Use of Tissue Adhesives in Experimental Porterior Fixation Suture.

Kee, Hong Seok; Kim, Seong Ju; Toon, Kyung Chul; Park, Yeoung Geol

Original Article

Journal of the Korean Ophthalmological Society 1999;40(2):579-586.
Published online February 1, 1999.

Use of Tissue Adhesives in Experimental Porterior Fixation Suture.

Hong Seok Kee, Seong Ju Kim, Kyung Chul Toon, Yeoung Geol Park

Department of Ophthalmology, Chonnam University Medical School, Chonnam University.

가토안에서 조직접합제를 이용한 실험적 후고정봉합술

기홍석(Hong Seok Kee),김성주(Sung Joo Kim),윤경철(Kyung Chul Yoon),박영걸(Yeoung Geol Park)

Abstract

Inadvertent perforation of the globe, granuloma and hypersensitivity reaction have been recognized complications of the strabismus surgery. We performed experimental strabismus surgery with No.240 retinal band and histoacryl(group I), histocracyl only(group II), 6-0 vicryl(group III) in rabbit model to determine whether these techniques can replace the classic suture and decrease its complications. We measured maximum adhesion power by force gauge and observed histopathologic findings after sacrificing four rabbits at 1 day, 1 week, 4 week, and 8 weeks, respectively following experimental strabismus surgery. There were chronologically increasing tendency of adhesion power in all groups but no statistically significant differences among three groups. Pathologically inflammatory and foreign body reactions were decreased with time and there were no differences of inflammatory reactions among three groups. At four weeks after the experiment, there was encapsualation lined with loose fibrous tissue around the band in group I.In conclusion, We found that experimental strabismus surgery with tissue adhesives and No.240 retinal band showed good adhesion power and minimal tissue reaction. So, it is possible to do posterior fixation suture with tissue adhesive and No.240 retinal band in classic strabismus surgery.

Key Words: Tissue adhesive;No.240 retinal band;Posterior fixation suture