Absorbable gelatin sponge as an intrascleral buckle in rabbits: a pilot study.

IF 2.3 2区 医学 Q2 OPHTHALMOLOGY Retina-The Journal of Retinal and Vitreous Diseases Pub Date : 2024-12-02 DOI:10.1097/IAE.0000000000004359
Yan Zhou, Shiqun Lin, Xingyu Xiao, Youxin Chen, Zhe Chen, Rongping Dai
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Abstract

Purpose: This study aimed to evaluate the efficacy and safety of using an absorbable gelatin sponge as an intrascleral buckle in rabbit eyes; it also monitored degradation of the gelatin sponge over time.

Methods: Ten New Zealand white rabbits underwent surgery to implant an absorbable gelatin sponge as an intrascleral buckle. Weekly ophthalmic examinations were conducted before and after the procedure until the implant was fully absorbed. Assessments included external eye and fundus examinations, color fundus imaging, and optical coherence tomography. Safety and efficacy were determined by comparing pre-operative and post-operative conditions.

Results: The surgery was successfully completed in 12 of 20 eyes, yielding favorable postoperative outcomes. Eight eyes were excluded due to issues with scleral tunneling, including accidental penetration, suprachoroidal implantation of the sponge, and choroidal excavation, resulting in a success rate of 60%. The indentation produced by the gelatin sponge implant progressively decreased, entirely disappearing within 2 weeks. No complications, such as retinal or choroidal hemorrhage or detachment, were observed.

Conclusion: Intrascleral implantation of absorbable gelatin sponge was safe and effective for scleral buckling in rabbits, demonstrating favorable biodegradation characteristics.

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可吸收明胶海绵作为兔巩膜内扣环的初步研究。
目的:评价可吸收性明胶海绵作为兔眼巩膜内扣环的有效性和安全性;它还监测了凝胶海绵随时间的降解。方法:10只新西兰大白兔手术植入可吸收明胶海绵作为筋膜内扣。手术前后每周进行眼科检查,直到植入物完全吸收。评估包括外眼和眼底检查、彩色眼底成像和光学相干断层扫描。通过比较术前和术后情况来确定安全性和有效性。结果:20只眼中12只成功完成手术,术后效果良好。由于巩膜隧道问题,包括意外穿透、海绵植入脉络膜上和脉络膜挖掘,8只眼睛被排除在外,成功率为60%。凝胶海绵种植体产生的压痕逐渐减少,在2周内完全消失。未见视网膜或脉络膜出血或脱离等并发症。结论:可吸收明胶海绵巩膜内植入术安全有效,具有良好的生物降解特性。
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来源期刊
CiteScore
5.70
自引率
9.10%
发文量
554
审稿时长
3-6 weeks
期刊介绍: ​RETINA® focuses exclusively on the growing specialty of vitreoretinal disorders. The Journal provides current information on diagnostic and therapeutic techniques. Its highly specialized and informative, peer-reviewed articles are easily applicable to clinical practice. In addition to regular reports from clinical and basic science investigators, RETINA® publishes special features including periodic review articles on pertinent topics, special articles dealing with surgical and other therapeutic techniques, and abstract cards. Issues are abundantly illustrated in vivid full color. Published 12 times per year, RETINA® is truly a “must have” publication for anyone connected to this field.
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