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New research · Ophthalmology
Journal of cataract and refractive surgery · 4d
Meta-analysisJournal of cataract and refractive surgery · 2026

Absorbable, Non-absorbable, and Sutureless Wound Closure in Pediatric Cataract Surgery: A Systematic Review and Meta-Analysis.

Yuri Aleksander-Ivanov, Carolina C S Valentim, Davi M Veiga … M Edward Wilson
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OphthalmologyMeta-analysis

Sutureless wound closure is linked to fewer complications than sutured closure in pediatric cataract surgery.

Absorbable, Non-absorbable, and Sutureless Wound Closure in Pediatric Cataract Surgery: A Systematic Review and Meta-Analysis.

Yuri Aleksander-Ivanov … M Edward Wilson
Journal of cataract and refractive surgery · 2026
Methods

The review protocol was registered in the International Prospective Register of Systematic Reviews (CRD420251174549).

Results

sutureless closure meant far fewer wound problems checked after surgery

OR by subgroup · 95% CI
null = 1
odds of overall complications than
2.35
complication odds than sutured
0.34
More results

Eight studies (four per comparison) evaluated suture material (321 absorbable; 430 non-absorbable) and closure technique (1,127 sutureless; 187 sutured closure).

Absorbable sutures were associated with significantly lower odds of overall complications than non-absorbable sutures (OR 2.35; 95% CI 1.38 to 3.99; P=0.002; very low-certainty evidence).

More results

Specifically, 10-0 polyglactin 910 outperformed 10-0 nylon (OR 2.18; P=0.005; very low-certainty evidence), though loosening was more frequent (P=0.05).

No significant differences were found for wound leakage (P=0.60) or endophthalmitis (P=0.10).

“
Conclusion · 1 of 2

Absorbable sutures and sutureless techniques are associated with a lower risk of overall complications. However, results are limited by very low-certainty and potential selection bias, as sutures are often reserved for leaking wounds.

Conclusion · 2 of 2

While non-absorbable sutures provide early wound security, they appear to increase long term ocular surface morbidity. Large scale RCTs are required to establish definitive surgical guidelines.

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