Online ISSN: 2515-8260

Comparison of Fibrin Glue Vs Suture for Conjunctival Limbal Autografting in Pterygiumsurgery

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iran B1 , Pawan Kumar2

Abstract

Background:To compare the efficiency and safety of fibrin glue and suturing technique for adherence of conjunctival limbal autograft after pterygium excision. Materials and Methods: AProspectiveinterventional study conducted from September 2018 to December 2020 in the department of Ophthalmology at KIMS,Narketpally.100eyesof100 patientsoperatedforprimary nasal pterygium.Autologousconjunctival grafttakenfromthe superotemporal limbu was used to cover the scleraafter pterygiumexcision.In50 eyes,thetransplantwasattached tothesclerawitha fibrin tissue adhesive (BeriplastP),in 50 eyeswith10- 0Vicrylsilksutures.Outcome measures included graft position and stability,recurrence of pterygium, Postoperativepatient discomfort(pain,watering)andbio microscopic findings(hyperemia,edema).Patientswere followedupatleastforsixmonths. Results: Subconjunctival haemorrhage occurred underthe graftingonepatientinFibrin glue group.Granuloma was seen in one patient in suture group,which resolved after suture removal. Inferior Graft dislodgement was seen in one patient in suture group.Symptoms like pain, watering, Foreign body sensation were significantlylessandbiomicroscopicfindingswerebetterin Fibrin glue group.Average Surgery Cost Was Higher (<0.05)andsurgerytimewasshorter (<0.05)infibrin group. Conclusion: Fibrin glue is a safe and effective method for attaching conjunctival limbal autografts.Usingfibringlueforgraft fixation pterygium surgery causes significantly less postoperative pain,watering,foreign body sensation and shortenssurgerytimesignificantly.

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