Aims: To evaluate the efficacy and safety of fibrin sealant in conjunctival autograft fixation in pterygium surgery. Methods: Prospective, comparative, interventional case series. 40 eyes of 40 patients with nasal primary pterygium, 24 male and 16 female, were enrolled. The patients were assigned to two groups and each contained 12 male and 8 female based on the pterygium area encroaching onto the cornea. In one group the conjunctival autograft was attached to the sclera with fibrin sealant and the other group with nylon 10–0 sutures. All the patients were followed up postoperatively on days 1, 3, 7 and 14 then at months 1, 2, 6 and 12. The main outcome measures included operating time, postoperative symptoms, graft success, recurrence rate and complications. Results: The average operating time was significantly shorter (p < 0.001) in the fibrin sealant group and fewer postoperative symptom complaints were received as well. By the end of 1-year follow-up, the recurrence rate was 5% in the fibrin sealant group and 10% in the suture group (p = 1.000), and there was no statistically significant difference in complications (p > 0.05) between the two groups. Conclusions: It is safe and effective to use fibrin sealant for conjunctival autograft fixation. This method causes much fewer postoperative symptoms and shortens surgery time significantly, and the long-term results are also favorable.

Quantum materials with layered kagome structures have drawn considerable attention due to their unique lattice geometry, which gives rise to flat bands co-existing with Dirac-like dispersions. The interplay between strong Coulomb correlations and nontrivial band topology in these systems results in various exotic phenomena. Recently, vanadium-based materials with layered kagome structures are discovered to be topological metals, which exhibit charge density wave (CDW) properties, significant anomalous Hall effect, and unusual superconductivity at low temperatures. Here we exploit high-resolution angle-resolved photoemission spectroscopy to investigate the electronic structure evolution induced by the CDW transition in a vanadium-based kagome material RbV3Sb5. A remarkable band renormalization in the CDW state is observed, which is consistent with first principles calculations based on an inverse star-of-David superstructure. The CDW phase transition gives rise to a partial energy gap opening at the Fermi level, a shift in the band dispersion, and most importantly, the emergence of new van Hove singularities associated with large density of states, which are absent in the normal phase and may be related to superconductivity observed at lower temperatures. Our work would shed light on the microscopic mechanisms for the formation of the CDW and superconducting states in these topological kagome metals.

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