{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T14:45:19Z","timestamp":1790952319138,"version":"4.1.0"},"reference-count":30,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","license":[{"start":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T00:00:00Z","timestamp":1744848000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>This prospective study aimed to compare scleral needling with the conventional scleral massage technique for sclerotomy closure, using anterior segment optical coherence tomography (AS-OCT) to assess postoperative wound morphology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Thirty eyes of 30 patients undergoing pars plana vitrectomy with a 25G vitrectomy system (Constellation; Alcon Laboratories, Fort Worth, TX, USA) were included. In each eye, one superior sclerotomy site (superonasal or superotemporal) was closed with scleral needling (Group A), while the other was closed with scleral massage (Group B), eliminating the impact of individual variability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Most sclerotomies (80%) could be closed with a single attempt of needling (mean 1.2 \u00b1 0.4). The mean outer and inner sclerotomy incision diameters on the postoperative first day were 119 \u00b1 22 and 94 \u00b1 17 \u00b5m, respectively, for group A, and 118 \u00b1 19 and 94 \u00b1 16 \u00b5m, respectively, for group B (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.658 and 0.871, respectively). Sclerotomy wound diameters of both groups A and B decreased significantly on postoperative day 14 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001 and\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001, respectively). None of the patients developed postoperative hypotony or any severe complication. A conjunctival bleb in four Group A patients resolved by day 3.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The newly described scleral needling technique was as successful and safe as the conventional scleral massage technique. AS-OCT imaging also confirmed that scleral needling did not cause any disruption on wound morphology.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_2184_24","type":"journal-article","created":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T07:00:07Z","timestamp":1744873207000},"page":"875-880","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Wound morphologies of sclerotomies closed with scleral massage and scleral needling techniques: A comparative study"],"prefix":"10.4103","volume":"73","author":[{"given":"Ebubekir","family":"Durmu\u015f","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Istanbul Medeniyet University, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alev","family":"Kose","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Haydarpasa Numune Training and Resarch Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veysel","family":"Aykut","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Istanbul Medeniyet University, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nursal Melda","family":"Yenerel","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Haydarpasa Numune Training and Resarch Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Halit","family":"O\u011fuz","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Prof. Dr. Suleyman Yalc\u0131n Goztepe City Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fehim","family":"Esen","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Istanbul Medeniyet University, Istanbul, 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