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Yüksel B, Unsal SK, Onat S. Comparison of fibrin glue and suture technique in pterygium surgery performed with limbal autograft. Int J Ophthalmol. 2010;3(4):316-20doi: 10.3980/j.issn.2222-3959.2010.04.09.
Yüksel, B., Unsal, S. K., & Onat, S. (2010). Comparison of fibrin glue and suture technique in pterygium surgery performed with limbal autograft. International journal of ophthalmology, 3(4), 316-20. https://doi.org/10.3980/j.issn.2222-3959.2010.04.09
Yüksel, Bora, et al. "Comparison of fibrin glue and suture technique in pterygium surgery performed with limbal autograft." International journal of ophthalmology vol. 3,4 (2010): 316-20. doi: https://doi.org/10.3980/j.issn.2222-3959.2010.04.09
Yüksel B, Unsal SK, Onat S. Comparison of fibrin glue and suture technique in pterygium surgery performed with limbal autograft. Int J Ophthalmol. 2010;3(4):316-20. doi: 10.3980/j.issn.2222-3959.2010.04.09. Epub 2010 Dec 18. PMID: 22553582; PMCID: PMC3340741.
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Int J Ophthalmol. 2010;3(4):316-20. doi: 10.3980/j.issn.2222-3959.2010.04.09. Epub 2010 Dec 18.

Comparison of fibrin glue and suture technique in pterygium surgery performed with limbal autograft.

International journal of ophthalmology

Bora Yüksel, Sultan Kaya Unsal, Sevgi Onat

Affiliations

  1. Department of Ophthalmology, Izmir Bozyaka Teaching and Research Hospital, Turkey.

PMID: 22553582 PMCID: PMC3340741 DOI: 10.3980/j.issn.2222-3959.2010.04.09

Abstract

AIM: To compare the efficiency and safety of fibrin glue to suture technique in pterygium surgery performed with limbal autograft.

METHODS: A prospective randomised clinical trial was carried out in 58 eyes of 58 patients operated for primary nasal pterygium. Autologous conjunctival graft taken from the superotemporal limbus was used to cover the sclera after pterygium excision. In 29 eyes, the transplant was attached to the sclera with a fibrin tissue adhesive (Beriplast P) and in 29 eyes with 8-0 Virgin silk sutures. The Mann-Whitney U test was used for statistical analysis. Postoperative patient discomfort (pain, stinging, watering) and biomicroscopic findings (hyperemia, edema) were graded. Patients were followed up at least for six months.

RESULTS: Subconjunctival hemorrhage occured under the graft in one patient in group 1. In seven cases of group 2, sutures were removed at the 15(th) day because of granulomatous tissue reaction. Patient symptoms were significantly less and biomicroscopic findings were better in group 1. Pterygium recurrence was seen in one case of group 1, and 2 cases of group 2. Average surgery cost was higher (P<0.05) and surgery time was shorter (P<0.05) in fibrin group.

CONCLUSION: Using fibrin glue for graft fixation in pterygium surgery causes significantly less postoperative pain and shortens surgery time significantly.

Keywords: fibrin glue; limbal autograft; pterygium surgery

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