May 2004
Volume 45, Issue 13
ARVO Annual Meeting Abstract  |   May 2004
Fibrin glue for closing conjunctival wounds in ophthalmic surgery
Author Affiliations & Notes
  • R.C. Becker
    Dept of Strabismology & Neuro, University of Giessen, Giessen, Germany
  • T. Krzizok
    Dept of Strabismology & Neuro, University of Giessen, Giessen, Germany
  • Footnotes
    Commercial Relationships  R.C. Becker, None; T. Krzizok, None.
  • Footnotes
    Support  none
Investigative Ophthalmology & Visual Science May 2004, Vol.45, 2551. doi:
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      R.C. Becker, T. Krzizok; Fibrin glue for closing conjunctival wounds in ophthalmic surgery . Invest. Ophthalmol. Vis. Sci. 2004;45(13):2551.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract: : Purpose: Tissue adhesives offer the attractive prospect of sutureless surgery and provide a mechanism for repairing potentially difficult surgical wounds. We examined the ability fibrin glue –instead of sutures– to close conjunctival wounds at the end of different ophthalmic surgeries. Methods: Between 2002 and 2003 the fibrin glue Beriplast® was used in our department to close the conjunctival wound in 100 eye muscle surgeries, 10 scleral buckling procedures in retinal detachment and in 20 pars plana vitrectomies. Results: No patient showed postop. adverse or allergic reactions, bacterial infections, inflammation or delayed healing. The healing process of the conjunctiva takes a similar time course as in suture closure, but without disturbing suture ends and knots. In children with much tenonâ|*128*|TMs fascia the adaptation of the conjunctiva is safer using sutures. The necessary time using fibrin glue is reduced to one fourth of the usual 4 to 8 minutes necessary for suturing the conjunctiva. The costs for fibrin glue are the same as for Vicryl 9/0®, i.e., approximately 18 to 20 Euros per patient. Conclusions: Fibrin glue for closing conjunctival wounds results in a good adaptation, is time saving, effective and not more expensive than a suture with a high end needle. Especially the thin atrophic conjunctiva in adults will tear using sutures in contrast to the very fast and effective adaptation with fibrin glue. A restriction for the application of fibrin glue are children with much tenonâ|*128*|TMs fascia: in these patients a suture is superior for good adaptation of the conjunctiva.

Keywords: strabismus: treatment • conjunctiva • wound healing 

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