Suture-related complications after congenital cataract surgery: Vicryl versus Mersilene sutures

Bar-Sela, Shai M.; Spierer, Oriel; Spierer, Abraham

doi:10.1016/j.jcrs.2006.10.039

Cited by 33 publications

(18 citation statements)

References 13 publications

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“…In addition to causing a foreign-body sensation, sutures may induce astigmatism 1,2 and corneal neovascularization 3 or be a nidus for infection. 1,4,5 Unless biodegradable materials are used, the sutures must be removed. For these reasons, we believe that an ophthalmic tissue adhesive with specific characteristics aimed at the needs of common ophthalmic surgical procedures would have clinical value.…”

mentioning

confidence: 99%

Synthesis and characterization of a chondroitin sulfate-polyethylene glycol corneal adhesive

Strehin

Ambrose

Schein

et al. 2009

Journal of Cataract and Refractive Surgery

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confidence: 99%

Synthesis and characterization of a chondroitin sulfate-polyethylene glycol corneal adhesive

Strehin

Ambrose

Schein

et al. 2009

Journal of Cataract and Refractive Surgery

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“…Small, unsutured clear corneal incisions are preferred by many cataract surgeons in the setting of phacoemulsification. If a no-suture technique is used, meticulous wound construction must be pursued to achieve a watertight wound with no gaping 24,25. However, an increased incidence of endophthalmitis has been associated with sutureless closures 24-26.…”

Section: Discussionmentioning

confidence: 99%

“…If a no-suture technique is used, meticulous wound construction must be pursued to achieve a watertight wound with no gaping 24,25. However, an increased incidence of endophthalmitis has been associated with sutureless closures 24-26. Some studies have strongly suggested that optimal protection against endophthalmitis is achieved when the wound is closed with a suture 25.…”

Section: Discussionmentioning

confidence: 99%

Perioperative Modulating Factors on Astigmatism in Sutured Cataract Surgery

Cho

Kim

2009

Korean J Ophthalmol

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PurposeTo evaluate the factors that affect postoperative astigmatism and post-suture removal astigmatism, and to evaluate the risk factors associated with astigmatism axis shift.MethodsWe performed a retrospective chart review of 130 eyes that had undergone uneventful phacoemulsification cataract surgery. Preoperative astigmatism was divided into four groups (Groups I, II, III, and IV) according to the differences between the axis of preoperative astigmatism (flattest axis) and the incision axis (105 degrees). We analyzed the magnitude and axis of the induced astigmatism after the operation and after suture removal in each group. We also analyzed the factors which affected the postoperative astigmatism and post-suture removal astigmatism in each sub-group of Groups I, II, III, and IV, excluding postoperative or post-suture removal axis shift (specifically, Group IWAS, IIWAS, IIIWAS, and IVWAS). We identified the variables associated with the prevalence of postoperative astigmatism axis shift and those associated with the prevalence of post-suture removal axis shift.ResultsAn increase in the magnitude of postoperative astigmatism was associated with an increase in the preoperative magnitude of astigmatism in Groups IWAS, IIWAS, and IIIWAS (p<0.05), and with an increase in the corneal tunnel length in Group IWAS. A decrease in the magnitude of postoperative astigmatism was associated with an increase in the corneal tunnel length in Groups IIIWAS and IVWAS (p<0.05). An increase in the magnitude of post-suture removal astigmatism was associated with an increase in the magnitude of postoperative astigmatism in Groups IWAS and IVWAS (p<0.05), and with late suture removal in Group IVWAS (p<0.05). A decrease in the magnitude of post-suture removal astigmatism was associated with late suture removal in Groups IWAS and IIWAS. A logistic regression analysis showed that the prevalence of post-suture removal astigmatism axis shift was associated with increased corneal tunnel length, decreased magnitude of postoperative astigmatism, and early suture removal.ConclusionsIn order to reduce postoperative and post-suture removal astigmatism, we recommend a short corneal tunnel length and late suture removal in patients with Group IWAS characteristics, late suture removal in Group IIWAS-like patients, long corneal tunnel length in Group IIIWAS-like patients, and long corneal tunnel length and early suture removal in patients with characteristics of Group IVWAS.

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“…Research has shown that the use of 10-0 Vicryl caused astigmatism, but that this astigmatism dissipated after 6 weeks. 108 …”

Section: Surgical Techniquementioning

confidence: 99%

Pediatric cataract: challenges and future directions

Medsinge

Nischal²

2015

OPTH

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Cataract is a significant cause of visual disability in the pediatric population worldwide and can significantly impact the neurobiological development of a child. Early diagnosis and prompt surgical intervention is critical to prevent irreversible amblyopia. Thorough ocular evaluation, including the onset, duration, and morphology of a cataract, is essential to determine the timing for surgical intervention. Detailed assessment of the general health of the child, preferably in conjunction with a pediatrician, is helpful to rule out any associated systemic condition. Although pediatric cataracts have a diverse etiology, with the majority being idiopathic, genetic counseling and molecular testing should be undertaken with the help of a genetic counselor and/or geneticist in cases of hereditary cataracts. Advancement in surgical techniques and methods of optical rehabilitation has substantially improved the functional and anatomic outcomes of pediatric cataract surgeries in recent years. However, the phenomenon of refractive growth and the process of emmetropization have continued to puzzle pediatric ophthalmologists and highlight the need for future prospective studies. Posterior capsule opacification and secondary glaucoma are still the major postoperative complications necessitating long-term surveillance in children undergoing cataract surgery early in life. Successful management of pediatric cataracts depends on individualized care and experienced teamwork. We reviewed the etiology, preoperative evaluation including biometry, choice of intraocular lens, surgical techniques, and recent developments in the field of childhood cataract.

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Suture-related complications after congenital cataract surgery: Vicryl versus Mersilene sutures

Abstract: Vicryl sutures are recommended for small-incision congenital cataract surgery.

Cited by 33 publications

References 13 publications

Synthesis and characterization of a chondroitin sulfate-polyethylene glycol corneal adhesive

Synthesis and characterization of a chondroitin sulfate-polyethylene glycol corneal adhesive

Perioperative Modulating Factors on Astigmatism in Sutured Cataract Surgery

Pediatric cataract: challenges and future directions

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