A comparison between fibrin sealant and sutures for attaching conjunctival autograft after pterygium excision

Pterygium Excision with Conjunctival Autograft

This paper will discuss the different approaches to the surgical management of pterygium, emphasizing the conjunctival autograft technique and the use of antimetabolites. HISTORICAL PERSPECTIVE Clinically, a pterygium is a wing-shaped fibrovascular growth arising from the bulbar conjunctiva onto the superficial cornea.1 It is composed of a body, which overlies the sclera, and a head, which conf...

Fibrin glue versus sutures for attaching the conjunctival autograft in pterygium surgery: a prospective observer masked clinical trial.

AIMS To compare the degree of conjunctival autograft inflammation, subconjunctival haemorrhage (SCH) and graft stability following the use of sutures or fibrin glue (FG) during pterygium surgery. METHODS Prospective, observer masked, clinical trial. 40 eyes of 40 patients undergoing primary pterygium surgery with conjunctival autograft were allocated into two groups. Group 1 (n = 20) had FG (...

A Comparison of Fibrin Glue with Sutures for Conjunctival Autografts in Pterygium Excision Surgery

Comparison of fibrin glue and Vicryl sutures in conjunctival autografting for pterygium surgery

PURPOSE To compare clinical parameters and the tear levels of inflammatory cytokines between pterygium surgery using sutures or fibrin glue. METHODS Fifty-six patients with primary pterygium were divided into the suture group and the glue group, in which the autograft was secured with 10-0 Vicryl sutures and fibrin glue, respectively. A questionnaire, slit-lamp examination, Schirmer test, and...

A randomised trial comparing 0.02% mitomycin C and limbal conjunctival autograft after excision of primary pterygium.

BACKGROUND Mitomycin C (MMC) and limbal conjunctival autograft (LCAU) are two known useful adjuvants in the prevention of pterygial recurrence. This study was conducted to compare the outcome of these two treatments. METHODS Prospective study on consecutive cases of primary pterygium (February 2001 to March 2002) randomised into two adjuvant groups: (1) intraoperative 0.02% MMC for 5 minutes ...