Dr.Mallika Goyal

Abstract

Fibrin Glue can be a useful adjunct in the management of complex RD where laser for retinal breaks in not feasible due to overlying pre-retinal haemorrhage or tissue edema as in proliferative diabetic retinopathy, or due to proximity of retinal break to macular centre or even to close macular hole co-existing with RD. It seals the breaks immediately causing rapid reattachment of retina in the postoperative period. There is reduced need for postoperative prone head positioning because while laser burns cause effective scarring only after 1-2 weeks requiring head position for silicon oil tamponade of retinal breaks in the initial postoperative period, fibrin glue closes the breaks immediately & does not depend on oil tamponade of retinal breaks for its efficacy. The glue is no longer seen in the eye after 1-2 weeks, and does not seem to cause long term adverse effects including inflammation, raised intraocular pressure or silicon oil emulsification over the 10 months follow-up.