[Management of conjunctival wounds with suture or fibrin glue following intraocular lens implantation--a comparative study]

Abstract

A randomized prospective study was done to analyze conjunctival wound closure after extracapsular cataract extraction in 100 patients. When the conjunctival wound was closed with stitches 36.7% of the patients reported the sensation of a foreign body in the eye; the same sensation was reported by 7.8% after fibrin sealant. On postoperative day 7, 11.8% of the patients had conjunctival wound dehiscence after the wound had been adapted with fibrin sealant and in 32.6% after using stitches to close the conjunctival wound. Using a fibrin sealant for conjunctival wound closure significantly reduces the postoperative foreign body sensation and wound dehiscence of the conjunctiva. The main problem with fibrin sealant was handling the glue during the operation.