Astigmatism after phacoemulsification with posterior chamber lens implantation: small incision technique with fibrin adhesive for wound closure

J Cataract Refract Surg. 1993 Sep;19(5):616-9. doi: 10.1016/s0886-3350(13)80011-9.


The scleral pocket technique has dramatically changed wound closure after phacoemulsification with implantation of a posterior chamber lens. The use of single-stitch technique and wound closure by fibrin adhesive is now possible. We conducted a comparative study of 385 consecutive patients; 167 received only fibrin glue for wound closure and 218 had the single-stitch procedure. No complications were observed in either group. Surgically induced astigmatism was smaller in the fibrin group (vector analysis: 0.80 diopters [D]) than in the single-stitch group (vector analysis: 0.99 D). Minimal, statistically insignificant different against-the-rule astigmatism developed: single-stitch group: -0.07 D (Cravy), -0.09 D (Naeser); fibrin adhesive group: -0.13 D (Cravy), -0.17 D (Naeser). These results suggest that postoperative against-the-rule astigmatism can be prevented with fibrin glue.

Publication types

  • Comparative Study
  • Review

MeSH terms

  • Astigmatism / etiology
  • Astigmatism / prevention & control*
  • Cataract Extraction / adverse effects*
  • Fibrin Tissue Adhesive*
  • Follow-Up Studies
  • Humans
  • Lenses, Intraocular*
  • Refraction, Ocular
  • Suture Techniques*
  • Visual Acuity
  • Wound Healing


  • Fibrin Tissue Adhesive