R. Grewing et U. Mester, RADIAL SUTURE STABILIZED BY FIBRIN GLUE TO CORRECT PREOPERATIVE AGAINST-THE-RULE ASTIGMATISM DURING CATARACT-SURGERY, Ophthalmic surgery, 25(7), 1994, pp. 446-448
We evaluated the efficacy of using a modified wound-closure technique
in cataract surgery to reduce presurgical against-the-rule (ATR) astig
matism. Seventy-seven eyes received a radial 10-0 nylon suture in the
axis of the preexisting ATR cylinder, combined with an application of
fibrin glue to stabilize the wound. A control group of 76 patients wit
h comparable preoperative ATR astigmatism was operated on in the same
manner, but only fibrin glue and no suture was used for wound closure.
The mean induced astigmatism in these two groups differed by 0.42 dio
pters, a significant difference (P < .05). In the cases with preoperat
ive astigmatism greater than 1.00 D, the difference between the two gr
oups, again a significant one, was 0.73 (P < .05).