{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:21:09Z","timestamp":1787772069330,"version":"build-2784847793"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:p>Management of large acute corneal hydrops (ACH) has always been a challenge. Various medical and surgical management options have been used, such as topical steroids, cycloplegics, antiglaucoma medications, antibiotics, Descemet\u2019s membrane reposition, and pre-Descematic sutures, for the management of acute hydrops, but have shown limited benefit. We hereby describe a novel technique of appositional continuous overlay sutures along with air tamponade for surgical management of corneal edema following large ACH. In this technique, the epithelium is scraped to visualize the stromal cleft, and then corneal marking is done to locate the suture placement site. Next, a continuous overlay, 10-0 nylon suture is passed in a crisscross fashion, just like the laces of a corset. A small paracentesis is made to lower the intraocular pressure. Stromal fluid is milked out using two iris spatulas, simultaneous suture tension adjustment is done, and the knot is secured. Appropriate anterior chamber tamponade is achieved using air, paracentesis is hydrated, and a bandage contact lens is applied. We noted complete resolution of corneal edema within 2 weeks of the procedure, with significant improvement in visual acuity.<\/jats:p>","DOI":"10.4103\/ijo.ijo_1006_23","type":"journal-article","created":{"date-parts":[[2024,3,27]],"date-time":"2024-03-27T18:33:50Z","timestamp":1711564430000},"page":"592-595","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Corset suture: A novel technique of overlay appositional continuous sutures with air tamponade for management of large acute corneal hydrops"],"prefix":"10.4103","volume":"72","author":[{"given":"Gautam Singh","family":"Parmar","sequence":"first","affiliation":[{"name":"Department of Cornea and Refractive Services, Sadguru Netra Chikitsalya, Shri Sadguru Seva Sangh Trust, Janaki-kund, Chitrakoot, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashish","family":"Agrawal","sequence":"additional","affiliation":[{"name":"Department of Cornea and Refractive Services, Sadguru Netra Chikitsalya and Postgraduate Institute of Ophthalmology, Jankikund, Chitrakoot, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashok","family":"Meena","sequence":"additional","affiliation":[{"name":"Department of Cornea and Refractive Services, Sadguru Netra Chikitsalya and Postgraduate Institute of Ophthalmology, Jankikund, Chitrakoot, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priyanka","family":"Mutha","sequence":"additional","affiliation":[{"name":"Department of Cornea and Refractive Services, Sadguru Netra Chikitsalya and Postgraduate Institute of Ophthalmology, Jankikund, Chitrakoot, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bharat","family":"Gurnani","sequence":"additional","affiliation":[{"name":"Department of Cornea and Refractive Services, Sadguru Netra Chikitsalya and Postgraduate Institute of Ophthalmology, Jankikund, Chitrakoot, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,3,8]]},"reference":[{"key":"R1-20260504","first-page":"187","article-title":"Acute hydrops in the corneal ectasias: Associated factors and outcomes","volume":"97","author":"Grewal","year":"1999","journal-title":"Trans Am Ophthalmol Soc"},{"key":"R2-20260504","doi-asserted-by":"crossref","first-page":"1738","DOI":"10.1016\/S0161-6420(94)31110-9","article-title":"Acute corneal hydrops in 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with corneal ectasia","volume":"39","author":"Mohebbi","year":"2020","journal-title":"Cornea"},{"key":"R13-20260504","doi-asserted-by":"crossref","first-page":"661","DOI":"10.1097\/ICO.0000000000002265","article-title":"Visual and anatomic results after sole full-thickness sutures for acute corneal hydrops","volume":"39","author":"Garc\u00eda-Albisua","year":"2020","journal-title":"Cornea"},{"key":"R14-20260504","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1055\/s-0042-100626","article-title":"Keratoconus: The ABCD grading system. Keratokonus: Das ABCD-system","volume":"233","author":"Belin","year":"2016","journal-title":"Klin Monbl Augenheilkd"},{"key":"R15-20260504","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1097\/ICO.0b013e318223988e","article-title":"Anterior segment optical coherence tomography features of acute corneal hydrops","volume":"32","author":"Basu","year":"2012","journal-title":"Cornea"}],"container-title":["Indian Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_1006_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T18:29:15Z","timestamp":1787768955000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_1006_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,8]]},"references-count":15,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/ijo.ijo_1006_23","relation":{},"ISSN":["0301-4738","1998-3689"],"issn-type":[{"value":"0301-4738","type":"print"},{"value":"1998-3689","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,8]]},"assertion":[{"value":"2023-04-17","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-12-26","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}