Fibrin glue verses Conjunctival suturing in pterygium surgery: A comparative study

Dr. Himanshu Kumar; Dr. M S Ali; Dr. Deepak Mishra

Volume : V, Issue : IX, September - 2016

Fibrin glue verses Conjunctival suturing in pterygium surgery: A comparative study

Dr. Himanshu Kumar, Dr. M S Ali, Dr. Deepak Mishra

Abstract :

Aim To analyze the safety and efficacy of fiin glue and compare it with conventional conjunctival suturing technique in pterygium surgery performed with limbal autograft. Material & Method After Ethical committee approval, a prospective randomised study was done in 50 eyes of 50 pterygium patients who underwent pterigium surgery during April 2015 to April 2016. Autologous conjunctival graft taken from the superior limbus was used to cover the sclera after pterygium excision. Fiin glue (Reliseal) was used in 25 patients (Group 1) to attach the conjunctiva over the bare sclera and in 25 eyes 8–0 Vicryl suture was used (Group 2). Postoperative patient discomfort (pain, stinging, watering) and biomicroscopic findings (hyperemia, edema) were graded. Patients were followed up at least for six months. Results In group 1, 1 patient developed subconjunctival haemorrhage. In group 2, 7 cases developed granulomatous tissue reaction, hence suture removal was done. Patients were symptomatically better in group 1. One case of group 1 and 2 cases of group 2 developed recurrence of pterigium. Group 1 had a shorter average surgery time (P<0.05) and cost than group 2 (P<0.05). Conclusion Using fiin glue for graft fixation in pterygium surgery causes significantly less postoperative pain and shortens surgery time significantly