|Year : 1982 | Volume
| Issue : 5 | Page : 461-462
Post operative complications in cataract surgery with reference to the type of section and the number of sutures
TM Muddappa, PN Srinivasa Rao
Kurubaramotte Estate, Post-Siddapur Dist-Coorg, India
T M Muddappa
Estate, Post-Siddapur Dist-Coorg (Karnataka) 571 253
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Muddappa T M, Srinivasa Rao P N. Post operative complications in cataract surgery with reference to the type of section and the number of sutures. Indian J Ophthalmol 1982;30:461-2
Modern techniques of cataract extractions have markedly reduced the incidence of post operative complications.
The present study was conducted to assess the influence of the use of certain types of abexterno limbal section, certain types of number of sutures, and uniocular or binocular bandag
ing on the incidence of complications in the immediate post operative period following cataract extraction.
| Materials and methods|| |
The study was conducted on 600 unselected patients operated for cataract by the Mobile Eye Unit of the O.E.U. Institute of Ophthalmology, Manipal. The case were grouped as under :
All the cases were dressed every other day for one week and the exteriorised 6/0 sutures were removed on the 6th Post-operative day. Shallow A.C. due to suture removal and air going behind the iris and hyphaema on removal of sutures were excluded from this series.
| Observations and discussion|| |
Shallow A.C. was noticed as under :--group 1-8 cases (5.3%), group 11-4 cases (2.7%); 111-10 cases (6.7%) and group IV-24 cases (16%) .
Most of the shallow anterior chambers were observed between the 2nd and 4th post operative day and on an average lasted for 3 days when conservatively treated with pressure bandage, Diamox and Pupillary dilatation.
The comparison of the data is group 3 and 4 shows a statistically significant reduction in the incidence of shallow A.C. in group 3, by the adoption of a slanting sclerocorneal section.
In comparing groups I & II and I & III there is no statistically significant difference in the incidence of shallow A.C. though numerically the incidence of shallow A.C. is more in cases with one stitch, and occurred in the descending order of frequency in groups III .I and II.
Hyphaema was noticed as under : group I : 4 cases (2.7%) group : II 2-cases (1.3%); group : 111-9 cases (6%) and group : IV 18 cases (12%).
As far as the incidence of Hyphaema among the 4 groups are concerned, the difference is statistically insignificant, though numerically the incidence occurred most with vertical incision and exteriorised one stitch, and in the descending order of frequency in groups III, I and 11.
| Iris prolapse|| |
It is noteworthy that iris prolapse occurred only in those cases where in the incision was vertical and suture exteriorised. This perhaps indicates a weak wound closure. The incidence of iris prolapse is likely to be different if only peripheral iridectomy was done.
| Summary|| |
Slanting sclero-corneal incision helps in minimising the incidence of post-operative complications, in particular shallow anterior chamber following cataract surgery.