Patient satisfaction of pterygium surgery using fibrin glue versus suture autograft
Purpose: To compare pterygium surgery with fibrin glue autografts and sutured autografts in terms of length of surgery time and postoperative patient satisfaction.
Methods: All pterygium operations performed at Sibu Hospital (Sarawak, Malaysia) between October 1, 2012 and September 30, 2013 were included.
Results: Eighty-one cases were included in the study. The fibrin glue group and suture group had 33 and 48 cases, respectively. The mean age of the patients was 50.56 (SD: 7.61). The fibrin glue group had a shorter mean duration of surgery (17.18 minutes, SD: 10.66) compared to the suture group (22.60 minutes, SD: 12.88) (P = 0.05). Patient satisfaction at first week review was 93.9% for the fibrin glue group and 75.0% for the suture group (P = 0.027, OR 5.2 [95%CI: 1.1, 24.9]). Patient satisfaction at sixth week review was 97.0% for the fibrin glue group and 77.1% for the suture group (P = 0.023, OR 9.5 [95%CI: 1.2, 77.8]). There was no serious adverse event in this study population.
Conclusion: Fibrin glue has shorter mean duration of surgery and significantly higher patient satisfaction at first week and sixth week post-pterygium surgery compared to the suture technique.
2. Koranyi G, Seregard S, Kopp ED. Cut and paste: a no suture, small incision approach to pterygium surgery. Br J Ophthalmol. 2004;88:911-914.
3. Srinivasan S, Dollin M, McAllum P, et al. Fibrin glue versus sutures for attaching the conjunctival autograft in pterygium surgery: Prospective observer masked clinical trial. Br J Ophthamol. 2009;93:215-218.
4. Stewart DE. System of Ophthalmology, Vol. VIII. London: Henry Kimpton; 1965:574.
5. Vichare N, Chaudhary T, Arora P. A comparison between fibrin sealant and sutures for attaching conjunctival autograft after pterygium excision. Medical Journal Armed Forces India. 692013:151-155.
6. Jiang J, Yang Y, Zhang M, et al. Comparison of fibrin sealant and sutures for conjunctival autograft fixation in pterygium surgery; one year follow up. Ophthalmologica. 2008;222:105-111.
7. Katzin HM. Aqueous fibrin fixation of corneal transplants in the rabbit. Arch Ophthalmol. 1945;35:415-420.
8. Gammon RR, Avery N, Mintz PD. Fibrin sealant: an evaluation of methods of production and the role of blood bank. J Long Term Eff Med Implants. 1998;8:103-116.
Copyright (c) 2019 Asian Journal of Ophthalmology
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication, with the work twelve (12) months after publication simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).