A Comparative study of Conventional Sutures versus Fibrin Glue for Conjunctivo - LimbalAutograft in Pterygium Surgery
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2016, Vol 4, Issue 7
Abstract
Fibrin glue for securing conjunctivo-limbalautograft in pterygium excision is gaining popularity but suturing is still practiced widely. This study was carried out to compare the outcome of sutures with fibrin glue for conjunctivo-limbal auto grafting in management of pterygium. A prospective study was carried out in sixty eyes of sixty patients with pterygium requiring surgical excision. Simple excision under local anaesthesia was performed followed by closure of bare sclera by conventional method of suturing conjunctivo-limbalautograft using interrupted sutures in 30 patients(group I)and glued conjunctivalautograft in 30 patients (group II) and then bandaged for 24 hours in both the groups. Surgical time was recorded for both techniques. Postoperative discomfort was assessed in terms of pain, foreign body sensation and lacrimation in both groups. The patients were followed up for six months. During follow up, graft related complications and recurrence were noted. Mean surgical time for group I (34.70±7.96 minutes) was significantly more as compared to group II (25.83±6.23). Postoperative discomfort were seen in less number of patients and were of shorter duration in group II as compared to group I. Use of fibrin glue for securing conjunctivolimbalautograft after pterygium excision is simple, easy, safe, effective and less time consuming than sutured autograft. It also causes less postoperative discomfort and adverse events as compared with sutured conjunctivolimbalautograft technique. Hence fibrin glue can be good alternative to sutures for securing conjunctivo-limbalautograft in management of pterygium. Keywords:Anaesthesia, conventional, discomfort, excision, prospective, surgical
Authors and Affiliations
Dr. Neha Adlakha, Dr. D. K. Shakya
Keywords
Related Articles
- EP ID EP371764
- DOI -
- Views 47
- Downloads 0
Giant Cell Lesions –Histopathological Review
Giant cells are large multinucleated cells of different lineage. Diagnosis of many lesions of the oral cavity is challenging to most clinicians because of their uncommon prevalence. A number of cystic, metabolic, osteody...
Seroprevalence of Transfusion Transmitted Infections among Blood Donors in a Teritiary care teaching hospital SIMSRH, Blood Bank Tumkur, Karnataka
Blood is a lifesaving unit. Transfusion of blood and blood components is a specialized modality of both medical and surgical emergencies and critical care management as well as routine management of diseases. It saves mi...
The Effect of Addition of Clonidine to Low Dose Bupivacaine for Unilateral Inguinal Herniorraphy: A Randomised Double Blinded Study
: Our study was aimed to see whether the addition of clonidine to small-dose bupivacaine for spinal anesthesia provided a sufficient degree of block that would be adequate for inguinal herniorrhaphy and whether it prolon...
Anemia: Does it Have Effect on Menstruation?
It is well known fact heavy and prolonged menses leads to anemia. But being anemic do have effect on menstrual cycle as well as menstrual problems. This study was done identify the same. This was a community based cross-...
Study of Uropathogens among Type II Diabetic Patients and Their Amtimicrobial Resistance Pattern among Rural South Indian Population
Infection of the urinary tract (UTI) is among the most frequent infectious diseases in humans. Urinary tract infection is also a most common infection among the diabetic patients. The aim of our study is to know the prev...