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| LETTER TO EDITOR |
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| Year : 2003 | Volume
: 51
| Issue : 3 | Page : 283 |
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Astigmatism after ECCE in eastern Nepal. Continuous versus interrupted sutures
P Parmar, A Salman
Correspondence Address:
P Parmar
 Source of Support: None, Conflict of Interest: None  | Check |
PMID: 14601864 
How to cite this article:
Parmar P, Salman A. Astigmatism after ECCE in eastern Nepal. Continuous versus interrupted sutures. Indian J Ophthalmol 2003;51:283 |
Dear Editor,
We have read the article "Keratometric astigmatism after ECCE in Eastern Nepal". Continuous versus Interrupted sutures.1 The authors mention that at the end of 6 weeks patients who reviewed continuous suturing had significantly higher astigmatism compared to the patients who reviewed interrupted sutures. We do not agree with this statement reviewed. We routinely perform both type of suturing, continuous as well as interrupted, and in my cases, the overall postoperative astigmatism is significantly higher in cases with interrupted suturing than those with continuous suturing. The authors have stated that a majority of patients in both groups had with-the-rule astigmatism throughout the postoperative period, but in our hands astigmatism was predominantly with-the-rule in both groups. We at 4 weeks after surgery observed with-the-rule astigmatism is slightly more with interrupted sutures compared to continuous sutures. There was shift of astigmatism from with-the-rule to against-the-rule in both suturing techniques. This shift was greater in cases of interrupted than continuous sutures, at 12 weeks. In case of interrupted sutures, against-the-rule astigmatism was more and in case of continuous sutures, with-the-rule astigmatism was more.
To reduce the astigmatism in cases of manual ECCE with PCIOL, it is important that the suturing is neither too tight nor too loose, and the wound is closed properly without gap. It is true that despite the trend towards small incision cataract surgery, a bulk of cataracts in developing countries are operated by the age-old, time tested conventional extracapsular cataract extraction (ECCE).
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