Surgical outcomes of 27-gauge sutureless versus 23-gauge sutured techniques in congenital cataract surgery: a comparative study
INTERNATIONAL OPHTHALMOLOGY, cilt.46, sa.1, 2026 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 46 Sayı: 1
- Basım Tarihi: 2026
- Doi Numarası: 10.1007/s10792-026-04141-4
- Dergi Adı: INTERNATIONAL OPHTHALMOLOGY
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, BIOSIS, EMBASE, MEDLINE, Biomedical Reference Collection: Corporate Edition (EBSCO), Health Research Premium Collection (ProQuest), Pharma Collection (ProQuest)
- İstanbul Üniversitesi Adresli: Evet
Özet
Purpose To evaluate surgical outcomes and complications of a sutureless 27-gauge technique in congenital cataract surgery in comparison with a 23-gauge sutured method. Methods This retrospective, comparative study included 68 eyes of 41 patients (aged <= 12 months at surgery) who underwent congenital cataract surgery. Group 1 included 25 eyes that underwent 27-gauge sutureless surgery, while group 2 included 43 eyes that underwent 23-gauge sutured surgery. Demographic, perioperative, and follow-up findings and measurements were recorded and compared. The main outcome measures were the number of general-anesthesia sessions, timing of postoperative visual rehabilitation, postoperative complications. Results Group 1 required fewer general anesthesia sessions than group 2 (3.60 +/- 2.84 vs. 4.57 +/- 1.52 sessions; P = 0.047) and initiated contact lens rehabilitation earlier (1.38 +/- 1.03 vs. 3.93 +/- 1.94 weeks; P < 0.001). Postoperative elevated IOP requiring medical therapy occurred in 10 (40.0%) cases in group 1 and 12 (27.9%) cases in group 2 (P = 0.304). One eye in group 2 also underwent trabeculectomy. Reoperation for iris tissue extending into the wound occurred for one eye in group 1 (P = 0.186), and anterior-chamber fibrin reaction occurred only in group 2 (4 eyes, P = 0.116). Visual axis opacifying membranes requiring vitrectomy developed in 4 eyes in each group (P = 0.408). Conclusion The 27-gauge sutureless technique demonstrated comparable outcomes to the 23-gauge sutured method in congenital cataract surgery, with added benefits of fewer anesthesia sessions and earlier visual rehabilitation. These results support its use as a feasible and minimally invasive alternative for selected cases of congenital cataract.