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Article

Treatment of Mechanical Corneal Wounds Emergencies during the COVID-19 Pandemic: Absorbable 10-0 Vicryl (Polyglactin 910) Sutures as a Suitable Strategy

1
Ophthalmology Department, University Hospital, 42000 Saint-Etienne, France
2
Institut Universitaire de France, Boulevard Saint-Michel, 75005 Paris, France
3
Corneal Graft Biology, Engineering and Imaging Laboratory, BiiGC, EA2521, Federative Institute of Research in Sciences and Health Engineering, Faculty of Medicine, Jean Monnet University, 42000 Saint-Etienne, France
*
Author to whom correspondence should be addressed.
Academic Editor: Chi-Tung Cheng
J. Pers. Med. 2022, 12(6), 866; https://doi.org/10.3390/jpm12060866
Received: 19 March 2022 / Revised: 16 May 2022 / Accepted: 23 May 2022 / Published: 25 May 2022
(This article belongs to the Special Issue Individualized Trauma Management and Care Strategy)
Background—The COVID-19 pandemic has changed our standard practices: operating rooms were only available for functional emergencies and outpatient visits were drastically reduced in favor of telemedicine. Aim: To report the personalized “one-shot” surgery using absorbable 10-0 Vicryl (V10-0) or polyglactin 910 monofilament in mechanical corneal injuries from February 2020 to December 2021. Methods—Prospective case series with at least 12-months’ follow-up, in a French university hospital. Among the overall population of open or closed-globe emergencies (n = 40), non-penetrating corneal lamellar lacerations (long axis > 2 mm) in zone 1 (OTC group) were treated with V10-0 suture(s) (n = 10), replacing traditional non-absorbable 10-0 nylon suture(s) or medical options in first line. The outpatient visits were performed on day (D)10, month (M)2, M6 then every six months. One interim visit by phone teleconsultation was scheduled between D10 and M2, and other(s) as needed. The main outcome was best-corrected visual acuity (BCVA) at M6. Secondary outcomes included mainly corneal astigmatism (CA) at M6 complications. Results—Among the ten corneal wounds, there were three children (30%), eight domestic accidents (80%), three eyes with metallic foreign bodies (30%), four open-globe injuries (40%), and nine eyes that received high-speed projectiles or sharp objects (90%). The complete V10-0 suture(s) absorption occurred in all eyes between D10 and M2. At M6, mean far and near BCVA decreased from 0.680 ± 0.753 and 0.490 ± 0.338 preoperatively to 0.050 ± 0.071 and 0.220 ± 0.063 logMAR (p = 0.019 and p = 0.025 respectively), mean CA decreased from 4.82 ± 3.86 preoperatively to 1.15 ± 0.66 diopters (p = 0.008). BCVA and CA were unchanged thereafter. No serious adverse event nor repeated surgery occurred. The mean number of teleconsultations was 1.20 ± 0.63 without an additional nonscheduled outpatient visit. Conclusions—The absorbable V10-0 sutures might be a safe and effective alternative for eligible corneal wounds, while reducing the number of outpatient visits, especially for children (no suture removal). The COVID-19 pandemic highlighted that they are ideally suited to logistical challenges. View Full-Text
Keywords: corneal wound; non-penetrating corneal laceration; absorbable 10-0 Vicryl; absorbable 10-0 polyglactin 910; non-absorbable 10-0 Nylon; COVID-19 pandemic; personalized strategy; teleconsultation corneal wound; non-penetrating corneal laceration; absorbable 10-0 Vicryl; absorbable 10-0 polyglactin 910; non-absorbable 10-0 Nylon; COVID-19 pandemic; personalized strategy; teleconsultation
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MDPI and ACS Style

Abihaidar, N.; Thuret, G.; Gain, P.; Garcin, T. Treatment of Mechanical Corneal Wounds Emergencies during the COVID-19 Pandemic: Absorbable 10-0 Vicryl (Polyglactin 910) Sutures as a Suitable Strategy. J. Pers. Med. 2022, 12, 866. https://doi.org/10.3390/jpm12060866

AMA Style

Abihaidar N, Thuret G, Gain P, Garcin T. Treatment of Mechanical Corneal Wounds Emergencies during the COVID-19 Pandemic: Absorbable 10-0 Vicryl (Polyglactin 910) Sutures as a Suitable Strategy. Journal of Personalized Medicine. 2022; 12(6):866. https://doi.org/10.3390/jpm12060866

Chicago/Turabian Style

Abihaidar, Nicolas, Gilles Thuret, Philippe Gain, and Thibaud Garcin. 2022. "Treatment of Mechanical Corneal Wounds Emergencies during the COVID-19 Pandemic: Absorbable 10-0 Vicryl (Polyglactin 910) Sutures as a Suitable Strategy" Journal of Personalized Medicine 12, no. 6: 866. https://doi.org/10.3390/jpm12060866

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