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Chapter-39 Sutureless Closure in Strabismus Surgery

BOOK TITLE: Surgical Techniques in Ophthalmology (Pediatric Ophthalmic Surgery)

Author
1. Dhull CS
2. Sachdeva Sumit
ISBN
9789350251485
DOI
10.5005/jp/books/11282_39
Edition
1/e
Publishing Year
2011
Pages
3
Author Affiliations
1. Regional Institute of Ophthalmology, PGIMS, Rohtak 124 001, India, Regional Institute of Ophthalmology and Director, PGIMS, Rohtak, India, Regional Institute of Ophthalmology , Rohtak, India, Regional Eye Institute of Ophthalmology, Pt. BD PGIMS, Rohtak, India, Regional Institute of Ophthalmology, PGIMS, Rohtak, India, Regional Institute of Ophthalmology PGIMS, Rohtak, Haryana, India, Postgraduate Institute of Medical Sciences, Rohtak, Haryana, India, Pt Bhagwat Dayal Sharma Postgraduate Institute of Medical Sciences (PGIMS), Rohtak, Haryana, India, Regional Institute of Ophthalmology and PGIMS, Rohtak-124001, India
2. RIO, PGIMS, Rohtak, India, Regional Institute of Ophthalmology, PGIMS, Rohtak, India, Regional Institute of Ophthalmology PGIMS, Rohtak, India, Regional Institute of Ophthalmology, PGIMS, Rohtak, Haryana, India, Regional Institute of Ophthalmology, Postgraduate Institute of Medical Sciences, Rohtak, Haryana, India, Regional Institute of Ophthalmology, Postgraduate Institute of Medical Sciences (PGIMS) Rohtak, Haryana, India, Regional Institute of Ophthalmology PGIMS, Rohtak-124001, India
Chapter keywords

Abstract

Strabismus surgery traditionally involves weakening and strengthening of muscles by recession and resection respectively. The incision is usually placed at the limbus, which forms wound, so it has to be closed by sutures. The main disadvantage of sutures is that they cause extreme foreign body sensation, inflammation, watering and discomfort because of the exposed suture knots. Besides all this, suturing itself is a time consuming process. Now-a-days many surgeons have started performing strabismus surgery through a different cul-de-sac incision which requires no sutures to close the conjunctival wound. The wound if small can be left as such and if slightly large, can be closed with the help of commercially available fibrin glue. Sutureless surgery makes the patient comfortable and speed up recovery in the postoperative period.

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