Closure of Eyelid Margin Incisions in 102 Eyes Using a Double Continuous Suture.

Double continuous suture technique effectively closes eyelid margin incisions while keeping knots distant from the margin.

This retrospective study by Lewin GA evaluated a novel double continuous suture technique for closing eyelid margin incisions in a population of 63 canines and 6 felines (102 eyes total). The surgical technique involves placing a double-layer continuous suture that begins and terminates at the apex of the incision, furthest from the eyelid margin itself. This strategic positioning places both the knot and suture ends away from the sensitive eyelid margin while maintaining accurate and secure closure of the incision. The results demonstrated that this double continuous suture pattern successfully recreated a smooth eyelid margin in all cases evaluated. The technique proved to be simple to perform, quick to execute, and effective in clinical outcomes. The authors conclude that this method provides a reliable approach for eyelid surgery, with the added benefit of keeping foreign material distant from the eyelid margin, potentially reducing irritation and improving healing. This represents a practical advancement in small animal ophthalmic surgical technique.

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