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Strabismus surgery: fibrin glue versus vicryl for conjunctival closure.

PURPOSE
The aim of present study was to compare the results of conjunctival closure by fibrin glue with vicryl in strabismus surgery.


METHODS
19 patients undergoing bilateral symmetrical strabismus surgery were included in this study. Conjunctival incisions were closed with 6-0 vicryl in the right eye and fibrin glue in the left eye.


RESULTS
On first post-operative day 15 out of 19 eyes (78.9%) had well apposed conjunctiva, 3 out of 19 eyes (15.79%) had 1 mm retraction and one out of 19 eyes (5.26%) had 2 mm retraction, which needed suturing, in cases in which fibrin glue was applied. Increased discomfort and excessive watering was noted during the early postoperative period in 8 out of 19 eyes (42.1%), in eyes in which the conjunctiva was closed with 6-0 vicryl, as compared to none in the fibrin glued eyes (p=0.005). However, the difference disappeared after 21 days.


CONCLUSION
Fibrin glue can be used as an alternative to suturing for conjunctival closure following strabismus surgery.