title: Outcomes of fibrin glue-assisted conjunctival versus conjunctivolimbal autograft in primary pterygia with a new technique of conjunctival resection and Tenon extended removal.
abstract: OBJECTIVE
  The aim of this study was to compare the recurrence rates for primary pterygia after fibrin glue-assisted conjunctival autograft (CAG) versus conjunctivolimbal autograft (CLAG) transplantation, using a technique of limited conjunctival resection and Tenon extended removal.
  
  
  METHODS
  In this comparative case series, 49 eyes of 47 patients with primary nasal pterygium were included. Patients were randomized into 2 groups to undergo fibrin glue-assisted CAG (group 1, 24 eyes) or fibrin glue-assisted CLAG (group 2, 25 eyes) following excision of pterygium. The surgical technique used in all patients involved limited conjunctival resection combined with extensive removal of the Tenon capsule up to the caruncle medially and also 5 mm beyond the inferior and superior free edges of the conjunctiva. The main outcome measure studied was the absence or presence of recurrence.
  
  
  RESULTS
  There was 0% recurrence rate in both groups after a mean follow-up of 63 weeks (range, 54-81 weeks) with all eyes completing at least 1-year of follow-up.
  
  
  CONCLUSIONS
  Fibrin glue-assisted CAG and CLAG using the technique of conjunctival resection and Tenon extended removal were equally efficacious in terms of preventing recurrences in patients with primary pterygia in our series.
authors.affiliation: Advanced Eye Centre, Department of Ophthalmology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Chintan
authors.initials: C
authors.lastname: Malhotra
authors.forename: Arun K
authors.initials: AK
authors.lastname: Jain
authors.forename: Ashish
authors.initials: A
authors.lastname: Sawhney
authors.forename: Nishant
authors.initials: N
authors.lastname: Nawani
authors.forename: Jagat
authors.initials: J
authors.lastname: Ram
mesh_terms: D000328:Adult; D064592:Autografts; D003228:Conjunctiva / Q000637:transplantation*; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use*; D005500:Follow-Up Studies; D006801:Humans; D016850:Limbus Corneae; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011625:Pterygium / Q000175:diagnosis / Q000601:surgery*; D012008:Recurrence; D013524:Surgical Flaps; D058475:Tenon Capsule / Q000601:surgery*; D014014:Tissue Adhesives / Q000627:therapeutic use*; D016896:Treatment Outcome
chemical_list: D015718:Fibrin Tissue Adhesive; D014014:Tissue Adhesives