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January 1965

Mersilene in Strabismus Surgery: A Clinical Comparison to Absorbable Sutures

Author Affiliations

From the Department of Ophthalmology, Good Samaritan Hospital.

Arch Ophthalmol. 1965;73(1):4-10. doi:10.1001/archopht.1965.00970030006004

Surgeons have disagreed for many years on the relative values and deterrents in the use of absorbable and nonabsorbable sutures, with special attention having been paid to silk and catgut. In spite of the prolific debate constantly encountered in the general surgical literature, reference to this subject in the ophthalmic literature, so far as strabismus surgery is concerned, has been very scant. There has been some discussion of the relative merits of plain versus chromicized catgut. Because of the frequent incidence of granuloma formation, which has been most obvious in muscle surgery following the use of catgut, and because of the surprising frequency of sensitivity to catgut so vividly portrayed by Apt et al,1 I was directed to the comparison of nonabsorbable sutures. In spite of the great advances made in the preparation and purification of catgut sutures, the incidence of unsightly and uncomfortable granuloma formations following uncomplicated muscle