Pterygium Surgery: Free Conjunctival Graft with Fibrin Glue versus Sliding Conjunctival Graft with Sutures: A Comparative Study
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2015, Vol 3, Issue 1
Abstract
The aim of the study was to assess and compare the outcome as well as safety of two surgical options in treatment of primary pterygium: Conjunctival autograft (CAG) affixed with fibrin glue versus conjunctival sliding flap anchored with sutures. Thirty patients who had excision of primary nasal pterygium were divided equally into two groups (A and B). Bare sclera, in group A, was covered with free CAG with fibrin glue while sliding CAG was fixed with 10-0 nylon sutures in group B. Mean surgical time in group A was 15.33 minutes (SD± 2.79: range between 10 to 20 min) and in group B was 21.93 minutes (SD± 3.43: range between 15 to 30 min) with p< 0.01 using t test. Patient satisfaction was significantly higher in group A than group B in first week of post operative period (P < 0.01; t test). Two patients (13%) from group A had conjunctival retraction and gaping and two patients (13%) from group B broke sutures with graft dehiscence. CAG in both groups integrated well in surrounding tissue at the end of four weeks. None of the 30 patients had recurrence at the end of six months. Use of fibrin glue in securing CAG significantly reduces surgery time and increases comfort level of patient in immediate post operative period (p < 0.01; t test). Nevertheless use of 10-0 nylon suture is economical and equally effective in reducing recurrence rate.
Authors and Affiliations
Milind Suryawanshi, Rohini Suryawanshi
Keywords
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