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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109

Volume 7, Issue 1, May 2013 pp 01-05

Research Article

Autologus Fibrin Glue versus Sutures for Conjunctival Autografting in Pterygium Surgery:

A Prospective Comparative Study


Smita Dileep Javadekar1*, Sindal Deokrishna2, Ankit Sharma3

{1Associate Professor, 2Professor & H.O.D., 3Resident}Department of Ophthalmology, KIMSDU, Malkapur, Karad, Maharashtra, INDIA.


Academic Editor : Dr. Aher K.R.



Aim: To compare the use of autologus fibrin glue versus sutures for fixating conjunctival autografts in patients undergoing pterygium excision. Methods: Forty six patients (46 eyes) with primary pterygium were randomised to undergo pterygium surgery using either autologus fibrin glue (23 eyes) or 10-0 nylon sutures (23 eyes) to attach the conjunctival autograft. The patients were followed up for 6 weeks. Outcome measures were duration of surgery, adherence of graft and postoperative discomfort. Results: In the autologus fibrin glue group, the mean operation time was 13.96 (SD 3.2) min (range 10-20 min) and in the suture group (p<0.001) it was 29.78 (sd4.6) min (range 20-35 min). Two patients in the autologus fibrin glue group had partial graft dehiscence; it was successfully reattached with autologus fibrin (p>0.5). One patient in sutured group had partial graft dehiscence, which was successfully reattached with sutures (p>0.5) the intensity of the postoperative watering, foreign-body sensation, were significantly lower in the autologus fibrin glue group than in the suture group (p<0.001). Postoperative congestion was absent in 47.82%. (11cases) and mild in 52.18%  (13 cases) 2 weeks postoperatively in the autologus fibrin group  while in sutured group 17.4% (4 cases) had mild congestion and 82.6% (19 cases) had moderate congestion 2weeks postoperatively. Conclusion: The new method of using patient’s own blood ( autologus fibrin) as a glue  in pterygium surgery with conjunctival auto grafting significantly reduces surgery time with successful adherence of the auto graft and improves postoperative patient comfort without economical burden on the patient.

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