{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T17:22:50Z","timestamp":1787764970705,"version":"build-2784847793"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To evaluate the clinical outcomes with fibrin glue in comparison with vicryl sutures for limbal conjunctival wound closure in strabismus surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In this prospective interventional study, patients undergoing horizontal muscle strabismus surgery were randomized into two groups: the vicryl suture group and the fibrin glue group. The limbal conjunctival incisions were closed with 8\u20130 vicryl in the suture group and with fibrin glue in the other group. The outcomes measured were post-operative conjunctival inflammation and wound apposition, patient comfort with the help of a questionnaire, and conjunctival thickness using anterior segment optical coherence tomography (AS-OCT) for both groups at 6 weeks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The study included 64 eyes of 64 patients (32 eyes in each group). The fibrin glue group performed better than the vicryl suture group for most of the symptoms like redness, irritation, watering, and foreign body sensation till 2 weeks post-operatively (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001), after which both the groups performed similarly. As for clinical signs, no significant difference was noted between the two groups, except for conjunctival hyperemia, which was significantly lesser in the fibrin glue group at 2 weeks post-operatively (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). The conjunctival thickness measured at 6 weeks using AS-OCT revealed that the thickness increased significantly in the suture group compared to that in the glue group (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001 medial site,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.004 lateral site).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Because of greater patient comfort and reduced inflammation associated with fibrin glue, it may be considered as a procedure of choice for conjunctival wound closure in strabismus surgery in the absence of the cost constraints.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_543_23","type":"journal-article","created":{"date-parts":[[2023,12,15]],"date-time":"2023-12-15T05:00:06Z","timestamp":1702616406000},"page":"223-227","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Conjunctiva in strabismus surgery \u2013 to stitch or to stick? \u2013 A randomized clinical trial"],"prefix":"10.4103","volume":"72","author":[{"given":"Aishwarya R","family":"Kadam","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Sankara Eye Hopital, Coimbatore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V Rajesh","family":"Prabu","sequence":"additional","affiliation":[{"name":"Department of Pediatric Ophthalmology and Strabismology, Sankara Eye Hopital, Coimbatore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jagadeesh K","family":"Reddy","sequence":"additional","affiliation":[{"name":"Department of Cornea and Refractive Sevices, Sankara Eye Hopital, Coimbatore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Venu","family":"Muralidhar","sequence":"additional","affiliation":[{"name":"Consultant Pediatric Ophthalmology Strabismus and Cataract, Gomabai Netralaya, Neemuch, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mithun","family":"Thulasidas","sequence":"additional","affiliation":[{"name":"Department of Cataract and Glaucoma Services, Sankara Eye Hopital, Coimbatore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,12,15]]},"reference":[{"key":"R1-20260428","doi-asserted-by":"crossref","first-page":"911","DOI":"10.1136\/bjo.2003.032854","article-title":"Cut and paste: A no suture, small incision approach to pterygium surgery","volume":"88","author":"Koranyi","year":"2004","journal-title":"Br J Ophthalmol"},{"key":"R2-20260428","doi-asserted-by":"crossref","first-page":"178","DOI":"10.3341\/kjo.2011.25.3.178","article-title":"Comparison of fibrin glue and sutures for conjunctival wound closure in strabismus surgery","volume":"25","author":"Lee","year":"2011","journal-title":"Korean J Ophthalmol"},{"key":"R3-20260428","doi-asserted-by":"crossref","first-page":"787","DOI":"10.1016\/j.ajo.2008.01.009","article-title":"Sutureless amniotic membrane transplantation for partial limbal stem cell deficiency","volume":"145","author":"Kheirkhah","year":"2008","journal-title":"Am J Ophthalmol"},{"key":"R4-20260428","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1016\/S0161-6420(96)30701-X","article-title":"Management of bleb leaks after glaucoma filtering surgery. 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