[Canaliculo-cystostomy using the fibrin glue technic].

Area of Science:

• Ophthalmology
• Surgical Techniques
• Reconstructive Surgery

Context:

• Fibrin sealing is an established technique in various ophthalmic surgeries, including corneal, scleral, conjunctival, lens, and oculoplastic procedures.
• Stenosis of the canaliculus communis, often caused by chronic inflammation, presents a surgical challenge in ophthalmology.
• The anastomosis of the canaliculo-cystostomy is a critical juncture for tear drainage.

Purpose:

• To introduce and evaluate a novel application of fibrin sealing for the anastomosis of the canaliculo-cystostomy.
• To assess the efficacy and advantages of combining fibrin sealing with silicone intubation for treating common canaliculus stenosis.
• To describe the surgical technique, benefits, and outcomes of this new method.

Summary:

• Fibrin sealing was successfully employed in seven patients undergoing canaliculo-cystostomy anastomosis with concurrent silicone intubation.
• The procedure targeted stenosis of the canaliculus communis resulting from chronic inflammation.
• The study details the operational technique, highlights the advantages, and presents the results of this innovative approach.

Impact:

• This technique offers a new therapeutic option for patients suffering from chronic inflammation-induced stenosis of the canaliculus communis.
• Successful fibrin sealing of the anastomosis may improve tear drainage and reduce complications associated with conventional treatments.
• The findings could expand the indications for fibrin sealing in complex ophthalmic reconstructive surgery.