A comparative study of use of fibrin glue and vicryl suture and sutureless conjunctival autograft transplantation following pterygium excision.

Dr. Ritu Jain; Dr. Abhilasha

Volume : IX, Issue : II, February - 2019

A comparative study of use of fibrin glue and vicryl suture and sutureless conjunctival autograft transplantation following pterygium excision.

Dr. Ritu Jain, Dr. Abhilasha

Abstract :

Introduction: Use of sutures for securing conjunctival autograft following pterygium excision has several drawbacks. This study compares different techniques being used for fixing conjunctival autograft in patients undergoing pterygium surgery. Materials and methods: A retrospective clinical study was carried out in a tertiary eye care hospital. 60 eyes which underwent primary pterygium surgery were grouped–in 3 categories. The patients were followed up for 12 months. Outcome measures were duration of surgery, complication, post operative discomfort and recurrence of pterygium. Observations and results: In the non suture group mean operation time was 25.5 minutes (range 25–30minutes).In the suture group the mean operation time was 34.5minutes range (30–40 minutes) and in fiin glue group it was 13.5 minutes range (11–17minutes). Post operative discomfort was significantly lower in the fiin glue group than in the suture group. Graft expulsion was seen in only group 1 in 2 cases and in one case in group 3. At the end of follow up pterygium recurrence was observed in 2 eyes in both group 1 and group 2 and in 1 eye in the fiin group i.e group3. Conclusion: Application of fiin glue instead of sutures for attaching the free conjunctival graft in pterygium surgery is the best method out of the three having advantage of a shorter surgical time, less post operative discomfort and lower recurrence.