[Postoperative complications in cataract surgery. Results of a prospective study of 3,429 operations with various wound sutures]

Abstract

We analyzed the postoperative complications in a prospective study of 3,429 cataract operations: over 95% phacoemulsification and 4% ECCE. In more than half of the procedures, the no-stitch technique with implantation of a standard PMMA IOL was used. Postoperative wound-closure complications were more frequent in the group of corneoscleral incision with double running suture: hypotony (under 5 mmHg) in 5%, wound dehiscence with iris prolapse in 1.9%. In the series with the no-stitch technique, hypotony occurred in 1.8%. Other wound-closure complications were eliminated to a pro mille level. Intraocular inflammation with fibrin exudation was also reduced by the no-stitch technique (4.2 vs 7.4%).