Asunto(s)
Anteojos , Prescripciones , Humanos , Lactante , Preescolar , Ambliopía/terapia , Ambliopía/fisiopatología , NiñoAsunto(s)
Esotropía , Desprendimiento de Retina , Femenino , Humanos , Persona de Mediana Edad , Esotropía/diagnóstico , Esotropía/etiología , Esotropía/cirugía , Desprendimiento de Retina/diagnóstico , Desprendimiento de Retina/cirugía , Retina , Procedimientos Quirúrgicos Oftalmológicos , CoroidesAsunto(s)
Catarata/diagnóstico , Técnicas de Diagnóstico Oftalmológico , Trastornos de la Pupila/diagnóstico , Neoplasias de la Retina/diagnóstico , Retinoblastoma/diagnóstico , Retinopatía de la Prematuridad/diagnóstico , Diagnóstico Diferencial , Femenino , Humanos , Lactante , Recién Nacido , MasculinoAsunto(s)
Tratamiento Conservador/métodos , Toma de Decisiones , Implantación de Lentes Intraoculares/métodos , Subluxación del Cristalino/terapia , Síndrome de Marfan/complicaciones , Refracción Ocular/fisiología , Errores de Refracción/complicaciones , Niño , Humanos , Subluxación del Cristalino/etiología , Subluxación del Cristalino/fisiopatología , Errores de Refracción/fisiopatología , Errores de Refracción/terapiaRESUMEN
PURPOSE: This study investigated the use of fibrin glue and compared its effect with traditional sutures for conjunctival closure in strabismus surgery. METHODS: The study included 12 patients undergoing horizontal strabismus surgery, of whom 5 underwent bilateral medial rectus muscle recessions and 7 underwent bilateral lateral rectus muscle recessions. For each patient, fibrin glue was used to close the conjunctiva of one eye and 6-0 plain sutures were used to close the other. RESULTS: All eyes maintained adequate closure of the conjunctiva postoperatively and there were no intraoperative or postoperative complications for an eye. However, the average surgical time needed to apply fibrin glue was considerable less than that required for closure with sutures. Furthermore, eyes closed with fibrin glue were associated with significantly less postoperative inflammation and patient discomfort than those closed with sutures. All patients and parents reported significantly less discomfort from the eyes treated with fibrin glue. CONCLUSION: These results are promising and demonstrated a safe and effective alternative to traditional suture closure in strabismus surgery. When compared to traditional suture closure, conjunctival closure with glue includes the following advantages: less postoperative patient discomfort, diminished postoperative inflammation, and potentially reduced surgical time with corresponding reduced time under general anesthesia.
Asunto(s)
Conjuntiva/efectos de los fármacos , Adhesivo de Tejido de Fibrina/uso terapéutico , Músculos Oculomotores/cirugía , Procedimientos Quirúrgicos Oftalmológicos , Estrabismo/cirugía , Técnicas de Sutura , Adhesivos Tisulares/uso terapéutico , Adolescente , Niño , Preescolar , Humanos , Lactante , Factores de TiempoRESUMEN
PURPOSE: To evaluate the enhancement of the visualization of the anterior lens capsule with indocyanine green (ICG) in pediatric dense, mature cataracts. PATIENTS AND METHODS: Six children (10 eyes) 4 to 9 years old with complete, white cataracts underwent ICG-enhanced cataract surgery. RESULTS: All of the eyes showed a complete continuous curvilinear capsulorhexis and a well-centered intracapsular implant. No surgical or postoperative complications were encountered. CONCLUSION: Staining the anterior capsule with ICG is an excellent way to facilitate performance of an anterior capsulorhexis in pediatric white cataracts.