Posters

Reattachment of recessed superior rectus muscle using fibrin glue versus vicryl: an experimental study in rabbits

Poster Details

First Author: Z.Turkey EGYPT

Co Author(s):    A. Elghonemy   E. Mourad   H. Elsayed              

Abstract Details

Purpose:

evaluating the efficacy of fibrin glue as an adhesive agent and to compare it with muscle suturing by measuring the new location of superior rectus muscle and reexamining its position 2 weeks after surgery.

Setting:

60 eyes of 30 rabbits. All the superior rectus were disinserted and recessed 5mm from the insertion, and then reattached to the sclera either by sutures 6/0 vicryl (control group) or fibrin glue (group).

Methods:

Group 1:superior rectus muscle (SRM) of Right eyes of 28 rabbits were reattached to the sclera using fibrin glue. Group 2: (control group): the left eyes of 28 rabbits were reattached to the sclera with 6/0 vicryl sutures. After 14 days, SRM was re-examined to detect its position either slipped or lost.

Results:

Comparison between glued and control group regarding attachment of recessed muscle. Postoperative exploration of the recessed muscles demonstrated that all recessed muscles in glued group and control group were attached i.e. no lost muscles. Also, in the glued group; 23 eyes SRM found 5mm from insertion. While the residual five eyes were slipped Vs no change in the muscle location in control group.

Conclusions:

Fibrin glue was effective as an alternative to sutures to re-attach rectus muscles during recessions in strabismus surgery, however postoperative slippage of the muscles and infection are not excluded.

Financial Disclosure:

None