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Suture use in pediatric cataract surgery: a survey
J B Lavrich1, D S Goldberg, L B Nelson
1Pediatric Ophthalmology and Strabismus Service, Wills Eye Hospital, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pa 19107.
Ophthalmic Surgery
|August 1, 1993
Summary
Pediatric ophthalmologists frequently use 10-0 nylon sutures for cataract surgery incisions. However, this common choice is linked to significant complications and sometimes requires general anesthesia for suture removal.
Area of Science:
- Ophthalmology
- Surgical Techniques
- Pediatric Medicine
Background:
- Corneoscleral incision closure is a critical step in cataract surgery.
- Various suture materials have been proposed for this purpose.
- Optimal suture selection in pediatric cases remains a subject of interest.
Purpose of the Study:
- To determine the preferred suture type for pediatric cataract surgery among North American ophthalmologists.
- To identify complications associated with commonly used sutures in this population.
Main Methods:
- A survey was distributed to 354 North American pediatric ophthalmologists.
- Data on suture choice and complications were collected from returned surveys.
Main Results:
- A response rate of 69% (244 surveys) was achieved.
- 10-0 nylon sutures were the most frequently reported choice for corneoscleral incision closure.
- The use of 10-0 nylon sutures was associated with a notable rate of complications.
- General anesthesia was occasionally required for the removal of these sutures.
Conclusions:
- Despite associated complications, 10-0 nylon remains the predominant suture for pediatric cataract surgery closures.
- Further research may be warranted to explore alternative suture materials or techniques to mitigate complications and the need for anesthesia.
