‘Sutureless’ transconjunctival approach for infraorbital rim fractures

AIM: To analyze the ease and surgical outcome of using sutureless transconjunctival approach for repair of infra-orbital fractures. DESIGN: Prospective clinical case series. MATERIALS AND METHODS: Totally 5 patients with infra-orbital rim or orbital floor fractures were selected and the fractures were accessed through a pre-septal transconjunctival incision. After reduction and fixation, the conjunctiva was just re-approximated and re-draped into position. Incidence of post-operative complications such as diplopia, lid retraction, eyelid dystopia, foreign body granuloma and poor conjunctival healing was assessed at intervals of 1 week, 15 days and a month post-operatively. RESULTS: No complications were observed in any of the 5 patients. Healing was satisfactory in all patients. CONCLUSION: The sutureless technique appears to be a time saving and technically simpler viable alternative to multilayered suturing in orbital trauma with minimal post-operative complications.