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Audit of 1000 consecutive cases of sutureless cataract surgery in children above two years of age

PURPOSE: To study the safety of sutureless cataract surgery and risk factors for wound leak of clear corneal incision in children affected with congenital or developmental cataract. METHODS: It is a retrospective, noncomparative interventional case study involving children in the age group of 2 to 1...

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Autores principales: Sen, Pradhnya, Chandra, Kriti, Jain, Elesh, Sen, Alok, Kumar, Amit, Mohan, Amit, Shah, Chintan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7043184/
https://www.ncbi.nlm.nih.gov/pubmed/32057003
http://dx.doi.org/10.4103/ijo.IJO_1138_19
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author Sen, Pradhnya
Chandra, Kriti
Jain, Elesh
Sen, Alok
Kumar, Amit
Mohan, Amit
Shah, Chintan
author_facet Sen, Pradhnya
Chandra, Kriti
Jain, Elesh
Sen, Alok
Kumar, Amit
Mohan, Amit
Shah, Chintan
author_sort Sen, Pradhnya
collection PubMed
description PURPOSE: To study the safety of sutureless cataract surgery and risk factors for wound leak of clear corneal incision in children affected with congenital or developmental cataract. METHODS: It is a retrospective, noncomparative interventional case study involving children in the age group of 2 to 16 years, who underwent cataract surgery with intraocular lens implantation with the minimum follow up of 1 month. RESULTS: Out of 1000 eyes studied, lens matter aspiration with intraocular lens implantation with or without primary posterior capsulorhexis and anterior vitrectomy was done in 609 and 391 eyes, respectively. Incisions of 943 eyes did not require sutures while sutures were applied for wound leak in 57 eyes on the table and in 5 eyes on postoperative day 1. Risk of wound leak for suture application was found to be greater in patients; having age less than 5 years (P < 0.0001), surgeries performed by junior surgeons (P < 0.0003), wound problems (P < 0.0001), intraocular lens (IOL) related factors (P < 0.0001), use of iris hooks (P < 0.0001), and anterior capsulorhexis extension (P < 0.0001). On the first postoperative day, anterior chamber reaction (P < 0.0001) and fibrinous membrane (P = 0.0007) were significantly more in the sutured group. Incidence of postoperative complications was 0.98 per sutured eyes (59 complications in 60 eyes). One patient developed endophthalmitis after suture removal. CONCLUSION: Sutureless clear corneal incision in pediatric patients undergoing cataract surgery can achieve stable wound. However, after hydro closure, every wound should be checked for water tightness and the leaky wound should be sutured.
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spelling pubmed-70431842020-03-13 Audit of 1000 consecutive cases of sutureless cataract surgery in children above two years of age Sen, Pradhnya Chandra, Kriti Jain, Elesh Sen, Alok Kumar, Amit Mohan, Amit Shah, Chintan Indian J Ophthalmol Original Article PURPOSE: To study the safety of sutureless cataract surgery and risk factors for wound leak of clear corneal incision in children affected with congenital or developmental cataract. METHODS: It is a retrospective, noncomparative interventional case study involving children in the age group of 2 to 16 years, who underwent cataract surgery with intraocular lens implantation with the minimum follow up of 1 month. RESULTS: Out of 1000 eyes studied, lens matter aspiration with intraocular lens implantation with or without primary posterior capsulorhexis and anterior vitrectomy was done in 609 and 391 eyes, respectively. Incisions of 943 eyes did not require sutures while sutures were applied for wound leak in 57 eyes on the table and in 5 eyes on postoperative day 1. Risk of wound leak for suture application was found to be greater in patients; having age less than 5 years (P < 0.0001), surgeries performed by junior surgeons (P < 0.0003), wound problems (P < 0.0001), intraocular lens (IOL) related factors (P < 0.0001), use of iris hooks (P < 0.0001), and anterior capsulorhexis extension (P < 0.0001). On the first postoperative day, anterior chamber reaction (P < 0.0001) and fibrinous membrane (P = 0.0007) were significantly more in the sutured group. Incidence of postoperative complications was 0.98 per sutured eyes (59 complications in 60 eyes). One patient developed endophthalmitis after suture removal. CONCLUSION: Sutureless clear corneal incision in pediatric patients undergoing cataract surgery can achieve stable wound. However, after hydro closure, every wound should be checked for water tightness and the leaky wound should be sutured. Wolters Kluwer - Medknow 2020-03 2020-02-14 /pmc/articles/PMC7043184/ /pubmed/32057003 http://dx.doi.org/10.4103/ijo.IJO_1138_19 Text en Copyright: © 2020 Indian Journal of Ophthalmology http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Sen, Pradhnya
Chandra, Kriti
Jain, Elesh
Sen, Alok
Kumar, Amit
Mohan, Amit
Shah, Chintan
Audit of 1000 consecutive cases of sutureless cataract surgery in children above two years of age
title Audit of 1000 consecutive cases of sutureless cataract surgery in children above two years of age
title_full Audit of 1000 consecutive cases of sutureless cataract surgery in children above two years of age
title_fullStr Audit of 1000 consecutive cases of sutureless cataract surgery in children above two years of age
title_full_unstemmed Audit of 1000 consecutive cases of sutureless cataract surgery in children above two years of age
title_short Audit of 1000 consecutive cases of sutureless cataract surgery in children above two years of age
title_sort audit of 1000 consecutive cases of sutureless cataract surgery in children above two years of age
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7043184/
https://www.ncbi.nlm.nih.gov/pubmed/32057003
http://dx.doi.org/10.4103/ijo.IJO_1138_19
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