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

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dc.contributor.authorDarakshan, Anjum
dc.contributor.authorAmitava, Abadan K
dc.date.accessioned2011-12-26T05:33:43Z
dc.date.available2011-12-26T05:33:43Z
dc.date.issued2010-09
dc.description.abstractAim: 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.en_US
dc.identifier.citationDarakshan Anjum, Amitava Abadan K. Cut and paste: A novel method of re-attaching rectus muscles with cyanoacrylate during recessions in strabismus. Indian Journal of Ophthalmology. 2010 Sept; 58(5): 395-398.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/136095
dc.language.isoenen_US
dc.source.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2992914/en_US
dc.subjectBioadhesivesen_US
dc.subjectcyanoacrylateen_US
dc.subjectpolyglactinen_US
dc.subjectrecessionen_US
dc.subjectstrabismusen_US
dc.subject.meshAdolescent
dc.subject.meshAdult
dc.subject.meshChild
dc.subject.meshCyanoacrylates --therapeutic use
dc.subject.meshHumans
dc.subject.meshInflammation --etiology
dc.subject.meshIntraoperative Care
dc.subject.meshOculomotor Muscles --surgery
dc.subject.meshOphthalmologic Surgical Procedures --adverse effects
dc.subject.meshPolyglactin 910 --therapeutic use
dc.subject.meshPostoperative Complications
dc.subject.meshStrabismus --drug therapy
dc.subject.meshStrabismus --surgery
dc.subject.meshSutures
dc.subject.meshTime Factors
dc.subject.meshTreatment Outcome
dc.subject.meshYoung Adult
dc.titleCut and paste: A novel method of re-attaching rectus muscles with cyanoacrylate during recessions in strabismus.en_US
dc.typeArticleen_US
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