ePoster listing and sessions

Topic: ESOPRS 2021 ePoster sessions
Time: Sep 17, 2021 16:00 Amsterdam, Berlin, Rome, Stockholm, Vienna, 15:00 London

The zoom session will be a MEETING. Please turn off your camera and mic, unless prompted by the moderators during Q&A. When you enter the meeting there will be 2 BREAKOUT ROOMS. Please choose the appropriate room to join once you have joined the meeting.

The link details are below (you need to be logged in)


You are currently not logged in.
If you have an account on this website please login to your account. Not registered yet? Signup here

(plain text version here)

Back to previous page


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 nameLast nameBase Hospital / Institution
SamanthaHuntBristol Eye Hospital
HelenGarrottBristol Eye Hospital
RebeccaFordBristol Eye Hospital
RichardCaesar2.Gloucestershire Hospitals NHS Foundation Trust
RichardHarradBristol Eye Hospital

Abstract ID: 20-126