Fibrin glue for Gundersen flap surgery

PURPOSE: To evaluate the feasibility of fibrin glue in Gundersen flap surgery. DESIGN: Prospective case series. STUDY SUBJECTS: Seven eyes of seven subjects who had undergone Gundersen flap surgery from 2009 to 2011 at the Singapore National Eye Centre, Singapore. METHODS: Review of case records for outcomes after Gundersen flap surgery. MAIN OUTCOME MEASURES: Surgical success was defined as achieving a stable ocular surface. Complications to be noted included flap retraction or exposure of underlying corneal surface. RESULTS: Surgical success was achieved in all eyes with significant reduction in ocular surface inflammation. No retractions were noted and recovery was uncomplicated. CONCLUSION: Fibrin glue application is a viable alternative to sutures in Gundersen flap surgery. It reduces surgical downtime, gives faster ocular surface rehabilitation, and offers similar outcomes to conventional conjunctival flap surgery.