Burst Pressures in Eyes with Clear Corneal Incisions Treated with ReSure Glue

Purpose. This study aims to measure burst pressures in 3 mm clear corneal incisions sealed with ReSure, a biodegradable hydrogel sealant, and to compare it to traditional 10-0 nylon sutures and unsealed controls. Design. An ex vivo animal study. Methods. 3 mm clear corneal incisions were performed i...

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Main Authors: Ahmed E. M. Shehata, Siva P. Kambhampati, Jiangxia Wang, Uri S. Soiberman
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2021/6691489
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author Ahmed E. M. Shehata
Siva P. Kambhampati
Jiangxia Wang
Uri S. Soiberman
author_facet Ahmed E. M. Shehata
Siva P. Kambhampati
Jiangxia Wang
Uri S. Soiberman
author_sort Ahmed E. M. Shehata
collection DOAJ
description Purpose. This study aims to measure burst pressures in 3 mm clear corneal incisions sealed with ReSure, a biodegradable hydrogel sealant, and to compare it to traditional 10-0 nylon sutures and unsealed controls. Design. An ex vivo animal study. Methods. 3 mm clear corneal incisions were performed in rabbit eyes (ex vivo). The burst pressure was determined, and then, the incisions were sealed with either ReSure glue or a single 10-0 nylon suture. Burst pressure measurements were repeated. Results. Fourteen eyes were included. The median burst pressure in the suture-control group (7 eyes) prior to suture application was 7 mmHg (range: 0–45); the median burst pressure in the 7 glue-controls was 36 mmHg (range: 5–61, p = 0.08 for the comparison of the two control groups). The median burst pressure in the glue group was 93 mmHg (range: 39–129, p = 0.043 when compared to glue-control). The median burst pressure in the suture group was 158 mmHg (range: 70–180, p = 0.018 when compared to suture-control). There was no statistically significant difference in burst pressure values between the glue and suture groups (p = 0.08). Conclusion. In this study, ReSure glue applied to 3 mm clear corneal incisions provided sufficient resistance to elevated intraocular pressure when compared to controls. The results of this study suggest that ReSure glue may be comparable to a single 10-0 nylon suture in resisting fluid egress during the early postoperative period.
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issn 2090-004X
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spelling doaj-art-33be0a6cab0b4125979bddcf369ae3402025-02-03T06:05:45ZengWileyJournal of Ophthalmology2090-004X2090-00582021-01-01202110.1155/2021/66914896691489Burst Pressures in Eyes with Clear Corneal Incisions Treated with ReSure GlueAhmed E. M. Shehata0Siva P. Kambhampati1Jiangxia Wang2Uri S. Soiberman3Cornea Division, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USACenter for Nanomedicine, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USADepartment of Biostatistics, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USACornea Division, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USAPurpose. This study aims to measure burst pressures in 3 mm clear corneal incisions sealed with ReSure, a biodegradable hydrogel sealant, and to compare it to traditional 10-0 nylon sutures and unsealed controls. Design. An ex vivo animal study. Methods. 3 mm clear corneal incisions were performed in rabbit eyes (ex vivo). The burst pressure was determined, and then, the incisions were sealed with either ReSure glue or a single 10-0 nylon suture. Burst pressure measurements were repeated. Results. Fourteen eyes were included. The median burst pressure in the suture-control group (7 eyes) prior to suture application was 7 mmHg (range: 0–45); the median burst pressure in the 7 glue-controls was 36 mmHg (range: 5–61, p = 0.08 for the comparison of the two control groups). The median burst pressure in the glue group was 93 mmHg (range: 39–129, p = 0.043 when compared to glue-control). The median burst pressure in the suture group was 158 mmHg (range: 70–180, p = 0.018 when compared to suture-control). There was no statistically significant difference in burst pressure values between the glue and suture groups (p = 0.08). Conclusion. In this study, ReSure glue applied to 3 mm clear corneal incisions provided sufficient resistance to elevated intraocular pressure when compared to controls. The results of this study suggest that ReSure glue may be comparable to a single 10-0 nylon suture in resisting fluid egress during the early postoperative period.http://dx.doi.org/10.1155/2021/6691489
spellingShingle Ahmed E. M. Shehata
Siva P. Kambhampati
Jiangxia Wang
Uri S. Soiberman
Burst Pressures in Eyes with Clear Corneal Incisions Treated with ReSure Glue
Journal of Ophthalmology
title Burst Pressures in Eyes with Clear Corneal Incisions Treated with ReSure Glue
title_full Burst Pressures in Eyes with Clear Corneal Incisions Treated with ReSure Glue
title_fullStr Burst Pressures in Eyes with Clear Corneal Incisions Treated with ReSure Glue
title_full_unstemmed Burst Pressures in Eyes with Clear Corneal Incisions Treated with ReSure Glue
title_short Burst Pressures in Eyes with Clear Corneal Incisions Treated with ReSure Glue
title_sort burst pressures in eyes with clear corneal incisions treated with resure glue
url http://dx.doi.org/10.1155/2021/6691489
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