorders are associated with suture erosions after penetrating keratoplasty.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Contact Lenses</subject><subject>Cornea - surgery</subject><subject>Corneal Diseases - surgery</subject><subject>Eye Infections, Bacterial - etiology</subject><subject>Female</subject><subject>Glucocorticoids - therapeutic use</subject><subject>Humans</subject><subject>Keratitis - microbiology</subject><subject>Keratoplasty, Penetrating - adverse effects</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Postoperative Complications</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Suture Techniques</subject><subject>Sutures</subject><issn>0277-3740</issn><issn>1536-4798</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1PwzAMhiMEGmPwE5B64hZImjZOjtM0PsQkkIBzlHYuK3TtSFJN-_cEOnYjl8T2-9rWE0ISzq4503DD4hFpKinXOmd5jOhv6oiMeS4kzUCrYzJmKQAVkLFTcub9R1QAyHRERiAZU0yOCX3pQ-8wmbvO112bTKuALnnGFoOzoW7fk0eMj27TWB925-Skso3Hi_09IW-389fZPV083T3MpgtaCpUJqpjFsqhUJoslcFZxJjiwtCryOF_pQqeFUKDQSigLVqJGq4XK8zRTGkVWiQm5GvpuXPfVow9mXfsSm8a22PXeAAjgWoooVIOwjPt7h5XZuHpt3c5wZn5ImT9S5kBqSEXr5X5GX6xxeTDu0cR6NtS3XROZ-M-m36IzK7RNWJn_PkB8A-3tccE</recordid><startdate>199505</startdate><enddate>199505</enddate><creator>Dana, Mohamad-Reza</creator><creator>Goren, Matthew B</creator><creator>Gomes, Jose A.P</creator><creator>Laibson, Peter R</creator><creator>Rapuano, Christopher J</creator><creator>Cohen, Elisabeth J</creator><general>Lippincott-Raven Publishers</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199505</creationdate><title>Suture Erosion After Penetrating Keratoplasty</title><author>Dana, Mohamad-Reza ; Goren, Matthew B ; Gomes, Jose A.P ; Laibson, Peter R ; Rapuano, Christopher J ; Cohen, Elisabeth J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3843-80aecbf846bd710f1031702fb507789b92b3878ea67cb0ce9ea938552489e34f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Contact Lenses</topic><topic>Cornea - surgery</topic><topic>Corneal Diseases - surgery</topic><topic>Eye Infections, Bacterial - etiology</topic><topic>Female</topic><topic>Glucocorticoids - therapeutic use</topic><topic>Humans</topic><topic>Keratitis - microbiology</topic><topic>Keratoplasty, Penetrating - adverse effects</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Postoperative Complications</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Suture Techniques</topic><topic>Sutures</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dana, Mohamad-Reza</creatorcontrib><creatorcontrib>Goren, Matthew B</creatorcontrib><creatorcontrib>Gomes, Jose A.P</creatorcontrib><creatorcontrib>Laibson, Peter R</creatorcontrib><creatorcontrib>Rapuano, Christopher J</creatorcontrib><creatorcontrib>Cohen, Elisabeth J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Cornea</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dana, Mohamad-Reza</au><au>Goren, Matthew B</au><au>Gomes, Jose A.P</au><au>Laibson, Peter R</au><au>Rapuano, Christopher J</au><au>Cohen, Elisabeth J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Suture Erosion After Penetrating Keratoplasty</atitle><jtitle>Cornea</jtitle><addtitle>Cornea</addtitle><date>1995-05</date><risdate>1995</risdate><volume>14</volume><issue>3</issue><spage>243</spage><epage>248</epage><pages>243-248</pages><issn>0277-3740</issn><eissn>1536-4798</eissn><abstract>Because suture erosion after keratoplasty is an important risk factor for inflammation, infection, vascularization, and graft rejection, we aimed to delineate patient characteristics associated with these erosions. One hundred eyes of 97 consecutive patients who presented to our service with 10-0 nylon suture erosion after keratoplasty were selected for study. Patient age, preoperative diagnosis, duration from surgery, location and type of eroded suture, vascularity of recipient bed, contact lens or topical steroid use, and presence of infiltrate at the erosion site and subsequent culture results were tabulated. The average duration from keratoplasty to presentation was 33 (range 1-144) months. The locations of the eroded sutures were superior in 53%, nasal in 17%, temporal in 16%, and inferior in 14% of eyes (p<0.005). Seventy-one percent of the eyes presented with broken sutures (an average 36 months postoperatively) and 29% with intact but loosened eroded sutures (an average 25 months postoperatively, p<0.05). Sixty-nine percent of the eyes were being treated with topical steroids and presented 11 months earlier (29 months postoperatively) than did those not being treated with topical steroids (40 months postoperatively, p<0.05). Eyes that had been subjected to keratoplasty for inflammatory conditions presented with suture erosion 10 months earlier than did those that had been subjected to keratoplasty for noninflammatory conditions (p=0.09). Of the 10 eyes with a suture-related stromal infiltrate, one was culture-positive. Increased elapsed time from surgery, superior position of the suture, topical steroid use, and inflammatory ocular disorders are associated with suture erosions after penetrating keratoplasty.</abstract><cop>United States</cop><pub>Lippincott-Raven Publishers</pub><pmid>7600806</pmid><doi>10.1097/00003226-199505000-00003</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adolescent Adult Aged Aged, 80 and over Contact Lenses Cornea - surgery Corneal Diseases - surgery Eye Infections, Bacterial - etiology Female Glucocorticoids - therapeutic use Humans Keratitis - microbiology Keratoplasty, Penetrating - adverse effects Male Middle Aged Postoperative Complications Retrospective Studies Risk Factors Suture Techniques Sutures |
| title | Suture Erosion After Penetrating Keratoplasty |
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