April 2011
Volume 52, Issue 14
Free
ARVO Annual Meeting Abstract  |   April 2011
Comparison Of Fibrin Glue And Sutures For Conjunctival Autograft In primary Pterygium Surgery
Author Affiliations & Notes
  • Hernan Martinez-Osorio
    Centro de Oftalmologi­a Barraquer, Barcelona, Spain
    Institut Universitari Barraquer, Barcelona, Spain
  • Laia Rafat
    Centro de Oftalmologi­a Barraquer, Barcelona, Spain
    Institut Universitari Barraquer, Barcelona, Spain
  • Maria De la Paz
    Centro de Oftalmologi­a Barraquer, Barcelona, Spain
  • Jose Temprano
    Centro de Oftalmologi­a Barraquer, Barcelona, Spain
  • Gustavo A. Montenegro
    Research,
    Institut Universitari Barraquer, Barcelona, Spain
  • Ralph Michael
    Institut Universitari Barraquer, Barcelona, Spain
  • Victor Charoenrook
    Centro de Oftalmologi­a Barraquer, Barcelona, Spain
  • Rafael I. Barraquer
    Centro de Oftalmologi­a Barraquer, Barcelona, Spain
    Institut Universitari Barraquer, Barcelona, Spain
  • Footnotes
    Commercial Relationships  Hernan Martinez-Osorio, None; Laia Rafat, None; Maria De la Paz, None; Jose Temprano, None; Gustavo A. Montenegro, None; Ralph Michael, None; Victor Charoenrook, None; Rafael I. Barraquer, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science April 2011, Vol.52, 3364. doi:
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      Hernan Martinez-Osorio, Laia Rafat, Maria De la Paz, Jose Temprano, Gustavo A. Montenegro, Ralph Michael, Victor Charoenrook, Rafael I. Barraquer; Comparison Of Fibrin Glue And Sutures For Conjunctival Autograft In primary Pterygium Surgery. Invest. Ophthalmol. Vis. Sci. 2011;52(14):3364.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose: : To compare pterygium excision conjunctival autograft surgery using Tissucol fibrin glue versus Nylon sutures.

Methods: : Retrospective comparative case study. Forty one patients (mean age: 42.15 years) with primary pterygium were operated with sutured graft (n=19) or glued graft (n=21). Patients were operated by two surgeons. Standard conjunctival autograft was sutured with nylon (JT) or the autograft was placed with Tissucol fibrin glue (MP). Outcome measures included visual acuity, refraction, pterigyum area, complications and recurrence rates. Patients were followed up to at least 12 months.

Results: : There were no differences in skin's colour, iris's colour or pterygium's area among the groups. In both groups, darkest iris were more common (grade 3: n=19 or grade 4: n=14). More females were operated by fibrin glued conjunctival autografting (n=16) than sutured surgery (n=5) (p 0.001). There were no changes in visual acuity or refraction. At week 1, conjunctival hemorrhage was more frequent in the glue's group (n=10) than suture's group (n=0) (p 0.0002), as well as, conjunctival edema in glue's group (n=14) vs suture's group (n=7) (p 0.06). At 12 months, there were no recurrences in the glue's group and one recurrence in the suture's group (not significantly different).

Conclusions: : Fibrin glued and sutured conjunctival autografting procedures are safe and effective methods for pterygium surgery. Conjunctival autograft with fibrin glue showed more complications than sutured surgery, however autograft recurrence rate at 12 months was not statistically significant between groups.

Keywords: pterygium • conjunctiva • imaging/image analysis: clinical 
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