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Comparison of closure of clear corneal incisions for congenital cataract surgery

Poster Details

First Author: A.Ozmen TURKEY

Co Author(s):    S. Cevik   M. Tok Cevik                 

Abstract Details

Purpose:

To evaluate the complications in pediatric patients having cataract aspiration using sutured or non-sutured clear corneal incisions.

Setting:

Uludag University, Faculty of Medicine, Department of Ophthalmology.

Methods:

We retrospectively reviewed the medical records of 44 eyes ( 22 children), aged 1 to 24 months , who had undergone cataract aspiration between 2009 and 2013, using suturation for corneal incision (group 1) or a sutureless corneal closure (group 2). All operations were performed by the same surgeon (A.T.O), using the same surgical technique. In group 1, 10.0 vicryl sutures were used for wound closure and in group 2, the corneal incision is closed with stromal BSS hydration.

Results:

The mean patient age at surgery was 4.8 months (range 1 to 9 months) in group 1 and 11.3 months ( range 3 to 24 months) in group 2. The mean follow-up was 23.8 and 41.2 months for group 1 and 2 respectively. The worst complication was endophthalmitis in a patient caused by a corneal suture in group 1.

Conclusions:

Although suturation of corneal incisions is preferred in pediatric cataract surgery, corneal sutures may cause serious complications.

Financial Disclosure:

NONE

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