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Year : 2010  |  Volume : 58  |  Issue : 5  |  Page : 395-398

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

Institute of Ophthalmology, JN Medical College, Aligarh Muslim University, Aligarh, UP, India

Correspondence Address:
Abadan K Amitava
Institute of Ophthalmology, 4/758, Taban Cottage, Friends Colony, Dodhpur, Aligarh-202 001
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0301-4738.67051

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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 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 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.

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