Chief & Presenting Author: Dr.Mallika Goyal

Co Author(s): Dr.Kamana Sree Kumar Reddy, Dr.T.R. Indumathy

Abstract

Fibrin Glue can be a useful adjunct in the management of complex RD where laser for retinal breaks in not feasible due to pre-retinal haemorrhage, tissue edema, adjacent glial tissue 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 postoperatively. 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 18 months follow-up.