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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109
Volume 9, Issue 1, November 2013 pp 116-118
Efficacy of Autologus Fibrin Glue for Primary Pterygium Surgery with Conjunctival Autograft
Associate professor, Dept. of Community Ophthalmology
Regional Center, Maharashtra University of Health sciences, Aurangabad, Maharashtra, INDIA.
Academic Editor : Dr. Aher K.R.
Purpose: To evaluate the efficacy of autologus fibrin glue for attachment of conjunctival autograft in primary pterygium surgery. Method: A prospective interventional clinical study was carried out in an eye clinic . A total of 24 eyes from 16 patients with primary nasal pterygium were included for conjunctival autograft surgery by using autologus fibrin glue. The patients were followed up for one year. Outcome measures were duration of surgery, adherence of graft and postoperative discomfort. Results: Of the 16 patients 7 patients were males (43.7 %) and 9 were females (56.2%). mean age of the patient was (41.37 S.D. 16.14) range was 21to 70 years. Follow up period was one year. 2 eyes (12.5%) developed graft retraction which resolved with continued patching. One eye (6.2%) developed complete graft dehiscence which needed sutures to reattach the graft in its correct position. Post operative congestion was absent in 20 eyes, mild congestion noted in 4 eyes. No patient complained of ocular pain in the post operative period. Conclusion: This case series suggest that autologus fibrin glue using patient’s own blood is a safe and useful alternative method for graft fixation in pterygium surgery.