The purpose of this study was to compare postoperative complications between incision closure by nylon suture and polyglactin suture in paediatric cataract surgery. This was a prospective single-centre non-randomised study of 82 eyes (41 children) with median age of four years (range three months to 10 years) and 39% female. All had 10-0 nylon suture in the first eye surgery and 10-0 polyglactin suture in the second eye surgery. They were observed for three months postoperatively. In nylon suture eyes, two were loose and two had underlying corneal oedema. Sutures were removed as routine in 37 of 41 eyes, and all were removed by the second eye surgery. For polyglactin suture eyes, five were loose, two were vascularised and three had mucus infiltration. They were removed at two to five weeks postoperatively for 10 patients and left in situ for 31. The results indicate benefit of nylon sutures with suture removal within two weeks postoperatively. A higher frequency of complications was noted for polyglactin sutures. A larger study is recommended to confirm these results.
Comparison of nylon versus polyglactin sutures
Reviewed by Fiona Rowe
Suture selection for incision closure in pediatric cataract surgery: a dilemma for pediatric ophthalmologists.
CONTRIBUTOR
Fiona Rowe (Prof)
Institute of Population Health, University of Liverpool, UK.
View Full Profile
