Treatment of Corneal Wounds Emergencies During the COVID-19 Shutdown: Absorbable 10-0 Vicryl Sutures as a Valuable Strategy.

Centre Hospitalier Universitaire de Saint Etienne10 enrolled

Overview

Vicryl (polyglactin) 10-0 resorbable suture is rarely used, little known to ophthalmologists but may offer therapeutic and practical advantages in eligible cases of corneal trauma, particularly during a COVID-19 pandemic. This has imposed new sanitary restrictions : limited access to the operating room in ophthalmology only for functional emergencies and a drastically reduced capacity for external consultations in favor of teleconsultation. The aim of this study is to evaluate the Vicryl 10-0 (polyglactin 910) resorbable monofilament suture in corneal trauma, rather than classic Nylon 10-0: structural and functional results, and adaptation of postoperative follow-up during a sanitary crisis period.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Eye Trauma

Interventions

data collectionOTHER

Collection of clinical and paraclinical data during preoperative consultation Collection of clinical and paraclinical data during post-operative consultations Tele-consultation to determine if criteria for good healing / adherence, treatment tolerance / response to questions Remote follow-up 6 and 12 months after the trauma

Eligibility

Sex: ALL

Medical Language ↔ Plain English

Inclusion Criteria: * Corneal penetrating injury and/or lamellar laceration Exclusion Criteria: * Corneal Penetrating injury trauma requiring necessarily ONLY Nylon 10-0 * Traumatism requiring necessarily a cryopreserved human amniotic membrane (for example) * Traumatism eligible for biological glue (long-axis wound \< 2 mm)

Outcomes

Primary Outcomes

change visual acuity (Snellen scale) from baseline and 2, 6, 12 and 18 months after the intervention

Collected in the medical record.