Outcomes of suture-less vs. sutured wound closure for paediatric cataract surgery
Reviewed by Fiona Rowe

In this study the authors aimed to compare the incidence of postoperative complications between cases of suture-less and sutured wound closure in paediatric cataract surgery. This was a retrospective study of children aged <18 years and included 116 eyes of 84 consecutive patients. The suture-less group comprised 39 males and 25 females (86 eyes, mean age 62.7 ±56.6 months). The sutured group had 13 males and 12 females (30 eyes, mean age 69.5 ±40.3 months). The IOL was placed in 51% of the first group and 80% of the second. Pre and postoperative IOP was not significant for groups. Corrected distance visual acuity differed significantly postoperatively and was better in the sutured group. However, this was not significant at final follow-up. There was no significance between groups for postoperative complications. The authors conclude it may be reasonable to avoid sutured wound closure in paediatric cataract surgery.

Outcomes in sutured vs sutureless wound closure in pediatric cataract surgery.
Broyles HV, Edens SN, Neuhauser AJ, et al.
JOURNAL OF PEDIATRIC OPHTHALMOLOGY AND STRABISMUS
2023;60:147-51.