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    Ocular sealant proves effective for routine, unexpected cases

    Agent migrates to areas that do not have epithelium attached; eye must be dry for adherence

    Take-home message: In this physician perspective, Robert J. Noecker, MD, MBA, describes the results he has experienced since he has begun applying an ocular sealant as the last step of every filtering procedure.

     

    Fairfield, CT—Wound leakage following trabeculectomy is not an infrequent occurrence and is a potential cause of complications—such as hypotony, flat anterior chamber choroidals and endophthalmitis, if not trabeculectomy failure.1

    Most studies consider leakage to occur in greater than 10% of fornix based surgeries.2

    Though improved methods of wound closure can certainly decrease the probability for leakage, it is not possible to eliminate it completely.3

    Did you know these 7 men were ophthalmologists?

    A sealant for clear-corneal incisions following cataract surgery has been approved by the FDA, however, and has been useful for other ocular applications.

    Sealant versus glue

    Glues—such as fibrin glue and cyanoacrylate—are familiar to most ophthalmologists and used in appropriate situations to hold tissues together. Sealants, on the other hand, do not have the strength to hold tissue together, but rather act to plug defects or openings in tissue, preventing the passage of fluid.

    Next: Good flow vs. bad flow

    Robert J. Noecker, MD
    Dr. Noecker, vice chair, University of Pittsburgh Medical Center Eye Center, and director, Glaucoma Service and associate professor of ...

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