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Comparison of Fibrin Glue and Sutures for Conjunctival Closure in Pars Plana Vitrectomy

Authors
Journal
American Journal of Ophthalmology
0002-9394
Publisher
Elsevier
Publication Date
Volume
144
Issue
1
Identifiers
DOI: 10.1016/j.ajo.2007.02.038
Keywords
  • Brief Reports

Abstract

Purpose Evaluating whether fibrin glue causes less postoperative pain, discomfort, and sick leave in conjunctival closure following 20-gauge pars plana vitrectomy than sutures. Design Retrospective study. Methods A questionnaire was sent in 2006 to 506 patients who underwent 20-gauge pars plana vitrectomy in 2004 at University Hospital, Leuven, Belgium. Postoperative pain, eye discomfort, and sick leave duration were determined. Results The patients in the glue group had a shorter duration of eye redness ( P = .0471), eye discomfort ( P = .0376), and ointment use ( P = .0105). The patients in the glue group used less ointment ( P = .0038), had shorter sick leave with independent workers ( P = .0292), and experienced less pain on the first postoperative day after vitrectomy without cerclage ( P = .0340). Conclusions Fibrin glue causes less postoperative pain, discomfort, and sick leave for closure of conjunctival wounds in 20-gauge pars plana vitrectomy than sutures, and therefore, appears in our hands to be a better alternative to sutures.

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