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May 9, 2026Ophthalmic Research0 citationsOpen Access

Longitudinal change in corneal curvature and Fourier indices after corneal suture removal in corneal lacerations

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XCXiaolin ChenXKXixuan KeHLHuiyu Liang

Key Points

  • The study aims to explore the changes in corneal curvature and refractive components after suture removal in full-thickness corneal laceration.
  • Included 30 patients with corneal lacerations divided into three groups based on wound location: central, paracentral, and peripheral.
  • Utilized Swept Source Anterior Segment Optical Coherence Tomography before and at multiple intervals after suture removal.
  • Compared corneal curvature parameters and Fourier indices longitudinally across groups.
  • AveK and spherical component changes were significant within the first week post-suture removal, with less than 0.25D change by week two, except in the central group.
  • Measures of cylinder, regular astigmatism, asymmetry, and higher-order irregularity decreased after suture removal.
  • Best-corrected visual acuity improved across all patient groups post-suture removal.

Abstract

Introduction: The purpose of this study is to investigate the longitudinal changes in corneal curvature and refractive components after suture removal in full-thickness corneal laceration using Swept Source Anterior Segment Optical Coherence Tomography (SS AS-OCT). Methods: Thirty patients were included in this study. The patients were divided into three groups according to the location of the wound on the cornea: central, paracentral and peripheral. SS AS-OCT was performed before corneal suture removal, 1 hour, 1 week and 2 weeks after corneal suture removal. The corneal curvature parameters and Fourier indices were compared longitudinally in each group. Results: After removing the corneal suture, the changes in aveK and spherical component were mostly in the first week, and less than 0.25D in the second week except the spherical component in the central group. The cylinder, regular astigmatism, asymmetry, and higher-order irregularity decreased after suture removal. The patterns of change in the refractive components differ a little with different location of the wound. The best-corrected visual acuity improved after suture removal in all groups. Conclusions: The current study demonstrates the changes in corneal curvature and refractive components after corneal suture removal in various locations of corneal laceration. This information provides a reference for deciding the time and strategy of subsequent procedures for visual rehabilitation.

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Cite This Study

Chen et al. (2026) studied this question.

synapsesocial.com/papers/69fed17eb9154b0b82878e53https://doi.org/10.1159/000552364
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