Document Detail


Timing of suture removal in sequential surgery: a pilot study.
MedLine Citation:
PMID:  19654532     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To study the appropriate timing of corneal suture removal in sequential surgery (penetrating keratoplasty [PK]-phacoemulsification [PE]) procedures. METHODS: In a pilot study, patients with a PK double running suture in place requiring cataract surgery were randomized to suture removal 1 month before PE or during PE (n = 14; 7 in each group). Visual acuity, refraction, manual keratometry, Pentacam analysis, biomicroscopy, biometry, endothelial cell count, and funduscopy were determined before suture removal/PE and after PE (except biometry). Outcome measures at 6 months were corneal refractive change (induced by PE plus suture removal) analyzed by conversion to corneal power vector, index of surface variance change, and postoperative spherical equivalent, corrected, and uncorrected visual acuity. RESULTS: Average corneal refractive change induced was 1.63, -2.98 x 96 degrees in the preoperative suture removal group and 2.14, -2.84 x 90 degrees in the intraoperative suture removal group. Difference in parameters of the corneal power vector change were statistically significant but not clinically relevant (M, spherical component, 0.14 vs 0.72, P = 0.01, respectively; J, astigmatic component, 1.49 vs 1.42, P = 0.01, respectively). Postoperative spherical equivalent, index of surface variance change, and corrected and uncorrected visual acuity were not significantly different in the two groups. CONCLUSIONS: Differences in refractive state and visual acuity of the eye are not observed between patients with PK continuous suture removal (1 month) before PE and during PE.
Authors:
Jaime Tejedor; José Antonio Pérez-Rodríguez
Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Cornea     Volume:  28     ISSN:  1536-4798     ISO Abbreviation:  Cornea     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2009-08-25     Completed Date:  2009-10-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8216186     Medline TA:  Cornea     Country:  United States    
Other Details:
Languages:  eng     Pagination:  860-4     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology, Hospital Ramón y Cajal, Madrid, Spain. jtejedor.hrc@salud.madrid.org
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Cornea / physiopathology,  surgery*
Device Removal
Humans
Keratoplasty, Penetrating*
Middle Aged
Phacoemulsification*
Pilot Projects
Refraction, Ocular
Suture Techniques*
Time Factors
Visual Acuity

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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