Abstract | PURPOSE: SETTING: Goldschleger Eye Institute, Sheba Medical Center, Tel-Aviv University, Tel-Aviv, Israel. METHODS: A retrospective review comprised 51 patients (70 eyes) who had small-incision congenital cataract extraction and intraocular lens implantation between 1999 and 2005. Surgery was done using Mersilene sutures or Vicryl sutures. Retinoscopy and a careful examination for suture-related complications were done 1 week after surgery and then every month for 6 months. The sutures were removed in cases of local tissue reaction but not for high postoperative astigmatism. The t test was used to evaluate postoperative astigmatism and the Fisher exact test, to evaluate the difference in the incidence of suture-related complications. RESULTS: The patients' age ranged from 2 months to 15 years. Ten cases (18%) of corneal vascularization occurred in the Mersilene group during the 6-month follow-up period. This necessitated suture removal, after which 1 incident of endophthalmitis occurred. In contrast, no suture-related complications were noted in the Vicryl group during that time. The difference in the incidence of complications between the 2 groups approached statistical significance (P = .07). Mean astigmatism 1 week postoperatively was 2.3 diopters (D) +/- 2.1 (SD) in the Mersilene group, which was significantly higher than in the Vicryl group (mean 1.4 +/- 1.1 D) (P = .038). However, the mean astigmatism decreased to less than 1.0 D in both groups during the 6-month follow-up period. CONCLUSION:
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Authors | Shai M Bar-Sela, Oriel Spierer, Abraham Spierer |
Journal | Journal of cataract and refractive surgery
(J Cataract Refract Surg)
Vol. 33
Issue 2
Pg. 301-4
(Feb 2007)
ISSN: 0886-3350 [Print] United States |
PMID | 17276274
(Publication Type: Comparative Study, Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- Polyethylene Terephthalates
- Lavsan
- Polyglactin 910
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Topics |
- Adolescent
- Astigmatism
(diagnosis, etiology)
- Cataract
(congenital)
- Cataract Extraction
- Child
- Child, Preschool
- Corneal Neovascularization
(diagnosis, etiology)
- Humans
- Infant
- Lens Implantation, Intraocular
- Polyethylene Terephthalates
- Polyglactin 910
- Postoperative Complications
- Retrospective Studies
- Sutures
(adverse effects)
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