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Outcomes in Sutured Versus Sutureless Wound Closure in Pediatric Cataract Surgery
Insights
Pediatric cataract surgery outcomes were similar with or without sutures. Avoiding sutures may be a reasonable option for pediatric cataract procedures, simplifying surgical technique.
Area of Science:
- Ophthalmology
- Pediatric Surgery
Background:
- Pediatric cataract surgery requires careful consideration of wound closure techniques to minimize complications.
- Sutured and sutureless wound closures are common approaches, each with potential benefits and drawbacks.
Purpose of the Study:
- To compare postoperative complications in pediatric patients undergoing cataract surgery with sutured versus sutureless wound closure.
- To provide evidence-based recommendations for surgical techniques in pediatric cataract surgery.
Main Methods:
- Retrospective analysis of 116 pediatric eyes undergoing cataract extraction by a single surgeon (2014-2020).
- Comparison of postoperative complications, intraocular pressure, visual acuity, and posterior capsule opacification rates between sutured and sutureless wound closure groups.
Main Results:
- No statistically significant differences in intraocular pressure, endophthalmitis, retinal detachment, or iris prolapse between groups.
- Best corrected distance visual acuity was better in the sutured group at 6 months, but this difference was not sustained at the most recent follow-up.
Conclusions:
- Sutureless and sutured wound closures demonstrate similar safety profiles regarding major postoperative complications in pediatric cataract surgery.
- The findings suggest that sutureless wound closure may be a viable alternative, potentially simplifying the surgical procedure.
Purpose:
To analyze the postoperative course, specifically postoperative complications, of pediatric patients who underwent cataract surgery by a single surgeon. The type of wound closure was compared to provide an evidence-based approach to surgical technique in pediatric cataract surgery.
Methods:
This retrospective study analyzed pediatric patients who underwent cataract extraction by a single surgeon from 2014 to 2020. Excluded from the study were patients with postoperative follow-up of less than 1 month. The primary outcome compared postoperative complications between patients with sutured and sutureless wound closure. Other outcomes analyzed included intraocular pressure, mean corrected distance visual acuity, and incidence of procedure needed to remove posterior capsule opacification.
Results:
The study comprised 116 eyes with sufficient follow-up; 86 had sutureless wound closure and 30 had sutured wound closure. An intraocular lens was placed in 52% of eyes in the sutureless group and in 80% of eyes in the sutured group. There was no statistically significant difference between preoperative and postoperative intraocular pressure between groups. The best corrected distance visual acuity was better in the sutured group at 6 months but not at the most recent follow-up visit. No cases of endophthalmitis were found in either group. There was no statistically significant difference between the incidence of retinal detachments and iris prolapse.
Conclusions:
The incidence of endophthalmitis, retinal detachment, and iris prolapse was similar between pediatric patients who underwent cataract removal with sutureless versus sutured wound closure. Therefore, it may be reasonable to avoid the suture after pediatric cataract surgery. [.
