Abstrait

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).