U. Mester et al., ASTIGMATISM AFTER PHACOEMULSIFICATION WITH POSTERIOR CHAMBER LENS IMPLANTATION - SMALL-INCISION TECHNIQUE WITH FIBRIN ADHESIVE FOR WOUND CLOSURE, Journal of cataract and refractive surgery, 19(5), 1993, pp. 616-619
The scleral pocket technique has dramatically changed wound closure af
ter phacoemulsification with implantation of a posterior chamber lens.
The use of single-stitch technique and wound closure by fibrin adhesi
ve is now possible. We conducted a comparative study of 385 consecutiv
e patients; 167 received only fibrin glue for wound closure and 218 ha
d the single-stitch procedure. No complications were observed in eithe
r group. Surgically induced astigmatism was smaller in the fibrin grou
p (vector analysis: 0.80 diopters [D]) than in the single-stitch group
(vector analysis: 0.99 D). Minimal, statistically insignificant diffe
rent against-the-rule astigmatism developed: single-stitch group: -0.0
7 D (Cravy), -0.09 D (Naeser); fibrin adhesive group: -0.13 D (Cravy),
-0.17 D (Naeser). These results suggest that postoperative against-th
e-rule astigmatism can be prevented with fibrin glue.