Cut and paste: A novel method of re-attaching rectus muscles with cyanoacrylate during recessions in strabismus

Cut and paste: A novel method of re-attaching rectus muscles with cyanoacrylate during recessions in strabismus

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Aim: Bio-adhesives like cyanoacrylate offer an alternative to sutures to attach tissues, including in ophthalmology.This prospective trial evaluated the suitability and bio-tolerance of iso-amyl cyanoacrylate in rectus muscle recession surgery for strabismus.Materials and Methods: We randomized click here one eye in each of 10 cases of bilateral horizontal rectus recessions to 6/0 polyglactin and the other to iso-amyl-cyanoacrylate.We compared time to reattachment (from disinsertion), complications and inflammatory scores (0 to +3: nil, mild, moderate and severe) on Day One, at two and at four to six weeks post here surgery.Results: There were no significant group differences in inflammatory scores (Wilcoxon, all values of P>0.

05).All attachments held firm.Gluing took significantly longer by 5.24±1.91 min (95% CI for difference: 3.

87-6.61).There were no complications.Conclusion: We feel that although it takes marginally longer, iso-amyl cyanoacrylate offers an effective and safe alternative to sutures for muscle recession in strabismus surgery.Since it is cheaper (vs.

polyglactin) and offers multi-use possibility it may also prove to be cost-effective.