Fibrin glue for Gundersen flap surgery

rin glue for Gundersen flap surgery Case Series (470) Total Article Views Authors: Chung HW, Mehta JS Published Date March 2013 Volume 2013:7 Pages 479 - 484 DOI: http://dx.doi.org/10.2147/OPTH.S42105 Received: 27 December 2012 Accepted: 08 January 2013 Published: 06 March 2013 Hsi-Wei Chung,1 Jodhbir S Mehta1–3 1Singapore National Eye Centre, Singapore; 2Tissue Engineering and Stem Cell Group, Singapore Eye Research Institute, Singapore; 3Department of Clinical Sciences, Duke-NUS Graduate Medical School, Singapore Purpose: To evaluate the feasibility of fibrin glue in Gundersen flap surgery. Design: Prospective case series. Study subjects: Seven eyes of seven subjects who had undergone Gundersen flap surgery from 2009 to 2011 at the Singapore National Eye Centre, Singapore. Methods: Review of case records for outcomes after Gundersen flap surgery. Main outcome measures: Surgical success was defined as achieving a stable ocular surface. Complications to be noted included flap retraction or exposure of underlying corneal surface. Results: Surgical success was achieved in all eyes with significant reduction in ocular surface inflammation. No retractions were noted and recovery was uncomplicated. Conclusion: Fibrin glue application is a viable alternative to sutures in Gundersen flap surgery. It reduces surgical downtime, gives faster ocular surface rehabilitation, and offers similar outcomes to conventional conjunctival flap surgery.