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
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