<div class="ftSection"><span class="ftInlineSubsectionTitle">Background and Objective:</span><p>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.</p></div><div class="ftSection"><span class="ftInlineSubsectionTitle">Patients and Methods:</span><p>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.</p></div><div class="ftSection"><span class="ftInlineSubsectionTitle">Results:</span><p>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.</p></div><div class="ftSection"><span class="ftInlineSubsectionTitle">Conclusion:</span><p>The results demonstrated the efficacy of tissue glue for closing site ports when wound leakage is observed in transconjunctival sutureless vitreoretinal surgery.</p></div>

Ultrasound biomicroscopy

Vitreoretinal Surgery

10.3928/15428877-20080301-02

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Yaşa Bağlı Maküla Dejenerasyonunda Gelişen Subfoveal Koroid Neovaskülarizasyonlarının Tedavisinde Fotodinamik Tedavi Uygulamasının Geç Dönem Sonuçları

Turkiye Klinikleri Journal of Ophthalmology (2009)

Mehmet Çıtırık Seda Mütevelli Seyhan Sonar Özkan Naciye Kabataş Orhan Zilelioğlu

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A Comparative Study of Tissue Glue and Vicryl Suture for Closing Limbal-Conjunctival Autografts and Histologic Evaluation After Pterygium Excision

Cornea (2008)

Yasemin Özdamar Seda Mütevelli Ünsal Han Dilek İleri Binnur Önal

Purpose: To compare clinical and histopathologic outcomes of tissue glue and vicryl suture to attach limbal conjunctival autografts in pterygium surgery. Methods: Twenty-four eyes of 24 patients were included in this study. All eyes had primary pterygia and were treated with limbal conjunctival autograft transplantation after pterygium resection. Tissue glue (Tisseel) was used to attach the limbal conjunctival autograft in 12 eyes and vicryl sutures in 12 eyes. Patients were followed for 6 months. Histopathologic examination was performed in both groups on postoperative days 1, 15, and 45. Main outcome measures were patient comfort, graft success, complications, histopathologic evaluation, and recurrence of pterygium. Results: Patient comfort was significantly higher in the tissue glue group than the vicryl suture group (P < 0.05). All grafts were intact in both groups during the follow-up period. No recurrence was observed during the 6-month follow-up in both groups. Foreign-body granulation tissue was not seen in any histopathologic studies in eyes with tissue glue, whereas it was observed in eyes with vicryl sutures from day 15 to day 45. The tissue glue was seen under the conjunctiva on the first postoperative day and was not seen on days 15 and 45. Conclusions: Our results showed that limbal conjunctival autografting is an effective surgical technique for the treatment of pterygium, and tissue glue was efficacious in securing the limbal conjunctival autograft in pterygium surgery. The use of tissue glue decreases patient symptoms during the postoperative period after pterygium surgery. Compared with sutures, tissue glue had no adverse effects on ocular tissue.

Vicryl

GLUE

Pterygium

Granulation tissue

10.1097/ico.0b013e318165b16d

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Citations (69)