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Purpose Evaluating whether fibrin glue causes less postoperative pain, discomfort, and sick leave in conjunctival closure following 20-gauge pars plana vitrectomy than sutures. Design Retrospective study. Methods A questionnaire was sent in 2006 to 506 patients who underwent 20-gauge pars plana vitrectomy in 2004 at University Hospital, Leuven, Belgium. Postoperative pain, eye discomfort, and sick leave duration were determined. Results The patients in the glue group had a shorter duration of eye redness ( P = .0471), eye discomfort ( P = .0376), and ointment use ( P = .0105). The patients in the glue group used less ointment ( P = .0038), had shorter sick leave with independent workers ( P = .0292), and experienced less pain on the first postoperative day after vitrectomy without cerclage ( P = .0340). Conclusions Fibrin glue causes less postoperative pain, discomfort, and sick leave for closure of conjunctival wounds in 20-gauge pars plana vitrectomy than sutures, and therefore, appears in our hands to be a better alternative to sutures.

Purpose To report the first known case of bilateral scleritis in a patient with hypocomplementemic urticarial vasculitis. Design Interventional case report. Methods Medical and ophthalmic history, results of physical and ophthalmic examinations, laboratory data, and histologic and immunopathologic examination were reviewed and results recorded. Results A 67-year-old man who presented with eye redness and pain, rash, arthralgia, and malaise was found to have hypocomplementemic urticarial vasculitis. Treatment with high-dose oral corticosteroids and mycophenolate mofetil resulted in the resolution of the rash and scleritis. Conclusions Ocular involvement may be a helpful clue in the diagnosis of this uncommon syndrome.