Meet Inspiring Speakers and Experts at our 3000+ Global Conference Series Events with over 1000+ Conferences, 1000+ Symposiums
and 1000+ Workshops on Medical, Pharma, Engineering, Science, Technology and Business.

Explore and learn more about Conference Series : World's leading Event Organizer

Back

Dr. Sankalp Rao

India

Title: SURGERY WITH FIBRIN GLUE VERSUS SUTURING OF AUTOCONJUCTIVAL GRAFT

Biography

Biography: Dr. Sankalp Rao

Abstract

BACKGROUND AND OBJECTIVE: Pterygium excision surgeries have developed over time and have been modified by Ophthalmologist all over the world. The earliest excision surgery for pterygium was with bare sclera. This technique had a higher percentage of recurrence around 60-70%.  After this Ophthalmologists developed a method to place a graft over the bare sclera called as “AUTOCONJUCTIVAL GRAFT”. This can be placed over the cornea by sutures, fibrin glue and allograft such as amniotic membrane.

  1. PTERYGIUM EXCISION WITH AUTOCONJUCTIVAL GRAFT WITH SUTURES-

This technique is simple and cost-effective as compared to fibrin glue and Patient discomfort was also found to be higher.

  1. PTERYGIUM EXCISION WITH AUTOCONJUNCTIVAL GRAFT WITH GLUE-
  • This technique is more costly.
  • Also clubbing of patients is required for reducing the cost which is much difficult.
  • Patients also experience allergic reaction.

AUTOCONJUNCTIVAL GRAFT PROVIDES BETTER PATIENTS COMFORT AND POST OPERATIVE RESULT, therefore in this study we ANALYZE RESULTS IN PTERYGIUM SURGERY WITH FIBRIN GLUE VERSUS SUTURING OF AUTOCONJUNCTIVAL GRAFT.

AIM: Comparative study to analyze results in pterygium surgery with fibrin glue versus suturing of autoconjunctival graft .

OBJECTIVES:

  • To compare operative time taken for Auto conjuctival graft with fibrin glue versus suture.
  • To compare the comfort level in postoperative period in conjuctival autograft with fibrin glue versus suture.
  • To evaluate rate of recurrence in patient with conjuctival autograft after pterygium surgery in fibrin glue versus suture.

MATERIALS AND METHOD:

  • This randomized controlled trial  on 37 patients with primary pterygium was conducted at Department of Ophthalmology, M.G.M.  Medical college Aurangabad,India during the period of Feb 2012 to Aug 2013.
  • The patients were divided into 2 groups namely: Group1 (fibrin glue group: n=20) and Group2 (suture group: n=17).

 

RESULTS AND OBSERVATION:

  • In our study female preponderance was seen in both groups. In Group 1 with male to female ratio of 2:8 and in Group 2 it was 1:16.
  • There was statistically significant difference in surgical time between Group1 and Group2 (p=0.000).There was significant differences in pain on postoperative day1 between two groups. But there was no significant differences in pain followed up till 12 weeks.
  • There was no significant differences in lacrimation on follow up periods till 12 weeks  between the two groups.
  • There was significant difference in foreign body sensation between 1week to 6 week only.
  • There was no significant differences in photophobia and itching on follow ups in both the groups.

CONCLUSION AND INTERPRETATION:

The present study showed better comfort level of fibrin glue in conjuctival auto grafting among the patients undergoing pterygium excision in comparison to sutures. Also fibrin glue significantly reduced the surgical time as compared to sutures.