J Korean Ophthalmol Soc.  2006 Feb;47(2):198-204.

The Use of Fibrin Glue for Conjunctival Autotransplantation in Pterygium

• Yoon KC
• Heo H
• Jeong IY
• Park YG

Abstract

PURPOSE: To investigate the efficacy of fibrin glue for conjunctival autotransplantation in pterygium.
METHODS
Forty eyes of 32 patients who underwent conjunctival autotransplantation for primary pterygium with a minimum follow-up period of 6 months were included. Postopertive pain, foreign body sensation, tearing, subconjunctival hemorrhage, surgery time, complication, and recurrence were evaluated prospectively in 20 eyes of 15 patients undergoing surgery with fibrin glue, and in 20 eyes of 17 patients undergoing surgery with sutures.
RESULTS
One day postoperative, the scores of pain (P<0.01), foreign body sensation (P<0.01), tearing (P<0.01), and subconjunctival hemorrhage (P=0.01) were significantly lower in the fibrin glue group than in the suture group. One week postoperative, the scores of foreign body sensation (P=0.01) and tearing (P=0.01) were significantly lower in the fibrin glue group than in the suture group. Mean surgery time in the fibrin glue group (18 8 minutes) was significantly shorter than in the sutures group (32 11 minutes) (P<0.01). There was no significant difference in the recurrence rates of the two groups.
CONCLUSIONS
Use of fibrin glue for conjunctival autotransplantation in pterygium can reduce postoperative discomfort and required surgical time.

Keyword

Conjunctival autotransplantation; Fibrin glue; Pterygium; Sutures

MeSH Terms

Autografts*
Fibrin Tissue Adhesive*
Fibrin*
Follow-Up Studies
Foreign Bodies
Hemorrhage
Humans
Operative Time
Prospective Studies
Pterygium*
Recurrence
Sensation
Sutures
Fibrin
Fibrin Tissue Adhesive