J Korean Ophthalmol Soc > Volume 50(1); 2009 > Article
Journal of the Korean Ophthalmological Society 2009;50(1):145-150.
DOI: https://doi.org/10.3341/jkos.2009.50.1.145    Published online January 15, 2009.
Antiadhesive Effect of the Mixed Solution of Hyaluronate and Sodium Carboxymethylcellulose After Strabismus Surgery.
Sung Wook Kwon, Young Woo Seo, Yoonae A Cho
Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea. earth317@yahoo.co.kr
가토에서 히알루론산나트륨과 카르복시메틸셀룰로오스나트륨 혼합액이 술 후 유착에 미치는 영향
권성욱ㆍ서영우ㆍ조윤애
Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea
Abstract
PURPOSE
To evaluate the effect of the mixed solution of hyaluronate and sodium carboxymethylcellulose (HACMC, Guardix-sol(R)) in reducing postoperative adhesion following strabismus surgery. METHODS: In 16 rabbits out of 20 rabbits, 3 mm recession of the superior rectus muscle was performed on both eyes and HACMC solution was applied only to one eye which was randomly chosen. The rabbits were divided into a surgery-HACMC group and a surgery-no HACMC group. As a control group, the remaining 4 rabbits had no procedures performed. After 3 weeks, both eyes of 8 rabbits with surgery and 2 rabbits of the control group were enucleated. After staining with hematoxylin-eosin and Masson's trichrome, a histologic examination was performed. In the remaining 10 rabbits, the severity of adhesion in muscle and adjacent tissues was observed by blunt dissection. A researcher blind to the experiments performed all the examinations. RESULTS: A significant reduction in the degree of adhesion (P=0.005) as well as decreased fibrosis (P=0.015) was observed in the surgery-HACMC group. CONCLUSIONS: The mixed solution of HACMC was effective in reducing postoperative adhesion after strabismus surgery in rabbits.
Key Words: Adehesion;Sodium carboxymethylcellulose;Sodium hyaluronate;Strabismus surgery


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