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Eyetube Picks | Sept/Oct '14

Sutureless Cataract Surgery

In the March/April 2014 issue of MillennialEYE, we highlighted several videos demonstrating the use of the ReSure Sealant (Ocular Therapuetix), which, at that time, had recently received FDA approval.1 In the ensuing months, surgeons continued submitting videos of their surgical experiences with the Resure Sealant, creating a collection of interesting cases on Eyetube. The samples below showcase multiple ways in which the sealant is being used in ocular surgery.


In this video, Terry Kim, MD, presents a case of a cataract surgery patient with eight radial keratotomy (RK) incisions. Because stromal hydration would not have worked well in this scenario due to the hydration stopping at the delineations of the RK incisions, Dr. Kim opted to use the ReSure Sealant to close the wound and paracentesis port.


Following the implantation of a toric IOL, Cynthia Matossian, MD, observed some conjunctival ballooning near the incision. Dr. Matossian used the ReSure Sealant to avoid any potential rotation of the toric IOL by ensuring chamber stability.


Steve Lane, MD, provides a good tutorial on using the ReSure Sealant in femtosecond laser-assisted cataract surgery. Dr. Lane details the preparation and application of the sealant to prevent fluid egress after cataract surgery and demonstrates why this product is a good alternative to sutures, yielding increased confidence in wound closure and offering patients who upgrade from standard cataract surgery a true “no-stitch” procedure.

William F. Wiley, MD

William F. Wiley, MD, is the Medical Director of the Cleveland Eye Clinic/Clear Choice LASIK Center in Cleveland. Dr.Wiley may be reached at drwiley@clevelandeyeclinic.com.