Tissue Glue in Sutureless Vitreoretinal Surgery for the Treatment of Wound Leakage

<div class="ftSection"><span class="ftInlineSubsectionTitle">Background and Objective:</span><p>To assess the surgical outcomes of the use of tissue glue to close sclerotomy sites when required and the views of ultrasound biomicroscopy of the sclerotomy sites in 23-and 25-gauge vitrectomy systems.</p></div><div class="ftSection"><span class="ftInlineSubsectionTitle">Patients and Methods:</span><p>A 25-gauge transconjunctival sutureless vitrectomy was performed in 38 eyes and a 23-gauge transconjunctival sutureless vitrectomy was performed in 46 eyes for various vitreoretinal diseases. Wound leakage occurred at the sclerotomy sites at the end of the surgery in 6 eyes with 23-gauge transconjunctival sutureless vitrectomy and 7 eyes with 25-gauge transconjunctival sutureless vitrectomy. The sclerotomy sites were closed by using tissue glue to prevent wound leakage and evaluated with ultrasound biomicroscopy postoperatively.</p></div><div class="ftSection"><span class="ftInlineSubsectionTitle">Results:</span><p>No wound leakage was observed at the end of the surgical procedure or during the follow-up period. Abnormal fibrous ingrowth was not detected at the sclerotomy sites by means of ultrasound biomicroscopy.</p></div><div class="ftSection"><span class="ftInlineSubsectionTitle">Conclusion:</span><p>The results demonstrated the efficacy of tissue glue for closing site ports when wound leakage is observed in transconjunctival sutureless vitreoretinal surgery.</p></div>