Supplies for Scleral Melt & Ischemia Surgery
Donor corneal tissue from any eye bank: Both epithelial and endothelial qualities do not matter as the main purpose is tectonic but not optical.
Cryopreserved amniotic membrane: AMNIOGRAFT® purchased from Bio-Tissue, Inc. by calling their toll free phone number, 1-888-296-8858. Four sizes are available. The graft size is chosen according to the area that needs to be covered. For more information visit www.biotissue.com.
Traction Sutures: Use 7-O Vicryl sutures
For sutureless surgery, use fibrin glue: TISSEEL VH (Vapor Heated) fibrin glue (1.0 mL, part # 921028) purchased from Baxter Biologics by calling their toll free phone number, 877-TISSEEL (877-847-7335). For product information, visit www.tisseel.com. We prefer to use the two components separately, each with a special needle provided without dilution, instead of combining them via the provided DUPLOJECT.
NOTE: The ophthalmic use of Fibrin Glue is considered “off label”.
For surgery with sutures, 10-O nylon is used for the bulbar area and 8-O Vicryl is used for the forniceal area.
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