Outcomes in Sutured Versus Sutureless Wound Closure in Pediatric Cataract Surgery

Author:

Broyles Heather V.,Edens Steven N.,Neuhouser Adam J.,Rather Peyton A.,Lowery Robert S.

Abstract

Purpose: To analyze the postoperative course, specifically postoperative complications, of pediatric patients who underwent cataract surgery by a single surgeon. The type of wound closure was compared to provide an evidence-based approach to surgical technique in pediatric cataract surgery. Methods: This retrospective study analyzed pediatric patients who underwent cataract extraction by a single surgeon from 2014 to 2020. Excluded from the study were patients with postoperative follow-up of less than 1 month. The primary outcome compared postoperative complications between patients with sutured and sutureless wound closure. Other outcomes analyzed included intraocular pressure, mean corrected distance visual acuity, and incidence of procedure needed to remove posterior capsule opacification. Results: The study comprised 116 eyes with sufficient follow-up; 86 had sutureless wound closure and 30 had sutured wound closure. An intraocular lens was placed in 52% of eyes in the sutureless group and in 80% of eyes in the sutured group. There was no statistically significant difference between preoperative and postoperative intraocular pressure between groups. The best corrected distance visual acuity was better in the sutured group at 6 months but not at the most recent follow-up visit. No cases of endophthalmitis were found in either group. There was no statistically significant difference between the incidence of retinal detachments and iris prolapse. Conclusions: The incidence of endophthalmitis, retinal detachment, and iris prolapse was similar between pediatric patients who underwent cataract removal with sutureless versus sutured wound closure. Therefore, it may be reasonable to avoid the suture after pediatric cataract surgery. [ J Pediatr Ophthalmol Strabismus . 2023;60(2):147–151.]

Publisher

SLACK, Inc.

Subject

Ophthalmology,General Medicine,Pediatrics, Perinatology and Child Health

Cited by 3 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Reply: Sutureless Cataract Surgery in the Pediatric Age Group: Is It Advisable?;Journal of Pediatric Ophthalmology & Strabismus;2023-07

2. Sutureless Cataract Surgery in the Pediatric Age Group: Is It Advisable?;Journal of Pediatric Ophthalmology & Strabismus;2023-07

3. Pediatric cataract surgery: considerations and updates in diagnosis and management;Current Opinion in Ophthalmology;2022-11-22

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