Comparison of 4 techniques for limbal-conjunctival autograft fixation in primary pterygium surgery.

Abstract:

PURPOSE:To compare 4 limbal-conjunctival autograft fixation techniques-conventional suture, commercial fibrin glue, autologous fibrin glue, and cautery-in primary nasal pterygium surgery. METHODS:This is a retrospective and descriptive study. The postoperative patient discomfort, graft edema, ocular inflammation, and other complications of 4 limbal-conjunctival autograft fixation techniques in primary nasal pterygium surgery were evaluated. RESULTS:Postoperative patient discomfort was significantly lower with the sutureless techniques (p<0.001), with fixation with cautery having the lowest rate of discomfort. Graft edema and ocular inflammation during the early postoperative period were significantly higher when fibrin glue techniques were used (p<0.001). The recurrence rate did not show a statistically significant difference (p = 0.682) among the 4 groups. CONCLUSION:In primary nasal pterygium surgery, limbal-conjunctival autograft fixation using cautery is the technique with the lowest postoperative discomfort rate and without a statistically significant increase in recurrence rate when compared to conventional suture and fibrin glue techniques.

journal_name

Eur J Ophthalmol

authors

Mejía LF,Santamaría JP,Cuevas M,Córdoba A,Carvajal SA

doi

10.5301/ejo.5000924

subject

Has Abstract

pub_date

2017-06-26 00:00:00

pages

466-469

issue

4

eissn

1120-6721

issn

1724-6016

pii

28DE7B08-7E76-4634-857A-B8AEBCB5B4A8

journal_volume

27

pub_type

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