* BACKGROUND AND OBJECTIVE: To deter mine whether corneal topography and visual recovery are affected by suturing a temporal, clear corneal incision for cataract surgery. * PATIENTS AND METHODS: Forty-one consecutive phacoemulsification patients (39 eyes) had a 3.2mm incision sutured with one 10-0 nylon, radial suture removed after 1 postoperative week. Visual acuity (VA) and corneal topography, including best fit sphere (BFS), best fit cylinder (BFC), principle meridian, topographic irregularity (TI), and vector-corrected astigmatism (VCA), were measured preoperatively and 1 day, 1 week, and 1 month postoperatively. Twotailed t tests and Pearson correlations were calculated. * RESULTS: From the preoperative measurement to 1 week postoperatively, VA improved, BFS (P = .005) and TI (P = .033) increased, and VCA shifted withthe-rule. From 1 week to 1 month postoperatively, BFS (P= .012) and TI (P= .002) decreased. BFC and its direction did not change. Almost all measures were significantly correlated. * CONCLUSION: The benefits of sutureless surgery on corneal topography and visual recovery are not degraded by using a suture to prevent wound leakage. [Ophthalmic Surg Lasers 1998;29:896-903.]
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Black et al. (1998) studied this question.
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