Fibrin glue versus suture technique for pterygium excision: A prospective study in tertiary-based rural hospital

Wadgaonkar, Surendra P.; Tiwari, Rachana Rajpat; Patil, Preeti A.; Kamble, Bhimrao S.

doi:10.4103/2320-3897.195305

Cited by 6 publications

(10 citation statements)

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“…We used fibrin glue in all our cases to reduce surgery time and to enhance patient comfort. Wadgaonkar et al revealed that fibrin glue in pterygium surgery significantly reduced operative time and provided considerable comfort to patients [4]. Various studies on pterygium excision have revealed that fibrin glue may result in less recurrence and may take less time than sutures to fix the conjunctival graft in place during pterygium surgery [20].…”

Section: Discussionmentioning

confidence: 99%

“…Factor XIII cross-links and stabilizes the clot's fibrin monomers, while aprotinin inhibits fibrinolytic enzymes, consequently resulting in a stable clot. Fibrin glue reduces the operating time, postoperative pain, and discomfort, and results in early postoperative rehabilitation of patients compared with sutures [4]. Pterygium commonly occurs in older patients and is usually accompanied by cataract [5,6].…”

Section: Introductionmentioning

confidence: 99%

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Refractive Outcomes of Simultaneous Pterygium and Cataract Surgery With Fibrin Glue

Sharma¹,

Bajoria²,

Mishra³

et al. 2021

Cureus

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Introduction Pterygium is commonly reported in India because of its tropical location. It is often accompanied by senile cataract. The current study aimed to evaluate the refractive outcomes of patients undergoing simultaneous pterygium and cataract surgery. Materials and methods A total of 12 patients with cataract and pterygium underwent simultaneous phacoemulsification with a foldable intraocular lens (IOL) followed by pterygium excision with conjunctival limbal autograft secured with fibrin glue under peribulbar anesthesia. Nasal pterygium was present in all the cases, and its size ranged from 2.5 to 3.5 mm from the limbus. All the patients exhibited nuclear sclerotic cataract of grades 2 and 3. Results The results of the patients were analyzed retrospectively. We determined the best-corrected visual acuity ([BCVA] in logMAR), manifest astigmatism, and mean corneal astigmatism before operation and after 12 months of surgery. We also analyzed the correlation between the prediction error (calculated by subtracting the predicted postoperative refraction from the actual postoperative spherical equivalent) and changes in the mean keratometry and prediction errors and pterygium size. The mean age of the patients was 61.9 ± 7.14 years (range: 50-70 years). The mean BCVA at presentation was 0.67 ± 0.24 logMAR units, which significantly increased after surgery to 0.01 ± 0.03 logMAR units ( p < 0.001, Wilcoxon signed-rank test). The mean manifest corneal astigmatism significantly reduced from −1.98 ± 0.84 diopters (D) preoperatively to −0.54 ± 0.18 D postoperatively ( p < 0.001). Mean corneal keratometry increased from 43.81 ± 1.77 D preoperatively to 44.19 ± 1.76 D postoperatively ( p < 0.05). At 12 months, 58.33% and 41.66% of the eyes were within ±0.5 D and ±1.0 D, respectively. A significant correlation was observed between the prediction errors and changes in the mean keratometry (Spearman signed-rank test, r = −0.65, p < 0.05) and pterygium size (Spearman correlation coefficient, r = −0.75, p < 0.05). Conclusion The simultaneous pterygium and cataract surgery with conjunctival autograft and fibrin glue was safe and effective in providing excellent and predictable refractive outcomes. Steepening of the cornea after combined surgery results in myopia; therefore, the IOL power should be selected appropriately. The use of fibrin glue in surgeries reduces the operative time and postoperative pain and results in early postoperative rehabilitation of patients.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Refractive Outcomes of Simultaneous Pterygium and Cataract Surgery With Fibrin Glue

Sharma¹,

Bajoria²,

Mishra³

et al. 2021

Cureus

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“…Wadgaonkar SP et al 13 found that the mean operative time was 15.76 min and 33.56 min in the fibrin glue group and the vicryl suture group respectively. Bora Y et al 14 showed that the mean operative time was 23.42 ± 13.34 min and 41.45 ± 3.20 min in the fibrin glue and the suture group respectively.…”

Section: Discussionmentioning

confidence: 97%

“…There was one case of granuloma formation in fibrin glue group whereas 7 cases in the suture group. Wadgaonkar SP et al 13 showed that there were two episodes of subconjunctival haemorrhage in the suture group (8%) and none in the glue group. There was 1 case of pyogenic granuloma in the fibrin glue group (4%) and none in the suture group.…”

Section: Discussionmentioning

confidence: 98%

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Comparison between fibrin glue and polyglactin sutures in limbal based conjunctival autograft technique in primary pterygium surgery in adults- A randomised controlled trial

Sarkar¹,

Sarkar²,

Mondal³

et al. 2020

IJCEO

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Pterygium is a slow growing, wing shaped, elastoticsubconjunctival degeneration within the palpebral fissure involving the cornea. As it encroaches the limbus, it proliferates as vascularised granulation tissue destroying the superficial stroma and Bowman’s membrane and is characterized by tissue remodelling, cellular proliferation, neovascularisation and inflammation. To compare between fibrin glue and polyglactin sutures in limbal based conjunctival autograft technique in primary pterygium surgery in terms of duration of surgery and early and late post-operative complications. It was a prospective comparative, randomized controlled trial which was conducted at North Bengal Medical College, Darjeeling, from July 2016 to June 2017. Patients with progressive pterygium diagnosed after proper clinical examinations and admitted for excision with conjunctival autograft attached with fibrin glue or for excision with conjunctival autograft sutured with 8-0 polyglactin. Data were collected and analysed. 52 patients were randomly and equally divided into two groups, group A (fibrin glue) and group B (sutured with polyglactin) according to the type of surgery. In both the groups, there was female preponderance and the average age of the patients were 45.15 (±5.576) and 40.65 (±8.299) years respectively. Regarding the post-operative complications such as graft oedema (p= 0.002, χ2 =10.035, df = 1), graft granuloma (p =.037, χ2 = 4.333, df = 1) and recurrence (p = 0.638, χ2 = 0.221, df = 1), the group A had less incidence than group B. The reduction of complications was statistically significant in group A in terms of graft oedema and graft granuloma but not in recurrence.

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A comparative study on the use of fibrin glue versus sutures in pterygium surgery with conjunctivolimbal autograft and its impact on higher-order aberrations

Mousavi,

Fallahi Motlagh,

Taheri

et al. 2023

Spektrum Augenheilkd.

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Fibrin glue versus suture technique for pterygium excision: A prospective study in tertiary-based rural hospital

Cited by 6 publications

References 0 publications

Refractive Outcomes of Simultaneous Pterygium and Cataract Surgery With Fibrin Glue

Refractive Outcomes of Simultaneous Pterygium and Cataract Surgery With Fibrin Glue

Comparison between fibrin glue and polyglactin sutures in limbal based conjunctival autograft technique in primary pterygium surgery in adults- A randomised controlled trial

A comparative study on the use of fibrin glue versus sutures in pterygium surgery with conjunctivolimbal autograft and its impact on higher-order aberrations

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