THE EFFICACY OF FIBRIN GLUE Vs SUTURES FOR ATTACHING CONJUNCTIVAL AUTOGRAFTS AFTER PTERYGIUM EXCISION: A RANDOMIZED CLINICAL TRIAL
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 56
Abstract
BACKGROUND AND OBJECTIVE Fibrin glues have been used in an array of ophthalmic procedures such as conjunctival closure in strabismus, vitreoretinal and glaucoma surgery. The present study was undertaken to assess the efficacy of fibrin glue versus suture in patients undergoing conjunctival autografting and also to compare operative time and post-operative complications. METHODS This one year randomized controlled trial on 44 patients with primary pterygium was conducted at Department of Ophthalmology, Santhiram Medical College, Nandyal, during the period of March 2010 to December 2010. Based on the computer generated randomization, these patients were divided into two groups namely, Group 1 (Fibrin glue group: n=22) and Group 2 (Suture group: n=22). RESULTS In the present study, equal distribution of sex (50%) was seen in Group 1 and in Group 2. Female preponderance was seen with male-to-female ratio of 1:2.14. The mean age in Group 1 was 51.74±13.65 years and in Group 2 it was ±13.75 years. All the patients in both groups presented with fleshy mass. Most of the patients (77.27%) in both the groups had Grade 2 pterygium. Majority of the patients (95.45% in Group 1 and 100% in Group 2) had progressive type of pterygium. Among the majority of patients (86.36%) in Group 1, the surgical time was significantly less (21 to 30 minutes) compared to Group 2 where 86.36%.
Authors and Affiliations
Kishore P, Sasi , Sanjeeva P, Ramesh M
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