Astigmatism induced by intrastromal corneal suture after small incision phacoemulsification.
OBJECTIVE
To evaluate the course of astigmatic evolution and complications after clear corneal incisions using an intrastromal corneal suture.


METHODS
Instituto Oftalmologico de Alicante, University of Alicante, Spain.


METHODS
Eighty eyes of 62 patients had endocapsular phacoemulsification. A foldable intraocular lens was implanted through a 4.0 mm clear corneal incision. A 10-0 nylon intrastromal corneal suture was used in all eyes. Change sin corneal astigmatism were calculated by vector analysis; follow-up was 6 months. Early and late suture-related complications were also evaluated.


RESULTS
Mean induced cylinder was 1.25 diopters (D) +/- 1.24 (SD) with the wound 1 day postoperatively and 0.19 +/- 0.81 D against the wound at 6 months. There were no incision- or suture-related complications postoperatively.


CONCLUSIONS
Use of the intrastromal corneal suture led to astigmatically neutral closure of multiplanar corneal incisions.
Chipont-Benabent
E
E
Alicante Institute of Ophthalmology, University of Alicante School of Medicine, Spain.
Artola Roig
A
A
Pérez-Santonja
J J
JJ
Guisbert Medel
M
M
Alió Sanz
J L
JL
D000179:Acrylates; D000368:Aged; D001251:Astigmatism / Q000209:etiology*; D003319:Corneal Stroma / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D019654:Lens Implantation, Intraocular; D008297:Male; D009757:Nylons; D018918:Phacoemulsification / Q000379:methods; D013536:Suture Techniques / Q000009:adverse effects*; D013537:Sutures
D000179:Acrylates; D009757:Nylons