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Comparison of 4 techniques for limbal-conjunctival autograft fixation in primary pterygium surgery

Abstract

Purpose

To compare 4 limbal-conjunctival autograft fixation techniques—conventional suture, commercial fibrin glue, autologous fibrin glue, and cautery—in primary nasal pterygium surgery.

Methods

This is a retrospective and descriptive study. The postoperative patient discomfort, graft edema, ocular inflammation, and other complications of 4 limbal-conjunctival autograft fixation techniques in primary nasal pterygium surgery were evaluated.

Results

Postoperative patient discomfort was significantly lower with the sutureless techniques (p<0.001), with fixation with cautery having the lowest rate of discomfort. Graft edema and ocular inflammation during the early postoperative period were significantly higher when fibrin glue techniques were used (p<0.001). The recurrence rate did not show a statistically significant difference (p = 0.682) among the 4 groups.

Conclusion

In primary nasal pterygium surgery, limbal-conjunctival autograft fixation using cautery is the technique with the lowest postoperative discomfort rate and without a statistically significant increase in recurrence rate when compared to conventional suture and fibrin glue techniques.

Eur J Ophthalmol 2017; 27(4): 466 - 469

Article Type: ORIGINAL RESEARCH ARTICLE

DOI:10.5301/ejo.5000924

Authors

Luis F. Mejía, Juan P. Santamaría, Miguel Cuevas, Andrea Córdoba, Sergio A. Carvajal

Article History

Disclosures

Financial support: No financial support was received for this submission.
Conflict of interest: None of the authors has conflict of interest with this submission.

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Authors

Affiliations

  • Cornea Service, CES University, Medellin - Colombia
  • Ophthalmology Service, CES University, Medellin - Colombia

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