Original articleComparison of Fibrin Glue and Sutures for Attaching Conjunctival Autografts After Pterygium Excision
Section snippets
Patients and Methods
Twenty-two consecutive patients with primary pterygia undergoing primary pterygium excision at the Philippine General Hospital from June to August 2001 were prospectively enrolled. A comprehensive medical and ocular history was obtained, including patient age, gender, family, medical and ocular history. Snellen visual acuity measurement, funduscopy, applanation tonometry, slit-lamp examination, and anterior segment photography were performed preoperatively. Patients with ocular pathology other
Results
Of the 22 patients, 13 were male (59%). The mean age was 45±20 years (range, 23–67 years). All patients completed the 2-month follow-up period. All pterygia were nasally located. The distribution of pterygium grading was similar for both groups (Table 1).
The mean surgical duration was 67.0±3.6 minutes for the suture group and 27.8±1.0 minutes for the FG group. The mean operating time was significantly shorter when FG was used instead of nylon sutures (P<0.001). Postoperatively, some amount of
Discussion
Pterygium recurrence is the most common complication of pterygium surgery and is a frequent source of frustration for patients and surgeons. The current major methods of recurrence prevention include use of mitomycin C (MMC), conjunctival autografting, and, more recently, amniotic membrane grafting.12, 19 A recent meta-analysis of pterygium recurrence after surgery concluded that simple bare sclera resection alone is associated with 6 times higher odds of pterygium recurrence if a conjunctival
References (26)
- et al.
Serious complications of topical mitomycin-C after pterygium surgery
Ophthalmology
(1992) - et al.
Excimer laser phototherapeutic keratectomy for recurrent pterygium
J Cataract Refract Surg
(1998) - et al.
Conjunctival autograft transplantation for advanced and recurrent pterygium
Ophthalmology
(1985) - et al.
A randomized trial comparing mitomycin C and conjunctival autograft after excision of primary pterygium
Am J Ophthalmol
(1995) - et al.
Comparison of conjunctival autografts, amniotic membrane grafts, and primary closure for pterygium excision
Ophthalmology
(1997) - et al.
Efficacy and safety of the ProTek (Vifilcon A) therapeutic soft contact lens after photorefractive keratectomy
Am J Ophthalmol
(1998) - et al.
Cryoprecipitated fibrinogen (fibrin glue) in orbital surgery
Am J Ophthalmol
(1990) Repair of a leaking bleb with fibrin glue
Am J Ophthalmol
(1990)- et al.
Efficacy of synthetic and biological bioadhesives in scleral tunnel phacoemulsification in eyes with high myopia
J Cataract Refract Surg
(1998) - et al.
Human fibrin tissue adhesive for sutureless lamellar keratoplasty and scleral patch adhesion: a pilot study
Ophthalmology
(2003)
Meta-analysis on the recurrence rates after bare sclera resection with and without mitomycin C use and conjunctival autograft placement in surgery for primary pterygium
Br J Ophthalmol
Postoperative instillation of low-dose mitomycin C in the treatment of primary pterygium
Am J Ophthalmol
Comparative study of intraoperative mitomycin C and beta irradiation in pterygium surgery
Br J Ophthalmol
Cited by (144)
Pterygium surgery with sutureless, glueless conjunctival graft: Preliminary study at the Centre hospitalier universitaire de Cocody in Abidjan
2023, Journal Francais d'OphtalmologiePterygium surgery by conjunctiva autograft with autologous blood fixation
2018, Journal Francais d'OphtalmologieThe use of fibrin glue in pterygium surgery with amniotic membrane transplantation: Systematic review and meta-analysis
2023, Saudi Journal of Ophthalmology
Manuscript no. 2004-62.
The authors have no financial interest in any of the products or devices mentioned in the article.