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 sensationnel kiyari 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 chorulon hcg strabismus surgery.Since it is cheaper (vs.polyglactin) and offers multi-use possibility it may also prove to be cost-effective.