title: Adal-1 bioadhesive for sutureless recession muscle surgery: a clinical trial.
abstract: OBJECTIVE
  To evaluate the efficacy and biotolerance of the Adal-1 adhesive for muscle sealing in strabismus surgery.
  
  
  METHODS
  27 eyes were included in the study: 17 in the control group and 10 in the study group. Surgery was performed on the recession of the horizontal rectus muscles. In the control group the muscle was joined to the sclera by a Vicryl 7/0 suture. In the study group, the Adal-1 adhesive was used instead. The efficacy of the sealing of the muscle to the sclera and the biotolerance of the surrounding tissues were evaluated.
  
  
  RESULTS
  The muscular recession in the control group was 8.17 (SD 2.38) with displacement of the sealing point of 0.02 (1.7) mm. In the group sealed with adhesive, the muscular recession was 9.09 (3.08) and the displacement was 0.15 (1.56) mm, with no significant differences between the techniques (p<0.05). The inflammation of the surrounding tissues in the immediate postoperative period was greater with the suture technique (p>0.05), but there were no differences in the other postoperative periods (Mann-Whitney U test).
  
  
  CONCLUSIONS
  Adal-1 was an effective and safe alternative to sutures in muscle recession for strabismus surgery in this study.
authors.affiliation: Vissum-Instituto Oftalmológico de Alicante, Avenida de Denia S/N, Edficio Vissum 03016 Alicante, Spain.
authors.forename: M E
authors.initials: ME
authors.lastname: Mulet
authors.forename: J L
authors.initials: JL
authors.lastname: Alió
authors.forename: M M
authors.initials: MM
authors.lastname: Mahiques
authors.forename: M M
authors.initials: MM
authors.lastname: Mahiques
authors.forename: J M
authors.initials: JM
authors.lastname: Martín
mesh_terms: D000179:Acrylates / Q000627:therapeutic use*; D000293:Adolescent; D000328:Adult; D000368:Aged; D005152:Facial Muscles / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures / Q000379:methods; D011183:Postoperative Complications; D012590:Sclera; D013285:Strabismus / Q000503:physiopathology / Q000601:surgery*; D014014:Tissue Adhesives / Q000627:therapeutic use*; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology
chemical_list: D000179:Acrylates; C507918:Adal-1 adhesive; D014014:Tissue Adhesives