[Postoperative complications in cataract surgery. Results of a prospective study of 3,429 operations with various wound sutures].
We analyzed the postoperative complications in a prospective study of 3,429 cataract operations: over 95% phacoemulsification and 4% ECCE. In more than half of the procedures, the no-stitch technique with implantation of a standard PMMA IOL was used. Postoperative wound-closure complications were more frequent in the group of corneoscleral incision with double running suture: hypotony (under 5 mmHg) in 5%, wound dehiscence with iris prolapse in 1.9%. In the series with the no-stitch technique, hypotony occurred in 1.8%. Other wound-closure complications were eliminated to a pro mille level. Intraocular inflammation with fibrin exudation was also reduced by the no-stitch technique (4.2 vs 7.4%).
Wollensak
J
J
Augenklinik, Klinikum Rudolf Virchow der Freien Universität Berlin.
Pham
D T
DT
Kraffel
D
D
D002387:Cataract Extraction / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D007910:Lenses, Intraocular; D011183:Postoperative Complications / Q000209:etiology*; D011446:Prospective Studies; D013529:Surgical Wound Dehiscence / Q000209:etiology; D013530:Surgical Wound Infection / Q000209:etiology; D013536:Suture Techniques
Postoperative Komplikationen der Kataraktchirurgie. Ergenbnisse einer prospektiven Studie von 3429 Operationen mit unterschiedlichen Wundverschlüssen.