눈물 흘림을 호소하는 결막이완증 환자의 수술적 치료에서 파이브린 글루의 유용성

• 영문명: The Efficacy of Fibrin Glue in Surgical Treatment of Conjunctivochalasis With Epiphora
• 발행기관: 대한안과학회
• 저자명: 남기엽 조영준 이성복,Kiyup Nam, MD, Young Joon Jo, MD,, Sung Bok Lee, MD,
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume51,number4, 498~503쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2010.04.15

영문 초록

Purpose: To investigate the efficacy of fibrin glue used in conjunctival resection for conjunctivochalasis with epiphora Methods: Twenty-three patients (42 eyes) with conjunctivochalasis without nasolacrimal duct obstruction underwent conjunctival resection using either absorbable sutures (11 patients, 20 eyes, Group 1) or fibrin glue (12 patients, 22 eyes, Group 2) to attach the conjunctiva to the sclera. Outcomes recorded were improvement of epiphora, postoperative discomfort, and operation time. Postoperative discomfort was analyzed only in one eye (right eye) in case that the both eyes were operated. Results: Epiphora completely improved in 6 eyes (30%) in Group 1 and 8 eyes (36.4%) in Group 2, partially improved in 9 eyes (45%) and 8 eyes (36.4%), and did not improved in 5 eyes (25%) and 6 eyes (27.2%), respectively (p=1.000). On the first day postoperatively, postoperative eye discomfort developedin 7 eyes (63.6%) in Group 1 and 5 eyes (41.7%) in Group 2 (p=0.414). Throughout the following week, the discomfort lasted in 6 eyes (54.5%) in Group 1 and 1 eye (13.6%) in Group 2 (p=0.027). The mean operation time was 25.0 (±2.6) minutes in Group 1 and 12.0 (±2.4) minutes in Group 2 (p＜0.001). Conclusions: The success rates were similar in the two groups. However, the use of fibrin glue significantly reduces the postoperative discomfort and the operation time. Therefore, the use of fibrin glue in conjunctival resection of conjunctivochalasis seems to be an effective method. J Korean Ophthalmol Soc 2010;51(4):498-503

키워드

Conjunctivochalasis, Conjunctival resection, Fibrin glue