| Clinical Outcomes after Use of Fibrin Glue Using a Modified Mini-flap Technique for Pterygium Surgery. |
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Moon Kyoung Kim, Ikhyun Jun, Tae im Kim, Eung Kweon Kim, Kyoung Yul Seo |
1The Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea. SEOKY@yuhs.ac
2Corneal Dystrophy Research Institute, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea. |
| 익상편환자에서 생체접착제를 이용한 변형된 결막소판술의 임상결과 |
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김문경1⋅전익현1⋅김태임1,2⋅김응권1,2⋅서경률1 |
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연세대학교 의과대학 안과학교실 시기능개발연구소1, 연세대학교 의과대학 안과학교실 각막이상증연구소2 |
Correspondence:
Kyoung Yul Seo,
Email: SEOKY@yuhs.ac
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Received: 30 March 2017 • Revised: 3 May 2017 • Accepted: 22 June 2017 |
| Abstract |
PURPOSE
To analyze the long-term clinical outcomes after use of fibrin glue using a modified mini-flap technique for pterygium surgery. METHODS: This study is a retrospective, clinical outcome study of 148 subjects that underwent the modified mini-flap technique with fibrin glue from January 2014 to August 2015. We analyzed the recurrence rate and surgical time of modified mini-flap surgery with fibrin glue. We also analyzed associating factors between the recurrence group and non-recurrence group who underwent the same surgery technique. RESULTS: Mean age was 60.2 ± 1.1 (ranging from 29 to 86) years, and mean surgical time was 11.8 ± 5.8 (ranging from 5 to 36) minutes. The recurrence rate of pterygium patients who underwent the fibrin glue using a modified mini-flap technique was 4.0% (6/148), and the re-operation rate was 0.6% (1/148). From the comparison of associating factors between recurred and non-recurred groups, the recurred group was younger, had more severe disease, and had a higher rate of bilaterality than the non-recurred group (p < 0.05). CONCLUSIONS: The new approach using fibrin glue with a modified mini-flap technique shows a low recurrence rate compared to the other type of pterygium surgery. The use of fibrin glue shortened operation time and decreased patient discomfort due to fewer remnant sutures. Fibrin glue use in a modified mini-flap technique can be considered as a feasible surgical option for pterygium patients. |
| Key Words:
Fibrin glue;Mini-flap;Pterygium;Recurrence |
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