title: Photodynamic biologic tissue glue.
abstract: We studied both heat- and light-activated tissue glues, and while a heat-activated mixture such as albumin and fluorescein isothiocyanate was effective, we believed that a light-activated substance would have less of an effect on adjacent tissue. Our glue uses a photosensitive singlet oxygen generator to cross-link a protein solder with corneal stromal collagen. The mixture consists of 18% fibrinogen and 2.6 mg/ml of riboflavin-5-phosphate activated with a blue-green (488-514 nm) Argon laser. We tested our glue by soldering 5-mm penetrating central corneal incisions made in human cadaver eyes. The strength of the closure was measured by cannulating the vitreous cavity with an 18-gauge needle connected to a saline reservoir. The pressure in the reservoir was elevated by connecting it to a sphygmomanometer. Immediately following tissue closure, the intraocular pressure was increased until the wound burst. We soldered and measured 10 eyes and found a mean bursting pressure of 154 mm Hg, with a range of 80-260 mm Hg. Our laser-activated tissue glue is an effective adhesive for corneal tissue, and we now plan to carry out toxicity studies in living animals.
authors.affiliation: Department of Ophthalmology and Visual Science, University of Chicago, Illinois 60637.
authors.forename: J
authors.initials: J
authors.lastname: Khadem
authors.forename: T
authors.initials: T
authors.lastname: Truong
authors.forename: J T
authors.initials: JT
authors.lastname: Ernest
mesh_terms: D003315:Cornea / Q000473:pathology / Q000601:surgery*; D003432:Cross-Linking Reagents; D015718:Fibrin Tissue Adhesive / Q000737:chemistry / Q000528:radiation effects* / Q000627:therapeutic use; D005486:Flavin Mononucleotide; D006801:Humans; D008027:Light; D013529:Surgical Wound Dehiscence / Q000473:pathology; D014945:Wound Healing
chemical_list: D003432:Cross-Linking Reagents; D015718:Fibrin Tissue Adhesive; D005486:Flavin Mononucleotide