[Pterygium surgery: comparative study of conjunctival autograft with suture versus fibrin adhesive].
OBJECTIVE
To compare recurrence rate, complications, and biomicroscopical findings after conjunctival autograft pterygium surgery with the use of a fibrin glue (Tissucol Duo, Baxter AG, Vienna, Austria) or suture (7-0 silk).


METHODS
Patients with nasal pterygium were included in two groups of conjunctival autograft surgery. In 9 of them the graft was sutured to the surrounding conjunctiva and in 8 of them the graft was fixed to the conjunctiva using fibrin glue.


RESULTS
17 patients (17 eyes) 41.2% women and 58.8% men were surgically treated. Mean patient age was 59.8 years. Five of the patients presented recurrence for simple excision and 12 presented primary pterygium. The extent of corneal invasion was 2 to 4 mm. In the suture group, 33.3% of the patients experienced pain after surgery compared to none in the fibrin glue group. In the suture group, 44.4% of the patients presented inflammation after surgery compared to none in the glue group. One patient from the glue group lost the graft and presented a recurrence one month later.


CONCLUSIONS
The use of fibrin glue in pterygium surgery reduces patient symptoms, inflammation and discomfort. The rate of recurrence seems to be similar in both procedures.
Miranda-Rollón
M D
MD
Servicio de Oftalmología. Hospital de Cabueñes, Gijón, España.
Pérez-González
L E
LE
Sentieri-Omarrementería
A
A
Martínez-Rodríguez
R
R
Parente-Hernández
B
B
Junceda-Moreno
J
J
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003228:Conjunctiva / Q000637:transplantation*; D003231:Conjunctivitis / Q000209:etiology / Q000517:prevention & control; D005260:Female; D015718:Fibrin Tissue Adhesive; D006084:Graft Rejection; D006801:Humans; D008297:Male; D008875:Middle Aged; D010149:Postoperative Pain / Q000209:etiology / Q000517:prevention & control; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control; D011625:Pterygium / Q000601:surgery*; D012008:Recurrence; D013536:Suture Techniques; D014014:Tissue Adhesives; D014182:Transplantation, Autologous
D015718:Fibrin Tissue Adhesive; D014014:Tissue Adhesives