Strabismus surgery: fibrin glue versus vicryl for conjunctival closure.
OBJECTIVE
The aim of present study was to compare the results of conjunctival closure by fibrin glue with vicryl in strabismus surgery.


METHODS
19 patients undergoing bilateral symmetrical strabismus surgery were included in this study. Conjunctival incisions were closed with 6-0 vicryl in the right eye and fibrin glue in the left eye.


RESULTS
On first post-operative day 15 out of 19 eyes (78.9%) had well apposed conjunctiva, 3 out of 19 eyes (15.79%) had 1 mm retraction and one out of 19 eyes (5.26%) had 2 mm retraction, which needed suturing, in cases in which fibrin glue was applied. Increased discomfort and excessive watering was noted during the early postoperative period in 8 out of 19 eyes (42.1%), in eyes in which the conjunctiva was closed with 6-0 vicryl, as compared to none in the fibrin glued eyes (p=0.005). However, the difference disappeared after 21 days.


CONCLUSIONS
Fibrin glue can be used as an alternative to suturing for conjunctival closure following strabismus surgery.
Dadeya
S
S
Guru Nanak Eye Centre, Maulana Azad Medical College, New Delhi-2, India. dadeya86@hotmail.com
Ms
K
K
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D003228:Conjunctiva / Q000187:drug effects; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use*; D006801:Humans; D009801:Oculomotor Muscles / Q000601:surgery; D011098:Polyglactin 910; D013285:Strabismus / Q000601:surgery*; D013536:Suture Techniques; D013537:Sutures; D014014:Tissue Adhesives / Q000627:therapeutic use*; D014945:Wound Healing
D015718:Fibrin Tissue Adhesive; D014014:Tissue Adhesives; D011098:Polyglactin 910