Abstract：
PURPOSE:To compare the efficacy and safety of fibrin glue and suturing for attaching conjunctival autografts among patients undergoing pterygium excision. DESIGN:Prospective, randomized, interventional case series. PARTICIPANTS:Twenty-two patients undergoing excision of primary pterygium. METHODS:A superior conjunctival autograft was harvested and transferred onto bare sclera after pterygium excision. Fibrin glue (Beriplast P) was used to attach the autograft in 11 eyes and nylon 10-0 suture was used to attach the autograft in 11 eyes. The patients were followed up for 2 months. MAIN OUTCOME MEASURES:Graft success, recurrence rate, operating time, patient comfort. RESULTS:All conjunctival autografts in both groups were successfully attached and were intact after 2 months. The average operating time for the fibrin glue group was significantly shorter (P<0.001). Postoperative symptoms were fewer for the fibrin glue group than the suture group. One patient (9%) from the fibrin group experienced subconjunctival hemorrhage, and 1 patient (9%) from the suture group experienced partial graft dehiscence. CONCLUSIONS:Fibrin glue is a safe and effective method for attaching conjunctival autografts. The use of fibrin glue results in shorter operating times and less postoperative discomfort.
journal_name
Ophthalmologyjournal_title
Ophthalmologyauthors
Uy HS,Reyes JM,Flores JD,Lim-Bon-Siong Rdoi
10.1016/j.ophtha.2004.08.028subject
Has Abstractpub_date
2005-04-01 00:00:00pages
667-71issue
4eissn
0161-6420issn
1549-4713pii
S0161-6420(04)01807-Xjournal_volume
112pub_type
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