Indian Journal of Ophthalmology

ARTICLES
Year
: 1982  |  Volume : 30  |  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

Correspondence Address:
T M Muddappa
Estate, Post-Siddapur Dist-Coorg (Karnataka) 571 253
India




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;30:461-462


How to cite this URL:
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 [serial online] 1982 [cited 2021 Jan 28 ];30:461-462
Available from: https://www.ijo.in/text.asp?1982/30/5/461/29228


Full Text

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.