A Comparative Study of Tissue Glue and Vicryl Suture for Closing Limbal-Conjunctival Autografts and Histologic Evaluation After Pterygium Excision

Özdamar, Yasemin; Mütevelli, Seda; Han, Ünsal; Ileri, Dilek; Önal, Binnur; İlhan, Özgür; Karakaya, Jale; Zilelioğlu, Orhan

doi:10.1097/ico.0b013e318165b16d

Cited by 60 publications

(60 citation statements)

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“…The advantages of using fibrin glue in ocular surgery are well-known and include a shorter operative time and less postoperative pain (10)(11)(12)(13). Furthermore, the absence of sutures is also of some advantage postoperatively, because they can promote inflammation and provide a nidus for infection or neovascularization.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of Using a Sutureless Bovine Pericardial Patch Graft for Ahmed Glaucoma Valve Implantation

Quaranta

Riva

Floriani

2013

European Journal of Ophthalmology

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Section: Discussionmentioning

confidence: 99%

Outcomes of Using a Sutureless Bovine Pericardial Patch Graft for Ahmed Glaucoma Valve Implantation

Quaranta

Riva

Floriani

2013

European Journal of Ophthalmology

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“…However, polyglactin sutures caused slightly more conjunctival reactions in the early postoperative period than nylon sutures. The use of fibrin glue for attaching the conjunctival autograft in the surgical management of primary pterygium reduced surgical time and also conjunctival hyperemia and ocular discomfort compared to fixation with nylon 10/0 or with vicryl sutures; it proved an excellent option for conjunctival autograft attachment in primary pterygium surgery (6)(7)(8)(10)(11)(12)(13)(14)(15)(16)18,22,23,27) . Even so, its role with respect to traditional suturing is still a matter of debate.…”

Section: Discussionmentioning

confidence: 99%

“…A retrospective study (31) and a prospective (14) comparative studies showed statistically significant less degree of inflammation and decreased recurrence rate with fibrin glue use than sutures. The recurrence rate was not evaluated in many of the studies cited in which fibrin glue was used (7,9,12,14,16,18) . However, some studies have reported lower rates of recurrence when using fibrin glue (8,13,14,31,32) , while others have reported the same rate of recurrence as when using suturing (10,11,(15)(16)(17)33) .…”

Section: Discussionmentioning

confidence: 99%

“…Various different studies have compared the safety and recurrence rates of pterygium associated with the use of absorbable and non-absorbable sutures and the use of sutures and fibrin glue when making conjunctival autografts (7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18) . All of these studies concluded that the use of fibrin glue in pterygium surgery involving conjunctival autografting significantly reduces surgery time and improves postoperative patient comfort and cosmesis.…”

Section: Introductionmentioning

confidence: 99%

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Pterygium surgery by means of conjunctival autograft: long term follow-up

Huerva¹,

March²,

Martínez-Alonso³

et al. 2012

Arq. Bras. Oftalmol.

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Purpose: To demonstrate the long term of follow-up of the recurrence rate after conjunctival autograft for pterygium surgery. Methods: A total of 112 patients operated for pterygium with conjunctival autografts and with more than one year follow-up were registered. Patients were called for voluntary examinations of their respective ocular surface statuses. Completing the study was only possible in 44 cases. Seven had bilateral pterygium. (N=51 operated pterygium). Results:The mean follow-up time was 49.06 months. In 29.45% of the cases, attachment was performed using non-absorbable sutures (nylon 10/0), while fibrin glue was used in 70.55% of the cases. Six cases of recurrence (11.76%) were found. The recurrence rate between primary and recurrent pterygium, and between sutures and fibrin glue proved to be not statistically significant; p>0.05. There were no significant differences between women and men with respect to recurrence. The median of age in the recurrence group was 40 years old, in contrast to 55 in the non-recurrence group; p=0.01517. All of these recurrences were associated with patients of Hispanic origins (from Latin America); p=0.001506. Conclusions: After a long follow-up period after autograft pterygium surgery, there were no statistically significant differences in recurrence rates for the application of sutures as opposed to fibrin glue; similarly, there were no statistically significant differences between the use of autograft in primary and recurrent pterygium. The greatest risk factors for recurrence were young age and Hispanic ethnicity.Keywords: Pterigium/surgery; Transplantation, autologous; Conjunctiva/transplantation, Sutures; Fibrin tissue adhesive RESUMO Objetivo: Demonstrar a taxa de recorrência em cirurgia do pterígio com transplante autólogo de conjuntiva após um acompanhamento a longo prazo. Métodos: Cento e doze pacientes operados de pterígio e transplante autólogo de conjuntiva, com mais de um ano de acompanhamento foram registrados. Os pacientes foram chamados para um exame voluntário de estado da superfície ocular. O estudo completo só foi possível em 44 pacientes. Sete deles tinha tido pterígio bilateral. (N=51). Resultados: A média de acompanhamento a partir do momento da cirurgia até o exame foi de 49,06 meses. A sutura não-absorvível (nylon 10/0) foi usada em 29,45% dos casos, enquanto que a cola biológica de fibrina foi usada em 70,55%. A recidiva do pterígio foi detectada apenas em 6 casos (11,76%). As recidivas entre pacientes operados de pterígio primário e recorrente, e entre o uso de suturas ou cola de fibrina não foram significativos (p>0,05). Também não houve diferença significativa na recorrência com relação ao sexo. A idade média no grupo de recidiva foi de 40 anos e no grupo sem recidiva de 55 anos (p=0,01517). Todas essas recorrências ocorreram em pacientes de origem hispânica (América latina) (p=0,001506). Conclusões: A longo prazo da remoção cirúrgica de pterígio utilizando um transplante autólogo de conjuntiva, não há diferença estatisticamente sig...

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“…A meta-analysis was performed by Pan et al on seven pooled randomized control studies [66][67][68][69][70][71][72] comparing fibrin glue and suture outcomes for limbal-conjunctival autografting following pterygium excision [73]. A total of 342 participants and 366 eyes were encompassed in the seven studies.…”

Section: Pterygium Surgerymentioning

confidence: 99%