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270753

Reattachment of Recessed Superior Rectus Muscle Using Fibrin Glue Versus Vicryl: An Experimental Study in Rabbits

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Last updated: 03 Jan 2025

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Abstract

Background: During the reinsertion of extraocular muscle to the sclera, the risk of scleral perforation is possible. Endophthalmitis may also result in sequelae of scleral perforation. Reattachment of extraocular muscles using fibrin glue is an alternative option in muscle recession surgeries. Aim of the study: to evaluate the efficacy of fibrin glue as an adhesive agent and to compare it with muscle suturing. Materials and methods: In this prospective comparative experimental study, fifty-six eyes of twenty-eight rabbits of the same species (white New Zealand) weighing approximately 2.240 to three kg. All the superior rectus muscles (SRM) were disinserted and recessed 5 mm from the insertion and then reattached to the sclera either by fibrin glue (group 1) or sutures 6/0 vicryl (group 2). Results:  After two weeks, of surgical exploration of SRM in the glued group (28 eyes); 23 eyes (82.14%) the SRM was found in the same location of insertion (5mm recession). While the SRM in the remaining five eyes (17.86%) was slipped with posterior displacement of the muscle. on the other hand, surgical exploration of SRM in the control group was found in the same location of insertion. The correlation between inflammation and slippage was significant.  Conclusion: we concluded that fibrin glue was effective as an alternative to sutures to re-attach rectus muscles during recessions (even in small muscle recession) in strabismus surgery, however postoperative slippage of the muscles and inflammation are considerable complications.  

DOI

10.21608/ejhm.2022.270753

Keywords

suture-less squint surgery, Fibrin glue, muscle recession, muscle reattachment, vicryl

Authors

First Name

Zeinab A.

Last Name

Saad

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Affiliation

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Email

dr.zynabsaad@outlook.com

City

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Orcid

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First Name

Ayman

Last Name

Elghonemy

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Enas A.

Last Name

Mourad

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Hala A.

Last Name

Elsayed

MiddleName

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Affiliation

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Email

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City

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Orcid

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Volume

89

Article Issue

2

Related Issue

37472

Issue Date

2022-10-01

Receive Date

2022-11-21

Publish Date

2022-10-01

Page Start

6,667

Page End

6,671

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 89_Issue 2_Pages 6667-6671.pdf

PDF . 502.9kB

Link

https://ejhm.journals.ekb.eg/article_270753.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=270753

Order

90

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Reattachment of Recessed Superior Rectus Muscle Using Fibrin Glue Versus Vicryl: An Experimental Study in Rabbits

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Article

Created At

22 Jan 2023