title: Recurrence rate using fibrin glue-assisted ipsilateral conjunctival autograft in pterygium surgery: 2-year follow-up.
abstract: OBJECTIVE
  To determine the recurrence rate after pterygium excision with ipsilateral conjunctival autograft using fibrin glue.
  
  
  METHODS
  One hundred eleven eyes of 92 patients operated for primary pterygium were retrospectively evaluated for recurrence rate and intraoperative and postoperative complications. Pterygia were preoperatively divided in atrophic/grade 1 (n = 2; 1.80%), intermediate/grade 2 (n = 85; 76.58%), or fleshy/grade 3 (n = 24; 21.62%) types. All patients were operated using an ipsilateral conjunctival autograft fixed with fibrin glue. Only patients with 2-year follow-up were included in this study.
  
  
  RESULTS
  Two years after surgery, the mean recurrence rate was 4.50% (n = 5). No intraoperative complications were noted. Postsurgical complications were graft pseudoedema (n = 45; 40.54%), graft retraction (n = 3; 2.70%), and donor site granuloma (n = 1; 0.90%).
  
  
  CONCLUSIONS
  Fibrin glue-assisted ipsilateral conjunctival autograft seems to be safe and efficacious and associated with a low rate of recurrence.
authors.affiliation: Misericordia Hospital, Grosseto, Italy. v.sarnicola@hotmail.it
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Sarnicola
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Vannozzi
authors.forename: Paolo Alfonso
authors.initials: PA
authors.lastname: Motolese
mesh_terms: D003228:Conjunctiva / Q000637:transplantation*; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D013508:Ophthalmologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D011183:Postoperative Complications; D011625:Pterygium / Q000601:surgery*; D012008:Recurrence; D012189:Retrospective Studies; D014014:Tissue Adhesives / Q000627:therapeutic use*; D014182:Transplantation, Autologous; D016896:Treatment Outcome
chemical_list: D015718:Fibrin Tissue Adhesive; D014014:Tissue Adhesives