The Use of Fibrin Glue for Conjunctival Autotransplantation in Pterygium.

Yoon, Kyung Chul; Heo, Hwan; Jeong, In Young; Park, Yeoung Geol

Original Article

Journal of the Korean Ophthalmological Society 2006;47(2):198-204.
Published online February 28, 2006.

The Use of Fibrin Glue for Conjunctival Autotransplantation in Pterygium.

Kyung Chul Yoon, Hwan Heo, In Young Jeong, Yeoung Geol Park

Department of Ophthalmology, Chonnam National University Medical School and Hospital, Gwang-Ju, Korea. kcyoon@chonnam.ac.kr

익상편에서 파이브린 글루를 이용한 자가결막이식술

윤경철,허환,정인영,박영걸

Department of Ophthalmology, Chonnam National University Medical School & Hospital, Gwang-Ju, Korea

Correspondence: Kyung Chul Yoon, M.D.

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.

Key Words: Conjunctival autotransplantation;Fibrin glue;Pterygium;Sutures