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.