Tissue adhesives as an alternative for conjunctival closure in strabismus surgeries.

PURPOSE: Comparison of conjunctival closure with fibrin glue and conventional closure in strabismus surgeries.

METHODS

Twenty-nine patients undergoing strabismus surgery were studied. Group 1 included twelve cases in whom Tisseel was used for closure and group 2 included seventeen cases in whom 7/0 Vicryl was used. Severity of redness, watering, pain, and discomfort in opening eyes were evaluated postoperatively.

RESULTS

In the first hour, severe pain was experienced in both groups without statistical significance; but in group 1, pain was less severe in the 12th and 24th hour (P < .0001). After the first hour severity of watering was less in group 1 (P < .0001). Discomfort in opening eyes was detected in fifteen patients in group 2 in the first 12 hours where only one case with fibrin glue had discomfort. In the second week, no differences in severity of complaints were seen.

CONCLUSIONS

Conjunctival closure with Tisseel following strabismus surgery might be an alternative to suturing.