title: Sandwich fibrin glue technique for attachment of conjunctival autograft during pterygium surgery.
abstract: OBJECTIVE
  To report the results of a sandwich application of fibrin glue compared with the standard method of using fibrin glue for the attachment of the conjunctival autograft in pterygium surgery.
  
  
  METHODS
  The study group consisted of 56 consecutive eyes with primary pterygium.
  
  
  METHODS
  We performed a retrospective analysis comparing the standard method of using fibrin glue for the attachment of the conjunctival autograft during pterygium excision surgery versus the "sandwich technique." In the "sandwich technique," the thrombin component of the fibrin glue was applied after the graft was secured in position over a bed of fibrinogen.
  
  
  RESULTS
  Graft dehiscence occurred in 3 eyes in the conventional group only. Recurrence occurred in 2 eyes in the conventional group and 1 eye in the sandwich group. None of the values reached statistical significance.
  
  
  CONCLUSIONS
  The sandwich technique simplifies conjunctival graft fixation during pterygium surgery with conjunctival autograft by allowing more time to properly position the autograft before fibrin clot formation.
authors: Massachusetts Eye & Ear Infirmary, Harvard Medical School, Boston, Mass; Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Mass; Boston Eye Group, Boston, Mass.
authors: Mark A
authors: MA
authors: Fava
authors: Catherine J
authors: CJ
authors: Choi
authors: George
authors: G
authors: El Mollayess
authors: Samir A
authors: SA
authors: Melki
mesh_terms: D000328:Adult; D000368:Aged; D003228:Conjunctiva / Q000187:drug effects / Q000637:transplantation*; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures; D011183:Postoperative Complications; D011625:Pterygium / Q000188:drug therapy / Q000601:surgery*; D012189:Retrospective Studies; D014014:Tissue Adhesives / Q000627:therapeutic use*; D014182:Transplantation, Autologous; D016896:Treatment Outcome
chemical_list: D015718:Fibrin Tissue Adhesive; D014014:Tissue Adhesives