الفهرس 
Introductory ChapterOnly 14 pages are availabe for public view
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Abstract
Tissue adhesives are used in ophthalmology as substitutes for sutures. They are gaining popularity for their ease of use and postoperative comfort. There are two main classes of tissue adhesives: synthetic (e.g. cyanoacrylate), and biological (e.g. fibrin glue). Cyanoacrylate derivatives are nonbiodegradable, so they are usually used on an external surface in contrast to fibrin based adhesives which are biodegradable, so they may be used under a superficial covering layer (e.g. conjunctiva, amniotic membrane).
Cyanoacrylate derivatives have been used in several ophthalmic surgeries such as sealing corneal perforations, in pterygium surgery, sealing leaking filtering blebs and in blepharoplasty. Cyanoacrylate was also studied for sealing retinal breaks, performing sutureless buckle surgery and for attaching muscles in squint surgery.
Fibrin glue has a wider field of applications in ophthalmic surgeries. Its uses in corneal surgeries vary from sealing corneal perforations or melts, either alone or with amniotic membrane, to replacing sutures in various techniques of keratoplasty and for treatment of post-LASIK epithelial ingrowth. It is used successfully in various forms of pterygium surgery for attachment of flaps and it has various uses in glaucoma surgeries such as conjunctival closure and management of bleb leaks after trabeculectomy and in glaucoma drainage device surgery. It is also used for conjunctival closure in pars plana vitrectomy and strabismus surgeries. Fibrin glue is used to seal scleral flaps and close conjunctival wounds in glued PC IOL surgery and in different modifications of glued PC IOL surgery. It was studied for various surgeries as surgical removal of orbital lymphangiomas and closure of eyelid incisions.