[1-year follow-up of astigmatism after cataract operation. Wound closure with cross-stitch suture vs. no-stitch suture technique].
Like the type of wound opening, wound closure has an important influence on postoperative astigmatism. In a series of 300 patients, for 1 year we examined postoperative astigmatism after cataract surgery with sutured scleral wound closure and the no-stitch technique. In the early postoperative period, the no-stitch technique. (1.00 dpt +/- 0.83) had less induced astigmatism (vector analysis of Jaffé), compared with sutured scleral wound closure (1.77 dpt +/- 1.36), as well as a smaller standard deviation. Furthermore, with the no-stitch technique a nearly stable situation is reached within the first 4 weeks. In the late postoperative period, the astigmatism induced after sutured scleral wound closure (1.01 dpt +/- 0.57) is only a little greater than with the no-stitch technique (0.85 dpt +/- 0.65). On both techniques more than every second patient shows astigmatism (sutured scleral wound closure: 61%; no-stitch technique: 52%).
Drosch
S
S
Augenklinik, Klinikum Rudolf Virchow der Freien Universität Berlin.
Pham
D T
DT
Wollensak
J
J
D001251:Astigmatism / Q000209:etiology*; D002387:Cataract Extraction / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D008768:Methylmethacrylates; D011183:Postoperative Complications / Q000209:etiology*; D011446:Prospective Studies; D012590:Sclera / Q000601:surgery*; D013536:Suture Techniques
D008768:Methylmethacrylates
1-Jahres-Ergebnisse des Astigmatismus nach Kataraktoperation. Wundverschulss mit Kreuzstichnaht vs. No-stitch-Technik.