DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20205831

Outcome of pterygium surgery by using conjunctival autograft attachment with fibrin glue: a prospective study

Happy Kaur, Babar Maqbool, Manpreet Kaur

Abstract


Background: Pterygium is a degenerative condition of sub conjunctival tissues that proliferates as vascularised granulation tissue to invade cornea. Treatment modalities may be medical or surgical. Objectives were to asses results of pterygium surgery in patients with pterygium, in terms of operative time, post-operative symptoms, overall graft success and post-operative complications conducted at government medical college, hospital, Jammu during one year.

Methods: Prospective study conducted on 25 patients by using fibrin glue over a period of one year in upgraded department of ophthalmology at GMC Jammu.

Results: Mean operating time was 23.20 minutes by using fibrin glue, severity of post-operative symptoms were less. Graft successfully attached in all cases.

Conclusions: Present study concluded that use of fibrin glue associated with less operating time and less post-operative discomfort in terms of severity and duration


Keywords


Pterygium, Fibrin glue, Conjunctival autograft

Full Text:

PDF

References


Cameron ME. History of pterygium: an electron microscopic study. Br J Ophthalmol. 1983;67:604-8.

Hilgers JH. Pterygium: Its incidence, hereditary and etiology. Am J Ophthalmol. 1960;50:635.

Moran DJ, Hollows FC: Pterygium and ultraviolent radiation. A positive correlation. Br J Ophthalmol. 1984;68:343-46.

Austin P, Jakobire FA, Iwamoto T. Elastodysplasia and elastodystrophy as the pathologic basisofpterygia andpingecula. Ophthalmol. 1998:90(1):96-109.

Kamel S. Pterygium: Its nature and new line of treatment. Br J Ophthalmol. 1946;30:549-63.

Issacson G, Herman JH: Autologous Plasma fibrin glue; rapid preparation and selective use. Am J Otolaryngol. 1996;17:92-9.

Kenyon KR, Wagoner MD, Hettinger ME: Conjuctival autograft transplantation for advanced and recurrent pterygium. Ophthalmol. 1985;92:1461-70.

Koch JM, Mellin JB, Wauble TN. The pterygium-autologous conjunctiva-limbus transplantation as treatment. Ophthalmol. 1992;89:143-6.

Lawallen S. A randomized trial of conjuctival autografting for pterygium in tropics. Ophthalmol. 1987;96:161.

Harvey SH, Reyes JM, Flore JD, Lim-Bon-Siong R. Comparison of fibrin glue and sutures for attaching conjuctival autografts after pterygium excision. Ophthalmol. 2005;112:667-71

Koranyi G, Seregard S, Kopp ED. A no suture, small incision approach to pterygium surgery. Br. J. Ophthalmol. 2004;88:911-4.

Karalezi A, Kukukerdonmez C, Akova YA. Fibrin glue versus sutures for conjuctival autografting in pterygium surgery: a prospective comparative study: Br J Ophthalmol. 2008 Sep; 92(9): 1206-10

Bahar I, Weinberger D, Gaton DD, Avisar R. Fibrin glue versus vicryl sutures for primary conjuctival closure in pterygium surgery. Cornea. 207;32:399-405.

Uy HS, Reyes JM, Flores JD, Lim-Bon-Siong R. Comparison of fibrin glue and sutures for attaching conjuctival autografts after pterygium excision. Ophthalmol. 2005;112:667-71.