Abstract

RETROSPECTIVE STUDY OF FIBRIN GLUE VERSUS SUTURES FOR CONJUNCTIVAL AUTOGRAFT IN PTERYGIUM SURGERY

*Dr. Ameetkumar Shamsunder Agrawal, Dr. Suvarna P. Golecha and Dr. Neelam Gidwani

Abstract

Pterygium is old challenge for ophthalmic surgeon.It is best left alone unless it is progressing towards pupillary area, causing excessive astigmatism, restriction of ocular mortality. Surgery being the final treatment for pterygium and hence the new surgical techniques where evolved. The purpose of this study was to compare the Graft stability, recurrence rate, surgical outcome with fibrin glue and sutures for conjunctival autograft in pterygium surgery. Retrospective study was performed of 54 patients, operated for pterygium with limbal Conjuntival autograft in a period of 2 year. The follow up of patients was at 1st day, 15 day, one month and 6month after the surgery. Based on surgical technique used to fix the graft patients where divided into 2 groups. In group A 10-0 VICRYL suture technique was used to fix the graft in 33 patients and in group B fibrin glue was used to fix the graft in 21 patients Patient with minimum follow up of 6 month are included in the study and main outcome measures were patient comfort, graft success, complication and recurrence of pterygium. Topical mitomycin C, cauterrization and amniotic membrane where not used in any case. From total 54 operated eyes, 31 were women (57.41%) 23 were men (42.59%), recurrence was found in 3 eyes (5.55%) detected at 1-6 month follow up, intro operative complications were not found.

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