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July 1968

Preplaced Collagen and Gut Sutures in Cataract Surgery

Author Affiliations

Albany, NY
From the Department of Surgery, Section of Ophthalmology, Veterans Administration Hospital and the Department of Ophthalmology, Albany Medical College of Union University, Albany, NY.

Arch Ophthalmol. 1968;80(1):92-93. doi:10.1001/archopht.1968.00980050094015

P REPLACED appositional silk sutures in cataract surgery are quite satisfactory except that they require removal. It would be desirable to use an absorbable material that could be preplaced under a limbal based flap and would remain intact until the tissues were healed. Previously, the other choice open to the cataract surgeon was 6-0 mild chromic catgut sutures. These had the disadvantages of being difficult to handle and not remaining in place on the globe.

We have developed a method to overcome this difficulty using 7-0 chromic collagen or 7-0 chromic catgut swaged on spatula type cutting needles (blue-dyed 7-0 chromic collagen on double-armed GS-9 spatula type needles, 1797G blue-dyed chromic catgut on double-armed GS-9 spatula type needles).

Technique  All cases were done using locally applied anesthesia and a limbal based flap. A groove is made from 9 to 3 o'clock with a knife (Beaver No. 64), two-thirds through the

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