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Pterygium excision with conjunctival autograft: a multi-centre comparison of fibrin tissue glue versus suture

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Session Details

Session Title: Presented Poster Session: Cornea II

Venue: Poster Village: Pod 2

First Author: : L.Jiang UK

Co Author(s): :    M. Khan   J. Gandhewar           

Abstract Details

Purpose:

To compare visual outcome and surgical complications including rates of recurrence and dehescence with the use of fibrin glue versus sutures in pterygium excision surgery performed with conjunctival auto-grafting for the treatment of primary and recurrent pterygium.

Setting:

Wolverhampton Eye Infirmary, Wolverhampton, WV10 0QP University Hospital of North Staffordshire NHS Trust, Staffordshire, ST4 6QG, UK

Methods:

This observational study included 83 eyes from 77 patients who underwent excision of pterygium and conjunctival autograft at two discrete tertiary institution by two different surgeons between 2008 and 2016. Medical records were retrospectively reviewed for age, sex, best-corrected visual acuity (BCVA, logMAR), intra-operative data, surgical complications, and recurrence rate at last follow-up.

Results:

Thirty eyes underwent pterygium excision with suture (8/0 Vicryl and 10/0 Nylon) and fifty- three eyes using fibrin tissue glue. Follow-up ranged from 1 to 36 months (median 6 months). There were 4 recurrences (13.3%) in the suture group and none in the fibrin group. There were 3 cases of graft dehiscence in the fibrin group (5.7%), and none in the suture group. No other significant surgical complications were reported. Demographics, changes in BCVA, pre-operative and follow-up clinical characteristics of patients revealed no significant differences.

Conclusions:

The use of fibrin glue in pterygium excision with conjunctival autografting is associated with lower recurrence rate and higher levels of patient satisfaction compared with the use of the traditional suturing technique. Future studies with larger cohorts may be carried out to determine longer term results.

Financial Disclosure:

NONE

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