PURPOSE To compare the safety, feasibility, and outcomes of clear corneal cataract surgery with or without sutures in children (2 to 8 years old) with congenital or developmental cataracts. METHODS One hundred seventy consecutive eligible eyes with pediatric cataracts were randomized into treatment groups depending on closure of clear corneal incisions: suture group and sutureless hydroclosure group (sutureless group). Patients were evaluated on days 1, 7, 30, and 90 postoperatively, with an emphasis on wound leakage from incisions and complications. RESULTS Wound leakage from any corneal incisions was not observed in both groups. Shallow anterior chamber on the first postoperative day was observed in 2 and 3 eyes in the suture and sutureless groups, respectively (P = .48). Hypotony was not observed in any patients. Intraocular pressure measurements were comparable on follow-up visits (P > .05). Mean cylindrical error was significantly greater (P = .03) in the suture group than the sutureless group (1.01 and 0.74 diopters, respectively) after 1 month. One patient developed endophthalmitis after suture removal in the suture group. CONCLUSIONS Sutureless hydroclosure of incisions is not inferior compared to suturing in pediatric cataracts. This avoids suture-related complications while reducing the astigmatic error and is thus potentially less amblyogenic. However, sutures must be used whenever the incision architecture is compromised. [J Pediatr Ophthalmol Strabismus. 2021;58(4):246-253.].

中文翻译：

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缝合与免缝合小儿白内障手术的安全性和可行性比较分析。

目的 比较在患有先天性或发育性白内障的儿童（2 至 8 岁）中进行缝合或不缝合的透明角膜白内障手术的安全性、可行性和结果。方法 170 只连续符合条件的小儿白内障眼根据角膜切口的闭合情况随机分为治疗组：缝合组和免缝合水闭合组（免缝合组）。在术后第 1、7、30 和 90 天对患者进行评估，重点是切口和并发症造成的伤口渗漏。结果两组均未观察到任何角膜切口的伤口渗漏。缝合组和无缝合组分别在 2 只和 3 只眼中观察到术后第一天的浅前房 (P = .48)。在任何患者中均未观察到低血压。眼压测量值在随访中具有可比性（P > .05）。1 个月后，缝合组的平均柱面误差（P = .03）显着大于无缝合组（分别为 1.01 和 0.74 屈光度）。缝线组1例患者拆线后出现眼内炎。结论 与缝合小儿白内障相比，无缝缝合切口水封术并不逊色。这避免了与缝合相关的并发症，同时减少了散光误差，因此可能减少了弱基因性。然而，只要切口结构受损，就必须使用缝合线。[J 小儿眼科斜视。2021;58(4):246-253]。01 和 0.74 屈光度，分别） 1 个月后。缝线组1例患者拆线后出现眼内炎。结论 与缝合小儿白内障相比，无缝缝合切口水封术并不逊色。这避免了与缝合相关的并发症，同时减少了散光误差，因此可能减少了弱基因性。然而，只要切口结构受损，就必须使用缝合线。[J 小儿眼科斜视。2021;58(4):246-253]。01 和 0.74 屈光度，分别） 1 个月后。缝线组1例患者拆线后出现眼内炎。结论 与缝合小儿白内障相比，无缝缝合切口水封术并不逊色。这避免了与缝合相关的并发症，同时减少了散光误差，因此可能减少了弱基因性。然而，只要切口结构受损，就必须使用缝合线。[J 小儿眼科斜视。2021;58(4):246-253]。只要切口结构受损，就必须使用缝合线。[J 小儿眼科斜视。2021;58(4):246-253]。只要切口结构受损，就必须使用缝合线。[J 小儿眼科斜视。2021;58(4):246-253]。