{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T20:28:27Z","timestamp":1777580907873,"version":"3.51.4"},"reference-count":13,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2018,4,24]],"date-time":"2018-04-24T00:00:00Z","timestamp":1524528000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To describe a novel technique for sutureless hermetic closure of leaking scleral wounds in micro-incision vitreous surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This study is a two-centre, non-comparative, interventional case series. We studied 1240 scleral incisions on 870 eyes using different gauges (20, 23, 25) to evaluate the effectiveness of a new technique to seal scleral wounds without sutures. If wounds were found leaking after removing the trocar, we used the same trocar (or microvitreoretinal) blade to make an adjacent trans-scleral entry in the same direction as the main incision to access its internal flap supporting it from inside. Simultaneously, we applied a blunt smooth-surface instrument to massage the scleral wound from outside to close it hermetically. We treated 870 eyes using three types of tamponading agents, namely, silicone oil in 654 (75%) eyes, non-expansible gas in 128 (15%) eyes, and air in 88 (10%) eyes. We performed optical coherence tomography in the first 100 sclerotomies on the post-operative Day 1.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>We closed leaking incisions at the first attempt in 1231 (99.3%) cases; in 9 (0.7%) cases of 20-gauge incisions, we closed the wounds at the second attempt. We observed no hypotony at the end of surgery. The mean intraocular pressure was 16\u2009mmHg (8\u201351\u2009mmHg) on the post-operative Day 1.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Our results show the biplanar closure technique may be used as an effective, quick, sutureless approach to close leaking wounds hermetically in micro-incision vitreous surgery procedures. It is safe, less traumatic, cost-effective, and easy-to-perform typical surgical settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1120672118767555","type":"journal-article","created":{"date-parts":[[2018,4,24]],"date-time":"2018-04-24T03:08:46Z","timestamp":1524539326000},"page":"110-112","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Sutureless biplanar closure of leaking wounds in micro-incision vitreous surgery: A novel technique"],"prefix":"10.1177","volume":"29","author":[{"given":"Nikoloz","family":"Labauri","sequence":"first","affiliation":[{"name":"Davinci Eye Clinic, Tbilisi, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tekla","family":"Mamageishvili","sequence":"additional","affiliation":[{"name":"Davinci Eye Clinic, Tbilisi, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keti","family":"Tsomaia","sequence":"additional","affiliation":[{"name":"Davinci Eye Clinic, Tbilisi, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mikheil","family":"Omiadze","sequence":"additional","affiliation":[{"name":"Davinci Eye Clinic, Tbilisi, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,4,24]]},"reference":[{"key":"bibr1-1120672118767555","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(02)01179-X"},{"key":"bibr2-1120672118767555","doi-asserted-by":"publisher","DOI":"10.1097\/00006982-200502000-00015"},{"key":"bibr3-1120672118767555","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2009.06.043"},{"key":"bibr4-1120672118767555","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2011.11.001"},{"issue":"28","key":"bibr5-1120672118767555","first-page":"138","volume":"2008","author":"Scott IU","journal-title":"Retina"},{"key":"bibr6-1120672118767555","doi-asserted-by":"publisher","DOI":"10.3109\/02713681003663917"},{"key":"bibr7-1120672118767555","doi-asserted-by":"publisher","DOI":"10.1097\/IAE.0b013e318195cb28"},{"key":"bibr8-1120672118767555","doi-asserted-by":"publisher","DOI":"10.1097\/IAE.0b013e3181f0d2e6"},{"key":"bibr9-1120672118767555","doi-asserted-by":"publisher","DOI":"10.1097\/IAE.0b013e31821361a5"},{"key":"bibr10-1120672118767555","doi-asserted-by":"publisher","DOI":"10.1097\/IAE.0b013e3181e586ce"},{"key":"bibr11-1120672118767555","doi-asserted-by":"publisher","DOI":"10.1097\/IAE.0b013e31820c83eb"},{"key":"bibr12-1120672118767555","doi-asserted-by":"publisher","DOI":"10.1097\/IAE.0b013e3182725d65"},{"key":"bibr13-1120672118767555","doi-asserted-by":"publisher","DOI":"10.1001\/jamaophthalmol.2014.341"}],"container-title":["European Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1120672118767555","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1120672118767555","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1120672118767555","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T19:43:52Z","timestamp":1777405432000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1120672118767555"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,4,24]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,1]]}},"alternative-id":["10.1177\/1120672118767555"],"URL":"https:\/\/doi.org\/10.1177\/1120672118767555","relation":{},"ISSN":["1120-6721","1724-6016"],"issn-type":[{"value":"1120-6721","type":"print"},{"value":"1724-6016","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,4,24]]}}}