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Absorbable, Non-absorbable, and Sutureless Wound Closure in Pediatric Cataract Surgery: A Systematic Review and
Yuri Aleksander-Ivanov1, Carolina C S Valentim2, Davi M Veiga3
1School of Medicine, University of Southern Santa Catarina (UNESC), Criciuma, SC, Brazil.
Journal of Cataract and Refractive Surgery
|July 27, 2026
Summary
Absorbable sutures and sutureless wound closure techniques in pediatric cataract surgery significantly reduce overall complications compared to non-absorbable sutures and sutured incisions. Further research is needed to confirm these findings.
Area of Science:
- Ophthalmology
- Pediatric Surgery
- Surgical Techniques
Background:
- Pediatric cataract surgery necessitates meticulous wound closure for optimal postoperative stability.
- The choice of suture material and closure technique impacts complication rates and the need for reoperation.
Purpose of the Study:
- To compare the postoperative outcomes of absorbable versus non-absorbable sutures in pediatric cataract surgery.
- To evaluate sutureless versus sutured incisions in pediatric cataract surgery.
Main Methods:
- Systematic review and meta-analysis of eight studies comparing suture materials and closure techniques.
- Searches conducted in PubMed, Embase, Cochrane, and Web of Science.
- Primary outcome: overall rate of postoperative complications; certainty of evidence assessed using GRADE.
Main Results:
- Absorbable sutures were linked to lower overall complication rates than non-absorbable sutures (OR 2.35).
- Sutureless closure showed significantly lower complication odds compared to sutured techniques (OR 0.34).
- No significant differences observed in wound leakage or endophthalmitis rates.
Conclusions:
- Absorbable sutures and sutureless techniques appear to reduce overall complications in pediatric cataract surgery.
- Evidence is limited by very low certainty and potential bias; non-absorbable sutures may increase long-term morbidity.
- Large-scale randomized controlled trials are required to establish definitive surgical guidelines.
