Timing of removal of sutures in control of post-operative astigmatism
| Autor: | P A Hunter, M R Stanford, T Fenech |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
Male
Cylindrical power medicine.medical_specialty Refractive error Time Factors Eye disease Cataract Extraction Astigmatism Cataract extraction Suture (anatomy) Humans Medicine Prospective Studies Post operative Prospective cohort study Aged business.industry Suture Techniques Middle Aged medicine.disease Surgery Ophthalmology Treatment Outcome Female sense organs business |
| Zdroj: | Eye. 7:143-147 |
| ISSN: | 1476-5454 0950-222X |
| Popis: | A prospective, randomised study was carried out in 135 patients to determine whether the time of removal of continuous sutures in the relief of post-operative astigmatism had any effect on subsequent changes in cylinder power or axis. After uncomplicated extracapsular cataract extraction with a corneal section and continuous 10/0 nylon suture, patients with more than 3 dioptres of cylinder were allocated to have their suture removed at 6, 9 or 12 weeks post-operatively. Visual and optical outcome were assessed 1 week after suture removal and at 6 months. Although the time of removal did not affect the change in cylindrical power, the subsequent refraction was more stable when the suture was removed at 12 weeks. However, initial against-the-rule astigmatism did not significantly change after suture removal and resulted in an unsatisfactory final prescription. Suture removal should therefore be performed at 12 weeks, glasses should not be prescribed early, and a poor outcome may be anticipated in those initially against-the-rule. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|