Efficacy of fibrin glue versus suture in patients undergoing conjunctival autograft for primary pterygium
Journal Title: IP International Journal of Ocular Oncology and Oculoplasty - Year 2017, Vol 3, Issue 2
Abstract
Purpose: The present study was undertaken to assess the efficacy of fibrin glue versus suture in patients undergoing conjunctival autograft with special reference to operating time, post-operative outcomes and post-operative visual outcomes during follow-up. Design: Two years prospective randomized controlled trial was conducted for 40 patients who presented to the department of Ophthalmology, who fulfilled inclusion criteria and were willing to enrol in the study. Method: After taking informed consent, detailed history regarding patients name, age, sex, occupation, address, presenting symptoms, duration, progression, and associated conditions was recorded. Patients were then randomized into two Groups: Conjunctival autograft with suture (Group 1) and Conjunctival autograft with fibrin glue (Group 2). Following parameters were noted in both Groups (1) Operating time in both Groups (2) Post-operative outcomes like pain, foreign body sensation. (3) Visual outcomes in both groups. Results: The mean operating time in fibrin group was 30.950 minutes (SD= 2.946), whereas in suture group, the mean operating time was 43.40 minutes (SD = 2.703). On post-operative day one, 15 (75%) patients had pain in fibrin group whereas in suture group all 20 (100%) patients had pain. Foreign body sensation was present among 80% patients on post-operative day one, 90% on day three, 25% on day ten, 5% during week three and 0% at the end of the follow up as compared to suture group where all the patients (100%) complained about foreign body sensation on post-operative day one and three which decreased to 90% on post-operative day ten and persisted among 80% at week three and 10% at week six. The mean pre-operative uncorrected log MAR values were 0.390 (SD=0.161) which decreased to 0.190 (SD=0.085) in fibrin group. Conclusion: There was marked reduction in operating time and post-operative pain and foreign body sensation in fibrin group as compared with suture group.
Authors and Affiliations
Reshma Ramakrishnan, Shrikant Deshpande, Saurabh Shrivastava, Shruti Gajera, Dhairya Parikh
Keywords
Related Articles
- EP ID EP292582
- DOI 10.18231/2455-8478.2017.0033
- Views 104
- Downloads 0
Comparison of corneal changes between SICS and phacoemulsification
Small incision cataract surgery has become an attractive alternative to phacoemulsification in past few years chiefly because of its cost effectiveness & good results comparable to phacoemulsification, however the post o...
Orbital inflammation caused by bisphosphonates case report and literature review
Bisphosphonates are drugs broadly disseminated and frequently used in clinical practice. Ocular adverse effects are already known and orbital inflammation outstands as one of the most severe. It is clinically evident by...
Survey of patients with presentation of ptosis in ophthalmic-plastic subspecialty clinic
Ptosis may interfere with normal development of vision in children and activities of daily living when the field of vision is impaired in adults. Purpose: To find out the incidence and pattern of ptosis with associated v...
A prospective comparative analysis of clinical versus histopathological diagnosis following excision biopsy of ocular lesions
Biopsy is surgical removal of a tissue specimen for histopathological evaluation of the clinical lesion to arrive at a confirmatory diagnosis. Most of the ocular and extra ocular lesions are diagnosed by a good history a...
Immunoglobulin G4(IgG4)-Related Orbital Disease – An overview
Immunoglobulin G4 related orbital disease is a systemic fibro-inflammatory disorders with a generalized form of clinical manifestations. Although it has a wide spectrum of various pathologies that may affect distant orga...