Fallberichte in der Chirurgie und bei invasiven Eingriffen

Abstrakt

Comparative study of fibrin glue vs suturing technique for fixing conjunctival autograft in pterygium excision surgery

Aarthi Pannerselvam, Kanmani Kothandaraman

Aim of the study: Aim of the study is to find a better alternative surgical technique in pterygium excision surgery with conjunctival autograft. Objective of the study: Objective of the study was to find out the efficacy of fibrin glue material when compared to suturing technique in pterygium excision surgery with conjunctival autograft in a group of patients presenting with pterygium to a tertiary care hospital. Materials and methods: This is a prospective, interventional type of study conducted in ophthalmology department of a tertiary care hospital. The time period of the study was from February 2015 to September 2016. Eighty (80) patients who presented with nasal/temporal pterygium were taken up for the study. The patients were divided into two groups: BBGROUP 1 underwent pterygium excision with conjunctival autograft fixation using 10-0 ethilon sutures. Fourty (40 patients) and group 2 underwent pterygium excision with conjunctival autograft fixation using fibrin glue (40 patients). Results and conclusion: The time taken for surgery using fibrin glue was relatively less when compared to conjunctival suture group with the P value-0.016 (<0.05). Graft oedema was found to be less in fibrin glue group with a value of 2.8% when analyzed by Chi Square test with a significant P value of 0.000 (<0.05) Graft loss was found to be nil in fibrin glue group with a P value-0.007. Graft recession in suture group was found to be statistically significant when analyzed using Chi Square test with a P value 0.001 (<0.005).