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Wound architecture, size dictate cataract surgery outcomes
Visual, refractive and anatomic outcomes in cataract surgery rely heavily on wound size and architecture. Whether a wound is created with a knife or femtosecond laser, its location, configuration and dimensions affect healing and the potential for complications.Some surgeons prefer posterior limbal or scleral tunnel incisions, while others favor clear corneal incisions. Some choose to close incisions with glue or sealant rather than sutures. Regardless of location and technique, surgeons strive to minimize surgically induced astigmatism, endophthalmitis and hypotony.