COVID-19 Update - This is to inform you that the Government of India has announced a complete lockdown in India 22nd March 2020 to 14th April 2020. As a result, our offices will now be closed till 14th April 2020 and all our employees will be working from home. Office telephones will not be answered, and therefore you are requested to direct all your queries related to manuscript submission, review process, publication etc. at below mentioned details. editor@innovativepublication.com, rakesh.its@gmail.com, Mob. 8826373757, 8826859373, 9910947804

Article view: 25

Article download: 14

Indian Journal of Clinical and Experimental Ophthalmology


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


Full Text PDF Share on Facebook Share on Twitter


Research Article

Author Details : Piyali Sarkar, Kumaresh Chandra Sarkar*, Sujit Mondal, Rabindra Nath Saha

Volume : 6, Issue : 1, Year : 2020

Article Page : 35-40


Suggest article by email


Abstract

Introduction: 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.
Objective: 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.
Materials and Methods: 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.
Results: 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, c2 =10.035, df =
1), graft granuloma (p =.037, c2 = 4.333, df = 1) and recurrence (p = 0.638, c2 = 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.

Keywords: Conjunctivo-limbal autograft, Fibrin glue, Progressive pterygium.

 

Doi : 10.18231/j.ijceo.2020.009

How to cite : Sarkar P , Sarkar K C, Mondal S, Saha R N, Comparison between fibrin glue and polyglactin sutures in limbal based conjunctival autograft technique in primary pterygium surgery in adults- A randomised controlled trial. Indian J Clin Exp Ophthalmol 2020;6(1):35-40

Copyright © 2020 by author(s) and Indian J Clin Exp Ophthalmol. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) (creativecommons.org)