Grewing R, Mester U
Department of Ophthalmology of the Bundesknappschaft, Sulzbach/Saar, Germany.
Ophthalmic Surg. 1994 Jul;25(7):446-8.
We evaluated the efficacy of using a modified wound-closure technique in cataract surgery to reduce presurgical against-the-rule (ATR) astigmatism. 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 with 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 diopters, a significant difference (P < .05). In the cases with preoperative astigmatism greater than 1.00 D, the difference between the two groups, again a significant one, was 0.73 (P < .05).
我们评估了在白内障手术中使用改良伤口闭合技术以减少术前逆规散光（ATR）的疗效。77只眼在原有的ATR柱镜轴向上接受了10-0尼龙缝线放射状缝合，并应用纤维蛋白胶来稳定伤口。76例术前ATR散光程度相当的患者作为对照组，以相同方式进行手术，但伤口闭合仅使用纤维蛋白胶而不使用缝线。这两组的平均诱导散光相差0.42屈光度，差异有统计学意义（P <.05）。在术前散光大于1.00 D的病例中，两组之间的差异同样具有统计学意义，为0.73（P <.05）。
