Randomized interventional trial comparing conjunctival autograft secured with Sutures versus fibrin glue in primary pterygium excision
Journal Title: Tropical Journal of Ophthalmology and Otolaryngology - Year 2018, Vol 3, Issue 2
Abstract
Background: An ideal pterygium surgery should achieve three principal goals: a low recurrence rate, absence of complications, and satisfactory cosmesis. Natural substances, such as fibrin, have significant advantage in achieving these goals. Aim: To compare the primary & secondary outcomes following primary pterygium excision with conjunctival auto graft using fibrin glue versus sutures. Methodology: A prospective interventional study was conducted at Department of Ophthalmology, Annapoorana medical college& Hospital, Salem, India, for a period of one year from June 2016 to May 2017. A total of 87 patients were included in the study. They were randomized into two groups. Group I received conjunctival auto graft secured with glue and Group II received conjunctival auto graft secured with suture. Postoperatively the patients were followed for a period of 6 months for measuring the primary and secondary outcomes. Results: The mean rank score for graft inflammation, and patients discomfort was less in fibrin glue group when compared to suture group during the follow-up period from 15th to 90th postoperative day and the difference was found to be statistically significant, whereas the mean rank for graft stability was lower in the suture group when compared to the fibrin glue group with a statistical significant difference between the two group. Conclusion: The use of fibrin glue removes the need for the tedious suturing process, the learning curve can be shortened, and better results may be more consistently achieved despite differences in surgical expertise.
Authors and Affiliations
Keerthivarman Rukmangathan, Dhivya Ramakrishnan, Vasudarini Sundararajan, Ranjan Chandrasekaran, Ramusiddharthan Ravichandran, Shankar Radhakrishnan
Keywords
Related Articles
- EP ID EP350078
- DOI 10.17511/jooo.2018.i2.01
- Views 168
- Downloads 0
Medical management of extra-ocular muscle cysticercosis- a clinical study
Introduction: To study clinical diagnosis, results of investigations and role of medical management and their outcome in extra-ocular cysticercosis. Our study also emphasizes on the role of topical cyclosporine eye drops...
Role of Omega-3 fatty acids in meibomian gland dysfunction
Objective: To evaluate the role of omega-3 fatty acids in meibomian gland dysfunction (MGD). Design: This was aprospective randomized control study that included patients with MGD attending outpatient Department of Ophth...
Randomized interventional trial comparing conjunctival autograft secured with Sutures versus fibrin glue in primary pterygium excision
Background: An ideal pterygium surgery should achieve three principal goals: a low recurrence rate, absence of complications, and satisfactory cosmesis. Natural substances, such as fibrin, have significant advantage in a...
Comparative study of post-operative visual outcome and complications after small incision cataract surgery in patients of diabetic and nondiabetic patients of cataract
Objective: The purpose of the study was to compare post-operative visual outcome and complications after small incision cataract surgery (SICS) in diabetic and non-diabetic patients of cataract. Method:This was prospecti...
Refractory errors in medical students in a teaching hospital in rural Telangana
Introduction: Refractive errors are attributing to major public health problem. The increasing prevalence rates of myopia have reached to epidemic proportions in many Asian countries. Thisstudy was done to determine the...