To print: Select File and then Print from your browser's menu --------------------------------------------------------------------------------------- Title: Better Postoperative Results With Fibrin Sealant Than Sutures for Wound Closure in Eye Surgery: Presented at ARVO URL: http://www.pslgroup.com/dg/220676.htm Doctor's Guide April 30, 2008
By Micheal Casasnovas FORT LAUDERDALE, Fla – April 30, 2008 -- Excellent results can be obtained using fibrin sealant as opposed to standard sutures in closing surgical wounds during Müller muscle-conjunctival resection, researchers reported here at the Association for Research in Vision and Ophthalmology (ARVO) 2008 Annual Meeting. "Fibrin sealant versus sutures for wound closure after Müller muscle-conjunctival resection [for] ptosis repair offers statistically comparable lid-position results, as determined by preoperative and postoperative measurements, and far fewer postoperative complications related to wound closure," said Mark Welch, MD, Ophthalmologist, Wilford Hall Medical Center, San Antonio, Texas. In a poster presentation held here on April 27, Dr. Welch described his retrospective chart review of 114 patients who required surgical repair due to drooping eyelid(s) that affected their field of vision (ptosis). All received Müller muscle-conjunctival resection in this consecutive case series. Dr. Welch and his colleagues divided 211 eyelid procedures into 2 groups. One group consisted of wound closure by suture (45 eyelids in 31 patients), while the second group involved patients whose eyelids were sealed using fibrin sealant (166 eyelids in 83 patients). The wound closures in both groups did not differ statistically in lid-height values prior to treatment. The researchers achieved postoperative symmetry within 0.5 mm in 28 of 31 patients (90%) in the suture group and in 79 of 83 patients (95%) in the fibrin-sealant group. The time to close the wounds was equal in both groups. "In our hands, wound closure with sutures versus fibrin sealant required equal time," stated Dr. Welch. The safety of fibrin sealant, Dr. Welch noted, has previously been demonstrated. No evidence of keratopathy or other complications was attributable to the use of fibrin sealant in this review. About 7% of the fibrin sealant patients expressed postoperative pain. In the suture group, on the other hand, 8 of 31 patients (26%) had postoperative complications, including moderate to severe pain (10%), suture granuloma (6%), corneal abrasion (3%), loose suture (3%), and persistent punctuate keratopathy (3%). [Presentation title: Comparison of Fibrin Sealant Vs. Suture for Wound Closure in Muller Muscle-Conjunctival Resection Repair. Abstract D827] --------------------------------------------------------------------------------------------- Copyright © 1999 P\S\L Consulting Group Inc. All rights reserved. Republication or redistribution of P\S\L content is expressly prohibited without the prior written consent of P\S\L. P\S\L shall not be liable for any errors, omissions or delays in this content or any other content on its sites, newsletters or other publications, nor for any decisions or actions taken in reliance on such content. --------------------------------------------------------------------------------------------- This news story was printed from *Doctor's Guide to the Internet* located at http://www.docguide.com --------------------------------------------------------------------------------------- Return to News Story Page This site is maintained by webmaster@pslgroup.com Please contact us with any comments, problems or bugs. All contents Copyright (c) 1998 P\S\L Consulting Group Inc. All rights reserved.