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

Study Overview
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Brief Summary
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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.

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

Conditions
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Eye Trauma

Intervention / Treatment
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* Other: data collection


Participation Criteria
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Eligibility Criteria
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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)
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| corneal trauma sutured with Vicryl 10-0 monofilament<br>corneal trauma sutured with Vicryl 10-0 monofilament will be included. They will have data collection of medical records. | Other: data collection<br>* 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<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| change visual acuity (Snellen scale) from baseline and 2, 6, 12 and 18 months after the intervention | Collected in the medical record. | Months: 0, 2, 6, 12, 18 | 
| change Visual acuity (Parinaud scale) from baseline and 2, 6, 12 and 18 months after the intervention | Collected in the medical record. | Months: 0, 2, 6, 12, 18 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Astigmatism (diopter) | Collected in the medical record. Measured by OCT-TOMEY-CASIA). | Months: 0, 2, 6, 12, 18 | 
| Number of postoperative external consultations | Collected in the medical record. | Months: 0, 2, 6, 12, 18 | 
| Adverse events | Collected in the medical record. All adverse events connecting to the eye surgery. | Months: 0, 2, 6, 12, 18 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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COVID, Corneal, penetrating injury, lamellar laceration, polyglactin, Vicryl