A Comparative Study of the Effect of Fibrin Glue versus Sutures on Clinical Outcome in Patients Undergoing Pterygium Excision and Conjunctival Autografts
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: To compare the effect of using fibrin glue or 10-0 nylon sutures on the clinical outcome of patients undergoing pterygium excision and conjunctival autografting. Methods: We retrospectively reviewed the medical records of 52 eyes from 46 patients who underwent pterygium excision and conjunctival autografting and were followed up for more than 3 months. The operation duration, postoperative inflammation, complications, and recurrence rates were compared between groups of 20 patients (22 eyes) for whom fibrin glue was used (fibrin glue group) and 26 patients (30 eyes) for whom suturing was performed with 10-0 nylon (suture group) in pterygium excision and conjunctival autografting. Results: The operation duration was 27.71 (5.22) minutes in the fibrin glue group and 43.30 (8.18) minutes in the suture group (p = 0.000). Seven days after the operation, the fibrin glue group showed milder conjunctival inflammation than the suture group (p = 0.000). Postoperative complications and corneal recurrence rates were not statistically different between the two groups. Conclusions: The use of fibrin glue in pterygium excision with conjunctival autografting is likely to be a more effective, safer procedure than suturing.
Abstract
Purpose: To compare the effect of using fibrin glue or 10-0 nylon sutures on the clinical outcome of patients undergoing pterygium excision and conjunctival autografting. Methods: We retrospectively reviewed the medical records of 52 eyes from 46 patients who underwent pterygium excision and conjunctival autografting and were followed up for more than 3 months. The operation duration, postoperative inflammation, complications, and recurrence rates were compared between groups of 20 patients (22 eyes) for whom fibrin glue was used (fibrin glue group) and 26 patients (30 eyes) for whom suturing was performed with 10-0 nylon (suture group) in pterygium excision and conjunctival autografting. Results: The operation duration was 27.71 (5.22) minutes in the fibrin glue group and 43.30 (8.18) minutes in the suture group (p = 0.000). Seven days after the operation, the fibrin glue group showed milder conjunctival inflammation than the suture group (p = 0.000). Postoperative complications and corneal recurrence rates were not statistically different between the two groups. Conclusions: The use of fibrin glue in pterygium excision with conjunctival autografting is likely to be a more effective, safer procedure than suturing.
참고문헌 (30)
- Moran DJ, "Pterygium and ultraviolet radiation: a positive correlation", Br J Ophthalmol, 68, pp.343~346 (1984)
- Nakaishi H, "Pingueculae and pterygia in motorcycle policemen", Ind Health, 35, pp.325~329 (1997)
- Norn M, "Long-term changes in the outer part of the eye in welders. Prevalence of spheroid degeneration, pinguecula, pterygium, and corneal cicatrices", Acta Ophthalmol (Copenh), 69, pp.382~386 (1991)
- Prabhasawat P, "Comparison of conjunctival autografts, amniotic membrane grafts, and primary closure for pterygium excision", Ophthalmology, 104, pp.974~985 (1997)
- Koranyi G, "Cut and paste: a no suture, small incision approach to pterygium surgery", Br J Ophthalmol, 88, pp.911~914 (2004)
- Uy HS, "Comparison of fibrin glue and sutures for attaching conjunctival autografts after pterygium excision", Ophthalmology, 112, pp.667~671 (2005)
- Bahar I, "Fibrin glue versus vicryl sutures for primary conjunctival closure in pterygium surgery: long-term results", Curr Eye Res, 32, pp.399~405 (2007)
- Karalezli A, "Fibrin glue versus sutures for conjunctival autografting in pterygium surgery: a prospective comparative study", Br J Ophthalmol, 92, pp.1206~1210 (2008)
- Srinivasan S, "Fibrin glue versus sutures for attaching the conjunctival autograft in pterygium surgery: a prospective observer masked clinical trial", Br J Ophthalmol, 93, pp.215~218 (2009)
- Tan DT, "Effect of pterygium morphology on pterygium recurrence in a controlled trial comparing conjunctival autografting with bare sclera excision", Arch Ophthalmol, 115, pp.1235~1240 (1997)
- Paris Fdos S, "Postoperative subconjunctival corticosteroid injection to prevent pterygium recurrence", Cornea, 27, pp.406~410 (2008)
- Ang LP, "Current concepts and techniques in pterygium treatment", Curr Opin Ophthalmol, 18, pp.308~313 (2007)
- Sanchez-Thorin JC, "Meta-analysis on the recurrence rates after bare sclera resection with and without mitomycin C use and conjunctival autograft placement in surgery for primary pterygium", Br J Ophthalmol, 82, pp.661~665 (1998)
- Talu H, "Excimer laser phototherapeutic keratectomy for recurrent pterygium", J Cataract Refract Surg, 24, pp.1326~1332 (1998)
- Amano S, "Comparative study of intraoperative mitomycin C and beta irradiation in pterygium surgery", Br J Ophthalmol, 84, pp.618~621 (2000)
- Shaffrey CI, "Neurosurgical applications of fibrin glue: augmentation of dural closure in 134 patients", Neurosurgery, 26, pp.207~210 (1990)
- Gosain AK, "The current status of tissue glues: part II. For adhesion of soft tissues", Plast Reconstr Surg, 110, pp.1581~1584 (2002)
- Bertrand B, "Triosite implants and fibrin glue in the treatment of atrophic rhinitis: technique and results", Laryngoscope, 106(5 Pt 1), pp.652~657 (1996)
- Dadeya S, "Strabismus surgery: fibrin glue versus vicryl for conjunctival closure", Acta Ophthalmol Scand, 79, pp.515~517 (2001)
- Lagoutte FM, "A fibrin sealant for perforated and preperforated corneal ulcers", Br J Ophthalmol, 73, pp.757~761 (1989)
- Hick S, "Amniotic membrane transplantation and fibrin glue in the management of corneal ulcers and perforations: a review of 33 cases", Cornea, 24, pp.369~377 (2005)
- Ozdamar Y, "A comparative study of tissue glue and vicryl suture for closing limbal-conjunctival autografts and histologic evaluation after pterygium excision", Cornea, 27, pp.552~558 (2008)
- Hall RC, "Comparison of fibrin glue with sutures for pterygium excision surgery with conjunctival autografts", Clin Experiment Ophthalmol, 37, pp.584~589 (2009)
- Marticorena J, "Pterygium surgery: conjunctival autograft using a fibrin adhesive", Cornea, 25, pp.34~36 (2006)
- Alvarenga LS, "Comments on using fibrin glue in pterygium surgery", Br J Ophthalmol, 89, pp.392~ (2005)
- Chan SM, "Advances in the use of adhesives in ophthalmology", Curr Opin Ophthalmol, 15, pp.305~310 (2004)
- Hino M, "Transmission of symptomatic parvovirus B19 infection by fibrin sealant used during surgery", Br J Haematol, 108, pp.194~195 (2000)
- Koranyi G, "The cut-and-paste method for primary pterygium surgery: long-term follow-up", Acta Ophthalmol Scand, 83, pp.298~301 (2005)
- Freitas TM, "Assessment of angiogenic markers in oral hemangiomas and pyogenic granulomas", Exp Mol Pathol, 79, pp.79~85 (2005)
- Yuan K, "Pathogenetic roles of angiogenic factors in pyogenic granulomas in pregnancy are modulated by female sex hormones", J Periodontol, 73, pp.701~708 (2002)