Oftalmol Zh.2010;2:50-54.

http://doi.org/10.31288/oftalmolzh201025054

A COMPARISON OF WOUND HEALING IN FULL-THICKNESS AND 2/3 DEPTH SUTURED CORNEAL WOUNDS

Bobrova N. F., Dumbrova N. E., Molchanyuk N. I., Shevchik V. I.

Odessa, Ukraine

There was discovered by electron microscope that during the suturing of the corneal wound by 100%-sutures a reparation process is similar to suturing by 2/3 depth suture. But in the first case more significant activation of the extra- and intracellular reparation process in the epithelium, stroma elements and endothelium was observed by the 7 postoperative day. As a result, the ultrastructure of the corneal wound was almost identical to the unwounded cornea in 1 month. At the same time, alterative changes were observed in cases with 2/3 depth suture. These results can be explained by better functional conditions of the endothelium (in the full-thickness sutured cornea), as the structure with considerable regeneration, polypotential properties and potent pump function.

 

References

1.Гундорова Р. А. Травмьі глаза / Р. А. Гундорова, В. В. Нероева, В. В. Капшикова. — М. издательская группа «ГЗОТАР — Медиа», 2009. — С34-65.

2.Cintron C. Scanning electron microscopy of rabbit corneal scars / C. Cintron, R. B. Szamier, L. C. Hassinger // Claire Kublin. Invest. Ophthalmol. Vis. Sci. —  July 1982. — Vol. 23, № 1. — Р. 50- 63.

3.Connon. The structure and swelling of corneal scar tissue in penetrating full-thickness wounds / Connon, C. J. Meek, M. Keith // Cornea. — March 2004. — Vol. 23 (2). — Р. 165-171.
Crossref

4.Hammond C. J. Scanning electron microscopic study of monofilament suture knots / C. J. Hammond, W. Y Chan, C. S. Liu // Br. J. Ophthalmol. -  1996. - Vol. 80. -P. 164-167.
Crossref

5.Kim, J. H. Fourteen-Year Review of Open Globe Injuries in an Urban Korean Population / J. H. Kim, Y. S. Jae, D. Soo, Y. Y. Hee // The Journal of Trauma: Injury, Infection, and Critical Care. - March 2007. - Vol. 62 (3). - P. 746-749.
Crossref

6.McCally R. L. Light- Scattering and ultrastructure of healed penetrating corneal wounds / R. L. McCally, D. E. Freund, Z. Andrew [et al.] // IOVS. - January 2007. -Vol. 48, № 1. - P. 157- 165.
Crossref

7.Mcdonnel P. J. Corneal surgery. Theory, technique and tissue / P. J. Mcdonnel, C. N. J. Mcghee, A. A. Farjo, O. N. Serdarevic // Elsevier, 2009. - P. 620-622.

8.Melles G. R. J. A comparison of wound healing in sutured and unsutured corneal wounds / G. R. J. Melles, P. S. Binder // Arch. Ophthalmol. - Vol. 108. - October 1990. - P. 1460-1569.
Crossref

9.Soong K. Late dehiscence of healed corneal scars / K. Soong, F. Qais, A. Sugar // Br. J. Ophthalmol. - 1999. - Vol. 83. - P. 987.
Crossref

10.Serrano J. C. Epidemiology of childhood ocular trauma in a Northeastern Columbian Region / J. C. Serrano, P. Chalera, J. D. Arias // Arch. Ophthalmol. - 2003. - Vol. 121. - P. 1439-1445.
Crossref