Fibrin glue versus suture technique for pterygium excision: A prospective study in tertiary-based rural hospital
Aim: The aim of this study is to compare the results of conjunctival closure in pterygium surgery using fibrin adhesive versus vicryl sutures. Materials and Methods: This study was carried out in the premises of rural-based tertiary hospital. A comparative prospective study was performed in fifty pa...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2017-01-01
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| Series: | Journal of Clinical Ophthalmology and Research |
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| Online Access: | http://www.jcor.in/article.asp?issn=2320-3897;year=2017;volume=5;issue=1;spage=23;epage=27;aulast=Wadgaonkar |
| _version_ | 1818385108614250496 |
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| author | Surendra P Wadgaonkar Rachana Rajpat Tiwari Preeti A Patil Bhimrao S Kamble |
| author_facet | Surendra P Wadgaonkar Rachana Rajpat Tiwari Preeti A Patil Bhimrao S Kamble |
| author_sort | Surendra P Wadgaonkar |
| collection | DOAJ |
| description | Aim: The aim of this study is to compare the results of conjunctival closure in pterygium surgery using fibrin adhesive versus vicryl sutures. Materials and Methods: This study was carried out in the premises of rural-based tertiary hospital. A comparative prospective study was performed in fifty patients (fifty eyes) with primary nasal pterygium. They were randomized to undergo pterygium surgery using either 8-0 vicryl sutures (25 eyes) or fibrin glue (25 eyes) to attach the conjunctival autograft from August 2014 to February 2015. Mean follow-up was 14 months. Outcome measures were duration of surgery, complication, postoperative discomfort, and recurrence of pterygium. Clinical assessment was performed on days at 1, 7, and 14 days, and every 2 months thereafter. Statistical Analysis: All data were evaluated by using SPSS version 19.0 (Released 2010, IBM SPSS Statistics for Windows, Version 19.0. Armonk, NY: IBM Corp.) package program. Mann-Whitney U-test was used for the comparison of symptoms and signs of two groups. Unpaired t-test was used to compare two groups in terms of surgery time as well as recurrence rates. Results: Average operative time was 15.76 min (range 12-20 min) in the fibrin glue and 33.56 min (range 30-45 min) in the suture group (P < 0.001). The symptoms such as pain, photophobia, foreign body sensation, watering and conjunctival, and chemosis were significantly less in the subjects treated with glue than suture (for chemosis and photophobia [P = 0.001]; for pain and watering [P < 0.001]). Three cases of recurrence in the suture group and one case of pyogenic granuloma in the fibrin glue group were reported. Conclusion: The use of fibrin glue in pterygium surgery significantly reduces operative time and patient symptoms, pain, and discomfort. |
| first_indexed | 2024-12-14T03:32:55Z |
| format | Article |
| id | doaj.art-00afb6ebeeb74d6993c3fe7d6f6325c4 |
| institution | Directory Open Access Journal |
| issn | 2320-3897 |
| language | English |
| last_indexed | 2024-12-14T03:32:55Z |
| publishDate | 2017-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Clinical Ophthalmology and Research |
| spelling | doaj.art-00afb6ebeeb74d6993c3fe7d6f6325c42022-12-21T23:18:42ZengWolters Kluwer Medknow PublicationsJournal of Clinical Ophthalmology and Research2320-38972017-01-0151232710.4103/2320-3897.195305Fibrin glue versus suture technique for pterygium excision: A prospective study in tertiary-based rural hospitalSurendra P WadgaonkarRachana Rajpat TiwariPreeti A PatilBhimrao S KambleAim: The aim of this study is to compare the results of conjunctival closure in pterygium surgery using fibrin adhesive versus vicryl sutures. Materials and Methods: This study was carried out in the premises of rural-based tertiary hospital. A comparative prospective study was performed in fifty patients (fifty eyes) with primary nasal pterygium. They were randomized to undergo pterygium surgery using either 8-0 vicryl sutures (25 eyes) or fibrin glue (25 eyes) to attach the conjunctival autograft from August 2014 to February 2015. Mean follow-up was 14 months. Outcome measures were duration of surgery, complication, postoperative discomfort, and recurrence of pterygium. Clinical assessment was performed on days at 1, 7, and 14 days, and every 2 months thereafter. Statistical Analysis: All data were evaluated by using SPSS version 19.0 (Released 2010, IBM SPSS Statistics for Windows, Version 19.0. Armonk, NY: IBM Corp.) package program. Mann-Whitney U-test was used for the comparison of symptoms and signs of two groups. Unpaired t-test was used to compare two groups in terms of surgery time as well as recurrence rates. Results: Average operative time was 15.76 min (range 12-20 min) in the fibrin glue and 33.56 min (range 30-45 min) in the suture group (P < 0.001). The symptoms such as pain, photophobia, foreign body sensation, watering and conjunctival, and chemosis were significantly less in the subjects treated with glue than suture (for chemosis and photophobia [P = 0.001]; for pain and watering [P < 0.001]). Three cases of recurrence in the suture group and one case of pyogenic granuloma in the fibrin glue group were reported. Conclusion: The use of fibrin glue in pterygium surgery significantly reduces operative time and patient symptoms, pain, and discomfort.http://www.jcor.in/article.asp?issn=2320-3897;year=2017;volume=5;issue=1;spage=23;epage=27;aulast=WadgaonkarConjunctival excisionfibrin gluepterygium excision |
| spellingShingle | Surendra P Wadgaonkar Rachana Rajpat Tiwari Preeti A Patil Bhimrao S Kamble Fibrin glue versus suture technique for pterygium excision: A prospective study in tertiary-based rural hospital Journal of Clinical Ophthalmology and Research Conjunctival excision fibrin glue pterygium excision |
| title | Fibrin glue versus suture technique for pterygium excision: A prospective study in tertiary-based rural hospital |
| title_full | Fibrin glue versus suture technique for pterygium excision: A prospective study in tertiary-based rural hospital |
| title_fullStr | Fibrin glue versus suture technique for pterygium excision: A prospective study in tertiary-based rural hospital |
| title_full_unstemmed | Fibrin glue versus suture technique for pterygium excision: A prospective study in tertiary-based rural hospital |
| title_short | Fibrin glue versus suture technique for pterygium excision: A prospective study in tertiary-based rural hospital |
| title_sort | fibrin glue versus suture technique for pterygium excision a prospective study in tertiary based rural hospital |
| topic | Conjunctival excision fibrin glue pterygium excision |
| url | http://www.jcor.in/article.asp?issn=2320-3897;year=2017;volume=5;issue=1;spage=23;epage=27;aulast=Wadgaonkar |
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