Tissue glue in sutureless vitreoretinal surgery for the treatment of wound leakage.

Abstract

BACKGROUND AND OBJECTIVE:

To assess the surgical outcomes of the use of tissue glue to close sclerotomy sites when required and the views of ultrasound biomicroscopy of the sclerotomy sites in 23- and 25-gauge vitrectomy systems.

PATIENTS AND METHODS:

A 25-gauge transconjunctival sutureless vitrectomy was performed in 38 eyes and a 23-gauge transconjunctival sutureless vitrectomy was performed in 46 eyes for various vitreoretinal diseases. Wound leakage occurred at the sclerotomy sites at the end of the surgery in 6 eyes with 23-gauge transconjunctival sutureless vitrectomy and 7 eyes with 25-gauge transconjunctival sutureless vitrectomy. The sclerotomy sites were closed by using tissue glue to prevent wound leakage and evaluated with ultrasound biomicroscopy postoperatively.

RESULTS:

No wound leakage was observed at the end of the surgical procedure or during the follow-up period. Abnormal fibrous ingrowth was not detected at the sclerotomy sites by means of ultrasound biomicroscopy.

CONCLUSION:

The results demonstrated the efficacy of tissue glue for closing site ports when wound leakage is observed in transconjunctival sutureless vitreoretinal surgery.

• Authors: Cosar Batman, Yasemin Ozdamar, Ozlem Aslan, Kenan Sonmez, Seda Mutevelli, Guler Zilelioglu
• Journal: Ophthalmic surgery, lasers & imaging : the official journal of the International Society for Imaging in the Eye (Ophthalmic Surg Lasers Imaging) 2008 Mar-Apr Vol. 39 Issue 2 Pg. 100-6 ISSN: 1542-8877 [Print] United States
• PMID: 18435332 (Publication Type: Journal Article)

Chemical References

• Fibrin Tissue Adhesive
• Fluorocarbons
• Silicone Oils
• Tissue Adhesives
• perflutren

Topics

• Aged
• Anterior Eye Segment (diagnostic imaging)
• Female
• Fibrin Tissue Adhesive (therapeutic use)
• Fluorocarbons (administration & dosage)
• Humans
• Intraocular Pressure
• Male
• Microscopy, Acoustic
• Middle Aged
• Retinal Detachment (surgery)
• Sclerostomy
• Silicone Oils (administration & dosage)
• Surgical Wound Dehiscence (diagnostic imaging, drug therapy)
• Suture Techniques
• Tissue Adhesives (therapeutic use)
• Treatment Outcome
• Vitrectomy (methods)
• Vitreous Hemorrhage (surgery)
• Wound Healing