Further Experience With Sutureless Scleral Buckling Materials

Calabria, G.; Pruett, Ronald C.; Refojo, Miguel F.

doi:10.1001/archopht.1971.01000010084016

Cited by 9 publications

(2 citation statements)

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“…One of the main differences between previous studies and the present one is the strength of the silicone‐scleral bond we produced with octyl 2‐cyanoacrylate. Ten minutes after attachment, this adhesive was already much stronger (220±35 g) than the isobutyl 2‐cyanoacrylate adhesive after 24 hours (154±51.9 g) (Calabria et al 1971). The second novelty in our technique is the silicone‐silicone suture we created.…”

Section: Discussionmentioning

confidence: 99%

“…The use of tissue adhesives as an alternative to sutures goes back to the mid‐1950s, when the methyl 2‐cyanoacrylate adhesive, Eastman 910, was first marketed for use in the field of medicine (Coover et al 1959). Subsequent studies (Calabria et al 1970, 1971; Spitznas et al 1973) introduced the use of isobutyl 2‐cyanoacrylate in scleral buckling surgery and in sutureless retinal reattachment as a new experimental method. The adhesive appeared to be well tolerated by ocular tissues, but in light of the short duration of the bond it produced and the migration of the encircling band observed in animals subjected to scleral buckling, both groups of investigators concluded that this glue was not suitable for use in the human eye.…”

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confidence: 99%

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Octyl 2‐cyanoacrylate tissue adhesive in experimental scleral buckling

Ricci

2001

Acta Ophthalmologica Scandinavica

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ABSTRACT.Purpose: In this experimental study, a sutureless scleral buckling was performed by using a tissue adhesive glue to fixate a silicone band to the sclera. In fact, one of the major risks of traditional scleral buckling is accidental perforation of the bulb, which is more frequent when the sclera is extremely thin as it is in newborns or in eyes with high myopia or scleromalacia. Methods: An encircling band of silicone, which is generally anchored to the sclera itself, was sutured in 36 rabbit eyes to three small silastic patches that had been glued to the sclera, at the level of the equator, using octyl 2-cyanoacrylate tissue adhesive. In this manner the anchoring sutures passed through silicone and silicone. The band was tightened to produce buckling of the sclera and its ends were glued together using the same adhesive. Results: Examination of the eyes from 15 days to 6 months after surgery revealed that the buckle was stable, with no signs of slippage, in 33 eyes. In the remaining 3 (one examined after 15 days, 2 examined after 45 days), one of the three support patches had become detached but there was still no evidence of slippage. Conclusions:The stability of the buckle up to six months after surgery suggests that this new adhesive might be used for sutureless surgery in certain types of retinal detachment, such as that associated with stage 4 ROP in which the encircling band has to be removed after several months.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%