Comparative study of using fibrin glue and sutures in pterigyum excision with conjunctival autograft in tertiary care center
Journal Title: Medpulse International Journal of Ophthalmology - Year 2018, Vol 7, Issue 3
Abstract
Background: Pterygium is a fibrovascular, wing shaped encroachment of the conjunctiva on to the cornea. The prevalence rates of pterygia range from 0.7 to 31% among different populations and are also influenced by age, race and exposure to solar radiations. Aim: The aim of the study Comparison of fibrin glue and sutures for attaching conjunctival autograft after pterygium excision and to study the intraoperative and post operative complications after the procedure. Materials and Methods: The present study during Dec 2008 to May 2010. The study included forty eyes of forty patients presented at our outpatient department with Primary Pterygium extending more than 1mm on to cornea. Results: 50 patients are included in this study 23 (46%) males and 27 (54%) were females. Majority (75%) of patients were labourers engaged in outdoor occupations. This could be a predisposing factor for development of pterygium. All patients included in this study were with primary pterygia. The pterygium was nasal in 45(90%) cases, and temporal in 5(10%) cases. In this study 46 eyes (92%) had pterygium of <3mm size, 4 eyes (8%) had a pterygium of 3-6mm size. All 50 cases were followed up to a minimum period of 6 months. Conclusions: Use of Fibrin glue in pterygium surgery with conjunctival auto grafting significantly reduces surgery time, improves post operative patient comfort. This technique is free from sight threatening complications, unlike topical chemotherapy or radiotherapy and has no manifest deleterious effect on visual acuity unlike lamellar grafting.
Authors and Affiliations
M Gitanjali, P Nishanth
Keywords
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