Strabismus surgery: Fibrin glue versus vicryl for conjunctival closure

Purpose: The aim of present study was to compare the results of conjunctival closure by fibrin glue with vicryl in strabismus surgery. Methods: 19 patients undergoing bilateral symmetrical strabismus surgery were included in this study. Conjunctival incisions were closed with 6-0 vicryl in the right eye and fibrin glue in the left eye. Results: On first post-operative day 15 out of 19 eyes (78.9%) had well apposed conjunctiva, 3 out of 19 eyes (15.79%) had I mm retraction and one out of 19 eyes (5.26%) had 2 mm retraction, which needed suturing, in cases in which fibrin glue was applied. Increased discomfort and excessive watering was noted during the early postoperative period in 8 out of 19 eyes (42.1%), in eyes in which the conjunctiva was closed with 6-0 vicryl, as compared to none in the fibrin glued eyes (p=0.005). However, the difference disappeared after 21 days. Conclusion: Fibrin glue can be used as an alternative to suturing for conjunctival closure following strabismus surgery.