Scleral Dellen After Fibrin Glue Use in Strabismus Surgery

Abstract

The authors report a case of scleral dellen occurrence after fibrin glue use in strabismus surgery. The complication was well managed and it may alert surgeons preferring fibrin glue for conjunctival closure to the possibility of scleral dellen occurrence.

Scleral dellen following strabismus surgery

“…Among the noted case reports, scleral dellen was seen nasally in two cases following medial rectus muscle recession1 2 and temporally in one case following usage of fibrin glue 3. Intraoperative risk factors for scleral exposure and dehydration include excessive use of thermal cautery especially in cases with vascular compromise and conjunctival resection.…”

Tissue Adhesives as an Alternative for Conjunctival Closure in Strabismus Surgeries

“…However it cost 130 Euros per each case and was much more expensive than the 7/0 Vicryl suture. One of our cases came with conjunctival opening and scleral thinning on the third postoperative day (Basmak et al, 2010). In our opinion this complication was not the result of the toxic effects of the adhesive but was due to the scleral dellen occurring near the flaps of conjunctiva that we didn't close properly.…”