Suture Selection for Incision Closure in Pediatric Cataract Surgery: A Dilemma for Pediatric Ophthalmologists

被引:1
|
作者
Agarwal, Pradeep [1 ]
Maan, Veenu [1 ]
Sutar, Sameer [2 ]
Chauhan, Lokesh [3 ]
机构
[1] CL Gupta Eye Inst, Dept Pediat Ophthalmol Strabismus & Neuroophthalm, Ram Ganga Vihar 244001, Moradabad, India
[2] CL Gupta Eye Inst, Dept Optometry & Visual Sci, Moradabad, India
[3] CL Gupta Eye Inst, Dept Clin & Publ Hlth Res, Moradabad, India
关键词
10-0 VICRYL SUTURES; CONGENITAL CATARACT; CORNEAL SUTURES; NYLON SUTURES;
D O I
10.3928/01913913-20211111-02
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Purpose: To measure and compare suture-related complications in children undergoing cataract surgery with a surgical incision closure performed by either a 10-0 nylon suture followed by suture removal within 1 to 2 weeks after surgery or a 10-0 polyglactin suture left in situ. Methods: This was a prospective, non-randomized cohort study. All children with bilateral cataracts who underwent cataract surgery with a surgical incision clo-sure by non-absorbable 10-0 nylon sutures followed by suture removal within 1 to 2 weeks after surgery in their first eye and incision closure by absorbable 10-0 poly-glactin sutures left in situ after their second eye surgery. The frequency of suture-related complications (vascu-larization near to suture, loosening of suture, mucus accumulation, early rupture, and infective keratitis) was noted for 10-0 nylon and 10-0 polyglactin sutures. Results: Eighty-two eyes of 41 children were enrolled in the study. All children were observed until 3 months after surgery. Of the 10-0 nylon sutures, 2 (4.9%) were loose and 2 (4.9%) had underlying corneal edema. The remaining sutures (n = 37, 90.2%) were removed within 1 to 2 weeks after surgery. Of the 10-0 polyglactin su-tures, 5 (12.2%) were loose, 2 (4.9%) were vascularized, and 3 (7.3%) had mucus infiltration. These sutures (n = 10, 24.3%) were removed 2 to 5 weeks after the second eye surgery. The remaining polyglactin sutures (n = 31, 75.6%) were left in situ. Conclusions: A higher frequency of suture-related complications was observed with the 10-0 polyglactin sutures than the 10-0 nylon sutures. The authors rec-ommend using 10-0 nylon sutures with suture removal within 1 to 2 weeks after surgery over using 10-0 poly-glactin sutures for incision closure in pediatric cataract surgeries.
引用
收藏
页码:243 / 247
页数:5
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