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Retrospective analysis of an ocular sealant for wound closure in post-radial keratotomy cataract patients

Poster Details

First Author: A.Gulani USA

Co Author(s):                        

Abstract Details

Purpose:

To assess the benefits of the ReSure Sealant in cataract patients who have previously undergone post-radial keratotomy (RK) surgery.

Setting:

Gulani Vision Institute, Florida, USA

Methods:

20 patients (35 eyes) of average age 65 years were examined at a single site following coaxial phacoemulsification clear corneal cataract surgery in patients with previous RK surgery ranging from 8 to 20 cuts. A median of 2.8 mm biplane incisions were used across the population. Following Toric lens implantation, the sealant was painted over the incision, and allowed to polymerize for 30 seconds. Patients were evaluated at 1 day and 1 month for wound healing and adverse events.

Results:

At post-operative day 1, IOP presented at a mean 14 mmHg. Mean UVA for 35 eyes was recorded at 20/60. No fluid egress was noted and all wounds were stable. At 1 month, mean UVA stabilized at 20/30 with mean spherical equivalent improvement of 70%. No adverse events were noted and patients were comfortable overall with a comfort survey of 10/10.

Conclusions:

Fragility of the cornea in post-RK patients may lead to excess edema, perforations, hyperopic shifts, or against-the-rule astigmatism. Although sutures have previously been utilized in these patients to stabilize the wound post-operatively, they can induce additional adverse events. The sealant proved safe and effective for wound closure in post-RK patients.

Financial Disclosure:

gains financially from competing product or procedure

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