Abstract
Three groups of patients were reviewed 1, 2 and 3 years after extracapsular cataract extraction to assess the incidence of problems related to nylon corneal sutures and the need for suture removal. A large percentage of patients were found to have suture-related problems and required or had previously undergone suture removal. These findings are analysed. The potential risk of sight-threatening pathology associated with corneal sutures that are left in situ suggests that routine suture removal about 3 months after surgery is to be recommended.
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Shahinian L Jr, Brown SI . Post-operative complications with protruding monofilaraent nylon sutures. Am J Ophthal-mol 1977; 83: 546–8.
Nirankari VS, Karesh JW, Richards RD . Complications of exposed monofilament nylon sutures. Am J Ophthalmol 1983; 95: 515–9.
Friedman T, et al. Giant papillary conjunctivitis following cataract extraction. Ann Ophthalmol 1984; 16: 50–2.
Wille H, Molgaard IL . Giant papillary conjunctivitis in connection with corneoscleral supramid suture knots. Acta Ophthalmol (Copenh) 1984; 62: 75–83.
Acheson JF, Lyons CJ . Ocular morbidity due to monofilament nylon corneal sutures. Eye 1991; 5: 106–12.
Jackson H, Bosanquet R . Should nylon corneal sutures be routinely removed? Br J Ophthalmol 1991; 75: 663–4.
Rijneveld WJ, et al. Comparison of the reaction of the cornea to nylon and stainless steel sutures. Doc Ophthalmol 1989; 72: 297–307.
McLellan KA, et al. Non-absorbable suture material in corneoscleral sections. Ophthalmic Surg 1989; 20: 480–5.
Baranyovits P . Stabilisation of refraction following extra-capscular cataract extraction. Br J Ophthalmol 1990; 74: 486–9.
Stanford MR, Fenech T, Hunter PA . Timing of removal of sutures in control of post-operative astigmatism. Eye 1993; 7: 143–7.
Parker WT, Clorfeine GS . Long-term evolution of astigmatism following planned extracapsular cataract extraction. Arch Ophthalmol 1989; 107: 353–7.
Jaffe NS, Clayman HM . The pathophysiology of corneal astigmatism after cataract extraction. Ophthalmology 1975; 79: 615–30.
Stainer GA, et al. The natural and modified course of post-cataract astigmatism. Ophthalmic Surg 1982; 13: 822–7.
Wishart MS, Wishart PK, Gregor ZJ . Corneal astigmatism following cataract extraction. Br J Ophthalmol 1986; 70: 825–30.
Richards SC, et al. Long-term course of surgically induced astigmatism. J Cataract Refract Surg 1988; 14: 270–6.
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Danjoux, J., Reck, A. Corneal sutures: Is routine removal really necessary?. Eye 8, 339–342 (1994). https://doi.org/10.1038/eye.1994.70
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DOI: https://doi.org/10.1038/eye.1994.70
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