ABSTRACT.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 (pΩ0.005). However, the difference disappeared after 21 days. Conclusion: Fibrin glue can be used as an alternative to suturing for conjunctival closure following strabismus surgery.
ABSTRACT.Purpose: To determine whether presence of amblyopia has any influence on the outcome of motor and sensory success in cases of esotropia. Methods: 100 patients were taken for this study. Patients were divided into two groups of 50 each. Amblyopia was fully treated in group I and patients in group II underwent surgery before full treatment of amblyopia. Motor success (∫10 PD of orthophoria) was assessed three months after surgery and at the child's most recent visit by comparing the motor alignment at 6 meter and 0.33 meter distance using accommodative target in primary position. Sensory success was assessed by comparing the frequency of detectable stereoacuity. Results: There was no significant difference in motor success (84% vs 75%) and sensory success (55% vs 50%) whether amblyopia was fully treated or partially treated. Conclusion: It is not mandatory to treat ambloypia prior to surgery, unless it is a case of infantile esotropia with moderate amblyopia and amblyopia therapy is continued post operatively.
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