Topic: ESOPRS 2021 ePoster sessions
Time: Sep 17, 2021 16:00 Amsterdam, Berlin, Rome, Stockholm, Vienna, 15:00 London
(plain text version here)
Anterior approach ptosis surgery: comparison of absorbable polyglactin sutures and non-absorbable polyester sutures. Does Vicryl stand the test of time?
Author: Gemma Manasseh
ePoster Number: 109
Purpose
To determine whether long-term success of ptosis surgery is influenced by the use of absorbable or non-absorbable sutures to advance the levator aponeurosis onto the tarsal plate.
Methods
Multi-centre retrospective comparative study of re-operation rates in primary anterior approach ptosis surgery using absorbable polyglactin sutures (Vicryl) and non-absorbable polyester sutures (Ethibond). The Medisoft audit tool was used to identify all patients who underwent primary ptosis surgery for aponeurotic ptosis, performed by five oculoplastic consultants within a 7-year period, across two NHS Ophthalmology departments. The electronic patient records were reviewed for each patient. Basic demographics, suture material and post-operative complications were recorded. All patients requiring repeat surgery between the study dates and present day were recorded, allowing a minimum postoperative period of 3 years and 10 months. Re-operation rates in surgery using absorbable Vicryl sutures and non-absorbable Ethibond sutures were compared using Fisher exact test.
Results
455 operations in 330 patients were performed within the study period that met the inclusion and exclusion criteria. 57% of patients were female, with an average age of 68.8 years. 169 operations in 128 patients were performed using absorbable Vicryl sutures. Of these, 22 (13.0%) required repeat operations. 286 operations in 202 patients were performed using non-absorbable Ethibond sutures. Of these, 17 (5.9%) required repeat operations. The two-tailed P-value was 0.0143. Surgery with Vicryl had a significantly greater tendency to fail more than two years following primary surgery compared with ethibond (p=0.0013).
Conclusion
The use of non-absorbable Ethibond sutures to advance the levator aponeurosis onto the tarsal plate in primary ptosis surgery is associated with improved long-term success and reduced need for secondary surgery.
Additional Authors
First name | Last name | Base Hospital / Institution |
---|---|---|
Samantha | Hunt | Bristol Eye Hospital |
Helen | Garrott | Bristol Eye Hospital |
Rebecca | Ford | Bristol Eye Hospital |
Richard | Caesar | 2.Gloucestershire Hospitals NHS Foundation Trust |
Richard | Harrad | Bristol Eye Hospital |
Abstract ID: 20-126