Fibrin Glue for Opposing Wound Edges in “Top Hat” Penetrating Keratoplasty

Bahar, Irit; Kaiserman, Igor; Slomovic, Allan R.; McAllum, Penny; Rootman, David S.

doi:10.1097/ico.0b013e318151f8e8

Cited by 15 publications

(7 citation statements)

References 25 publications

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“…in 2007. [100,101] They reported that in “Top Hat” keratoplasty, fibrin glue was mechanically more stable than suturing. They used incisional bursting pressure of 185 mmHg (range 90-300 mm Hg) for testing stability, demonstrating that fibrin glue provides faster healing and induces significantly less corneal vascularization.…”

Section: Fibrin Glue In Ophthalmologymentioning

confidence: 99%

Fibrin glue in ophthalmology

Panda

Kumar

et al. 2009

Indian J Ophthalmol

176

143

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Suturing is a time consuming task in ophthalmology and suture induced irritation and redness are frequent problems. Postoperative wound infection and corneal graft rejection are examples of possible suture related complications. To prevent these complications, ophthalmic surgeons are switching to sutureless surgery. A number of recent developments have established tissue adhesives like cyanoacrylate glue and fibrin glue as attractive alternatives to sutures. A possible and promising new application for tissue adhesives is to provide a platform for tissue engineering. Currently, tissue glue is being used for conjunctival closure following pterygium and strabismus surgery, forniceal reconstruction surgery, amniotic membrane transplantation, lamellar corneal grafting, closure of corneal perforations and descematoceles, management of conjunctival wound leaks after trabeculectomy, lid surgery, adnexal surgery and as a hemostat to minimise bleeding. The purpose of this review is to discuss the currently available information on fibrin glue.

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Section: Fibrin Glue In Ophthalmologymentioning

confidence: 99%

Fibrin glue in ophthalmology

Panda

Kumar

et al. 2009

Indian J Ophthalmol

176

143

View full text Add to dashboard Cite

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“…Los procedimientos quirúrgicos empleados fueron QPP tradicional, QPP tipo «top-hat» asistida por láser femtosegundos y queratoplastia «top-hat» con uso de adhesivo tisular; para los 3 procedimientos se utilizaron 8 y 16 suturas. En ambos casos, la técnica de «top-hat» combinada con adhesivo tisular demostró estadísticamente una mayor estabilidad de la herida comparada con los otros métodos, soportando presiones mayores de 146 y 158 mmHg para 8 y 16 suturas respectivamente; el astigmatismo inducido también fue menor que en los otros procedimientos, siendo de 2.5 D para la técnica con adhesivo vs. 3.1 D para las otras 2 técnicas 22 .…”

Section: Discussionunclassified

Uso de adhesivo tisular de fibrina en queratoplastia penetrante

Martínez

Montes

2015

Revista Mexicana de Oftalmología

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“…in 2007 in “top hat” keratoplasty and they found fibrin glue mechanically more stable than suturing. [10]…”

Section: Discussionmentioning

confidence: 99%

Can we overcome the challenges of sutures in lamellar keratoplasty?

Panda

Kumar

2011

Indian J Ophthalmol

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Lamellar keratoplasty (LK) is a technique which can be followed for both tectonic and optical purposes. We describe a technique of sutureless anterior LK by fixing the donor lenticule to the recipient bed using fibrin glue. LK was performed in an eye with corneal opacity using the manual dissection method. The donor lenticule was cut with a microkeratome after fixing the corneoscleral rim in an artificial anterior chamber. The size of the donor lenticule was 8.5 mm and fixed to the recipient bed with fibrin glue. The surgical time was reduced significantly with this technique. There was an uneventful postoperative period during the follow-up of 12 months. Best corrected visual acuity improved from hand movement to 20/60. Thus, the use of fibrin glue for fixing the anterior lamellar lenticule is a viable option for both optical and anatomical purposes.

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Fibrin Glue for Opposing Wound Edges in “Top Hat” Penetrating Keratoplasty

Abstract: The use of fibrin glue in Top Hat PKP was found to be more mechanically stable than traditional sutures.

Cited by 15 publications

References 25 publications

Fibrin glue in ophthalmology

Fibrin glue in ophthalmology

Uso de adhesivo tisular de fibrina en queratoplastia penetrante

Can we overcome the challenges of sutures in lamellar keratoplasty?

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