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EW CATARACT 37 May 2015 incision, leaving the wound vulner- able to leakage, especially if these same patients have diabetes, renal disease, or arthritis. The sealant has by far been the most effective means of ensuring wound closure I have found to date. In all of my cases, I have seen excellent outcomes with no wound problems, all with astig- matically neutral incisions. Learning curve? There is little to no learning curve with this sealant. The hydrogel, comprised of polyethylene glycol (PEG), trilysine, buffering salts, and more than 89% water, reconsti- tutes within seconds. It takes only seconds to apply by simply paint- ing the wound with the sealant. In fact, glues used off-label for corneal lacerations are more challenging. The sealant is also tinted with FD&C Blue No. 1, which aids in visual- ization of placement but dissipates quickly, leaving the sealant clear. The first week following surge y, the sealant sloughs off in the tears, elim- inating the need for further visits for removal. Postoperatively, I see my patients within the first 24 hours, and then I see them at 7–10 days, at which point the sealant is typical- ly gone, re-epithelialization has occurred, and 98% to 99% of the cornea is healed. Patient comfort has greatly improved, as sutures can sometimes cause irritability. I have had no com- plaints of foreign body sensation related to the sealant. EW References 1. Chee SP. Clear corneal incision leakage after phacoemulsific tion—detection using povidone iodine 5%. Int Ophthalmology 2005 Aug–Oct:26:175–179. 2. Mifflin MD Kinard K, et al. Comparison of stromal hydration techniques for clear corneal cataract incisions: conventional hydration ver- sus anterior stromal pocket hydration. J Cata- ract Refract Surg. 2012 Jun; 38(6):933–937. 3. Herretes S, Stark WJ, et al. Infl w of ocular surface fluid into the anterior chamber after phacoemulsific tion through sutureless cor- neal cataract wounds. Am J Ophthalmol. 2005 Oct;140;737–740. 4. Masket S, Hovanesian J, et al. Hydrogel sealant versus sutures to prevent fluid egress after cataract surgery. J Cataract Refract Surg. 2014 Dec; 40:2057–2066. Editors note: Dr. Parekh is the chief eye surgeon and managing partner at Brar Parekh Eye Associates, Woodland Park/ Edison, N.J., and chief of cornea and external diseases/director of research at St. Joseph's Healthcare System. Dr. Parekh is also a clinical associate professor of ophthalmology on the cornea service at the New York Eye & Ear Infirma y of Mt. Sinai, New York. He has no financial interests related to this article. Contact information Parekh: kerajai@gmail.com www.NewWorldMedical.com 800.832.5327 10763 Edison Ct., Rancho Cucamonga, CA 91730 New World Medical, Inc.