Keratometric astigmatism after ECCE in eastern Nepal. Continuous versus interrupted sutures.

• Main Authors: Sood Archana, Thakur Sanjay Kumar, Kumar Sandeep, Badhu Badri
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2003-01-01
• Series: Indian Journal of Ophthalmology
• Subjects: Cataract; keratometry; astigmatism; continuous sutures; interrupted sutures; Nepal
• Online Access: http://www.ijo.in/article.asp?issn=0301-4738;year=2003;volume=51;issue=1;spage=53;epage=57;aulast=Sood
• ISSN: 0301-4738

<b>Purpose:</b> The study aimed to compute and compare the keratometric astigmatism induced by wound closure with continuous and interrupted sutures in conventional extracapsular cataract extraction with intraocular lens implantation at a single centre in eastern Nepal. <b> Methods: </b> Sixty eyes of 60 patients were included in the study. All patients received conventional extracapsular cataract extraction and single piece modified C-loop posterior chamber intraocular lens. Thirty eyes were sutured with continuous (Group 1) and 30 eyes with interrupted sutures (Group 2). The results were analysed by the unpaired student&#x2032;s t-test. <b> Results: </b> At the end of 6 weeks, Group 1 patients had significantly higher astigmatism (3.53 &#x00B1; 2.19D) compared to Group 2 patients (1.7 &#x00B1; 1.35). A majority of patients in both groups had with-the-rule astigmatism throughout the postoperative period. <b> Conclusion:</b> Interrupted sutures cause less astigmatism than continuous suture. The factors responsible for high astigmatism in continuous sutures call for further analysis.