Fibrin Sealant Injection for Control of Hemorrhage in Vitreous Surgery of Proliferative Diabetic Retinopathy.
- Author:
Mun NAMGUNG
1
;
Jong Seok PARK
Author Information
1. Department of Ophthalmology, Eulji University School of Medicine, Seoul, Korea. pjs4106@eulji.or.kr
- Publication Type:Original Article
- Keywords:
Fibrin sealant;
Pars plana vitrectomy
- MeSH:
Absorption;
Diabetic Retinopathy*;
Epiretinal Membrane;
Female;
Fibrin Tissue Adhesive*;
Fibrin*;
Hemorrhage*;
Humans;
Intraoperative Complications;
Light Coagulation;
Male;
Postoperative Complications;
Prospective Studies;
Retinal Detachment;
Traction;
Vitrectomy
- From:Journal of the Korean Ophthalmological Society
2005;46(6):995-999
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To study the effectiveness of fibrin sealant to control intraoperative bleeding during pars plana vitrectomy of proliferative diabetic retinopathy. METHODS: Intravitreal fibrin sealant was applied to 100 eyes of proliferative diabetic retinopathy patients prospectively. Preoperative fundus finding included longstanding vitreous hemmorrhages, preretinal macular hemorrhages and tractional retinal detachments. The male vs female ratio was 38: 52, and the mean age was 62.4 years. Panretinal laser photocoagulation was done in all patients preoperatively. RESULTS: In all of 100 (100%) eyes, intraoperative bleeding was controled. Intraoperative complication consisted overinjection of fibrin sealant in 2 eyes. Postoperative complications comprised transient IOP elevation in 20 eyes, mild epiretinal membrane in 1 eye, and delayed absorption of fibrin sealant in 1 eye. Average absorption time of fibrin sealant was 21 +/- 1.3 days. CONCLUSIONS: Fibrin sealant is an effective and safe tool to control intraoperative bleeding during pars plana vitrectomy.
