DR. AISHWARYA KADAM

DR. SHRUTI MOHAN, DR. RAJESH PRABU VELLAICHAMY, DR. SURUTHI NAGARAJAN, DR. VENU MURALIDHAR

Abstract

Aim:

Comparing the outcome of fibrin glue versus vicryl sutures for conjunctival apposition in strabismus surgery.

Method:

Conjunctival closure with 8-0 vicryl or fibrin glue was done in a randomized interventional trial in 64 patients undergoing unilateral recession-resection surgery. Post-operative symptoms and conjunctival inflammation and thickness were assessed using a five-point scale, a modified conjunctival inflammation scale for hyperemia, discharge and chemosis and AS-OCT.

Results:

Patients in the fibrin glue group had significantly less post-operative pain, redness, watering, irritation and conjunctival hyperemia at 1 day (p<0.01) and 2 weeks (p<0.05). Medial (p<0.001) and lateral (p<0.002) conjunctival thickness was less in the fibrin glue group. Conclusion: Fibrin glue is a good alternative to vicryl sutures for conjunctival closure in strabismus surgeries, with significantly less early post-operative pain and inflammation, providing a more comfortable course of recovery.