Tight Sutures
![Tight sutures after penetrating keratoplasty](https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_200/public/media/images/2022-05/tight-sutures.jpeg?itok=Q1dswmRL 200w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_260/public/media/images/2022-05/tight-sutures.jpeg?itok=AVJyXDJl 260w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_320/public/media/images/2022-05/tight-sutures.jpeg?itok=1I1ZXTIt 320w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_400/public/media/images/2022-05/tight-sutures.jpeg?itok=EQIgn8C8 400w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_1600/public/media/images/2022-05/tight-sutures.jpeg?itok=Xlvc6Mfw 450w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_520/public/media/images/2022-05/tight-sutures.jpeg?itok=F33MR-wA 520w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_640/public/media/images/2022-05/tight-sutures.jpeg?itok=qtoLwRBU 640w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_800/public/media/images/2022-05/tight-sutures.jpeg?itok=f7d-y0EV 800w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_1040/public/media/images/2022-05/tight-sutures.jpeg?itok=M1cnBTvE 1040w, https://www.vagelos.columbia.edu/sites/default/files/styles/cola_media_1280/public/media/images/2022-05/tight-sutures.jpeg?itok=sGKY9q6y 1280w)
Clinical Features
- Symptoms: usually asymptomatic.
- Tight sutures in one or multiple areas immediately after penetrating keratoplasty is not an uncommon finding.
- Although they may induce irregular astigmatism, the corneal curvature will change over time during the healing process.
Management
- Suture replacement is very rarely if at all never been indicated.
- Routine follow up and careful graft evaluation is the mainstay of management.