조직접착제를 이용한 익상편의 상하결막전위술 3례

• 영문명: Superior-inferior Sliding Conjunctival Flap for Pterygium with a Fibrin Tissue Adhesive (Tisseel?)
• 발행기관: 대한안과학회
• 저자명: 김지홍 이지은 이종수,Ji Hong Kim, M.D., Ji Eun Lee, M.D., Jong Soo Lee, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume47,number12, 2041~2046쪽, 전체 6쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2006.12.31

영문 초록

Purpose: To report the clinical effect of a superior-inferior sliding conjunctival flap for pterygium using fibrin tissue adhesives (Tisseel?; Baxter Healthcare Corporation, Glendale, CA) instead of sutures. Methods: After the primary pterygial tissue was removed from the sclera, a superior-inferior sliding conjunctival flap was created. The fibrin tissue adhesive (Tisseel?) was composed of two solution types: fibrinogen containing aprotinin solution and a CaCl solution containing thrombin. The two solutions with 27 G needle were applied on the bare sclera in sequence, and the conjunctival flap was attached into the bare sclera within 5 seconds. We performed this procedure with a fibrin tissue adhesive instead of sutures in three patients, and follow-up for recurrence of pterygium and postoperative complications. Results: The superior-inferior sliding conjunctival flaps were attached into the bare sclera in all patients using fibrin tissue adhesives. We didn`t find any significant postoperative complications such as ocular pain, epiphora, foreign body sensation, wound defect, or dehiscence. Conclusions: A superior-inferior sliding conjunctival flap constructed with fibrin tissue adhesives should be a useful management tool for the inhibition of the recurrence of pterygial.

키워드

Fibrin tissue adhesive (Tisseel), Pterygium surgery, Recurrent pterygium