{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:12:04Z","timestamp":1787019124723,"version":"build-2736575974"},"reference-count":20,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>the aim of this study is to find a safer surgical approach in cataract surgery on eyes previously treated with radial keratotomy using clear corneal incisions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Ophthalmology Clinic, University of Messina, Messina, Italy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Prospective study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective study was conducted on a group of 20 patients, 21 eyes with 16 RK incisions were evaluated for cataract phacoemulsification. Samples were divided into two groups: Group 1 underwent surgery with pre-operative one corneal stitch along radial keratotomy incisions near the main access site whereas Group 2 underwent modified surgery with two corneal stitches.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>After surgery, visual acuity, corneal hysteresis and corneal strength was evaluated. In all cases, an increased visual acuity was observed. Group 1 showed an UCVA of logMAR 0.22\u2009\u00b1\u20090.14, while group 2 presented a logMAR of 0.1\u2009\u00b1\u20090.07. Data did not show a statistically significant difference in UCVA after surgery between the two groups ( P\u2009=\u20090.133). Instead, a significant difference in corneal hysteresis (CH), respectively with values of 8.65\u2009\u00b1\u20091.6 mmHg in group 1 and 9.2\u2009\u00b1\u20091.8 in group 2 ( P\u2009=\u20090.031), and a corneal resistance factor (CRF) with values of 7.87\u2009\u00b1\u20091.4 mmHg in the first group and 8.65\u2009\u00b1\u20091.6 mmHg in the second one ( P\u2009=\u20090.039) was observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Double safe suture technique offers better stabilization of corneal structure during surgery in patients preventively treated with 16 incisions RK.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11206721221083799","type":"journal-article","created":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T05:39:52Z","timestamp":1646113192000},"page":"1828-1832","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Double safe suture during cataract surgery on post radial keratotomy patients using clear corneal incisions"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7546-9178","authenticated-orcid":false,"given":"Alessandro","family":"Meduri","sequence":"first","affiliation":[{"name":"Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Ophthalmology Clinic, University of Messina, Messina, 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