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Garry P. Condon MD
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Dr. Condon, presents several pearls on incisional architecture and suturing technique for achieving a water-tight Fornix based conjunctival flap closure.
Posted: 3/10/2009
Garry P. Condon MD
Dr. Condon, presents several pearls on incisional architecture and suturing technique for achieving a water-tight Fornix based conjunctival flap closure.
Posted: 3/10/2009
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Gregory Hoffpauir
13 years ago
As Dr. Condon suggested, the J-974 8-0 Vicryl is an excellent substitute. It is very affordable, the needle works just as well as VAS-100, and the 8-0 is very strong. I've been using it exclusively with consistent results.
Stephen Cassis
14 years ago
Has anyone tried Ethicon TG-140-8 on 9-0 vicryl. In same needle class as VAS-100 on Ethicon chart.
sultan kahtani
15 years ago
Thank you very much DR. Condon. closing conj in trab. was always headach to me I am sure it is headach for every body who care. Sincerity in transferring knowledge rewarded only by God. Thank you Indeed. Sultan K.
Elie Dahan
15 years ago
Nice video & technique but....Who needs a water tight closure of the conjunctiva??
Bret Crumpton
15 years ago
Garry, thank you for posting this technique. I have been using it for the last three years after you taught it to me with marvelous results. Everyone needs to use this!! I look forward to trying the J-974. Thanks again, Bret
garry condon
15 years ago
Garry again. I have recently discovered the Ethicon J-974 8-0 vicryl can be an EXCELLENT stand-in for the 9-0 I suggested. The needle is nearly identical and it is indeed the needle that I've found to be the key in the technique.
George Tanaka
16 years ago
Try the 8-0 Vicryl on a BV130-5 by Ethicon. (J401) Again, the needle is bulkier, but sturdy enough to withstand the scleral passes while still giving watertight passes thru the conjunctiva. I even use it initially for my clear cornea retraction suture.
Kevin Pikey
16 years ago
Thank you Garry for the information. We now have the suture and it works beautifully though somewhat expensive!!
garry condon
16 years ago
Info on the needle and suture: The needle I REALLY like for this is the VAS 100-4 from Ethicon. It is readily available on 9-0 nylon but on vicryl ONLY as special order item # D-8760. Nylon version is affordable. Both work fine but I prefer vicryl because I don't need to remove it. Garry
George Tanaka
16 years ago
This closure can also be done using an 8-0 Vicryl on a BV needle. The needle is longer and bulkier than the VAS-100 but creates watertight passes through the conjunctiva and is sturdy enough to withstand the scleral passes required in this technique (unlike the BV-100 needle that comes with a 9-0 Vicryl suture) The 8-0 vicryl is "stringier" and braided but still works. The patients also don't seem to mind the bulkier external knots, in fact since the suture is "softer" than 9-0 vicryl or nylon, the knots may cause less foreign body sensation.
Kevin Pikey
16 years ago
Gary,
Lisa McHam
16 years ago
correction: it was a 9-0 vicryl on the VAS 100-4
Lisa McHam
16 years ago
I had my hospital look into getting this suture (10-0 vicryl on VAS 100-4). I was told it was very expensive and they would not order it for me. Has anyone else had a similar experience? Anyone know how much per package or per suture? I've tried this closure with a BV needle and the TG 160-4, neither of which is optimal.
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