Fibrin Glue Aided Sutureless Sclerokeratoplasty With Maintenance of Chamber Angle

Kumar, Sandeep; Panda, Anita

doi:10.1097/ico.0b013e3182000fbb

Cited by 3 publications

(4 citation statements)

References 4 publications

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“…Large corneoscleral grafts, penetrating or lamellar, with or without fibrin glue have been described earlier in cases of ectasia, corneal infection, and macroperforations (3–4–5–6–7–8–9–10). However, these eyes were not associated with comorbidities like scleral ischemia, thinning, or retinal detachment.…”

Section: Discussionmentioning

confidence: 98%

Large Lamellar Corneoscleral Grafts: Tectonic Role in Initial Management of Severe Ocular Chemical Injuries

Iyer

Srinivasan

Rishi

et al. 2015

European Journal of Ophthalmology

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In acute severe chemical injuries, corneal perforation with scleral ischemia can threaten globe integrity as well as preclude routine tectonic penetrating procedure. Presence of a concurrent retinal detachment in this setting further complicates the approach as well as the outcome. The use of a large tectonic corneoscleral lamellar graft provides a viable option in the achievement of tectonic stability in these eyes, facilitating future visual rehabilitative procedures.

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Section: Discussionmentioning

confidence: 98%

Large Lamellar Corneoscleral Grafts: Tectonic Role in Initial Management of Severe Ocular Chemical Injuries

Iyer

Srinivasan

Rishi

et al. 2015

European Journal of Ophthalmology

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“…We introduce a technique that replaces sutures with a fibrin glue sealant to diminish surgical trauma and postoperative immune reaction, to recover a smooth ocular surface with normal distribution of the tear film with the use of a giant soft contact lens, and to inject deposit cortisone into the donor cornea to prevent early immunoreaction. [14] By transplanting the entire limbal area and the whole cornea without the use of sutures, this new technique offers new hope for those eyes not suitable for standard grafting procedures.…”

Section: Discussionmentioning

confidence: 99%

“…Later, Kumar and Panda have also used fibrin glue for lamellar sclerokeratoplasty. [14] Hereby, we present the details of the technique to be used in cases with total opaque corneas after more than one failed corneal transplantation, and as a last hope to recover some vision, a better cosmesis, and anterior-segment integrity.…”

Section: Introductionmentioning

confidence: 99%

Lamellar sclerokeratoplasty: Review of the literature and description of a special technique using fibrin glue and a giant hydrophilic contact lens

Arenas

Mieth²

2019

Taiwan J Ophthalmol

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Lamellar sclerokeratoplasty is a surgical procedure described since 1979 by Lim in China and reported by different surgeons in the world. Our purpose is to report a modified technique in which not only the whole cornea with a scleral rim is utilized, but the importance of including the whole Schlemm's canal area is also insisted; therefore, a new aqueous humor drainage pathway can be restored. The technique is designed for cases in which not only the whole cornea is decompensated, but also have untreatable glaucoma. This procedure replaces the entire anterior segment with a clear donor cornea including the limbus and part of the trabecular meshwork. We present the results of visual acuity by the logMAR scale of 55 cases from 110 patients receiving this surgical technique. The results describe 39 cases that had visual improvement after more than 1 year of follow-up and 16 cases that did not improve in their visual acuity. Large-diameter sclerokeratoplasty is an alternative and therapeutic option to eliminate the entire corneal pathology, while obtaining structural and even optical results with a lower immunological reaction. It can be considered an option in cases that are not suitable for standard grafting procedures.

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“…The technique was found to be less painful and less time-consuming, induced less postoperative inflammation, and appeared to be a safe and effective option for managing cases of total corneal ulcers with limbus-to-limbus involvement. 46 …”

Section: Limitationsmentioning

confidence: 99%

Tissue Adhesives for the Management of Corneal Perforations and Challenging Corneal Conditions

Sharma¹,

Sharma²,

Basu³

et al. 2023

OPTH

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Corneal perforations are ophthalmological emergencies which can have serious and detrimental consequences, if not managed timely and appropriately. These are a significant cause of ocular morbidity and can result in decreased vision, blindness, and even loss of the eye. Corneal perforations can be managed using a range of treatment approaches, including temporary solutions such as the application of corneal glue and bandage contact lens, as well as definitive treatment such as corneal transplantation. Tissue glues/adhesives were developed as substitutes for sutures in ophthalmic surgery. Unlike sutures, these glues are associated with shorter overall surgical times and reduced inflammation, thus improving postoperative comfort without compromising wound strength. The available tissue adhesives can be broadly classified into two types: synthetic (eg, cyanoacrylate derivatives) and biological (eg, fibrin glue). Cyanoacrylate glue is chiefly used as a corneal patch to manage acute corneal perforations and improve visual outcomes. Fibrin glue can be used instead of cyanoacrylate glue in many conditions with the benefits of reduced conjunctival and corneal inflammation and reaction. Apart from this, each type of adhesive is distinct in terms of its benefits as well as limitations and is accordingly used for different indications. The present review focuses on the two main types of tissue adhesives, their applications in the management of corneal perforations, the associated complications, safety and efficacy data related to their use available in the literature and the need for newer adhesives in this field.

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Fibrin Glue Aided Sutureless Sclerokeratoplasty With Maintenance of Chamber Angle

Cited by 3 publications

References 4 publications

Large Lamellar Corneoscleral Grafts: Tectonic Role in Initial Management of Severe Ocular Chemical Injuries

Large Lamellar Corneoscleral Grafts: Tectonic Role in Initial Management of Severe Ocular Chemical Injuries

Lamellar sclerokeratoplasty: Review of the literature and description of a special technique using fibrin glue and a giant hydrophilic contact lens

Tissue Adhesives for the Management of Corneal Perforations and Challenging Corneal Conditions

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