Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Original article / research
Year : 2018 | Month : August | Volume : 12 | Issue : 8 | Page : NC13 - NC16

Comparison of Conjunctival Autograft with Suture versus Autograft with Patientís Own Blood (without Suture) in Pterygium Surgery: A Pilot Study

Sucharita Das, Vijay Pai, Jayaram Shetty, Hrishikesh Amin, Subrahmanya Bhat K, Vasanthi Kotian

1. Resident, Department of Ophthalmology, K.S.Hegde Medical Academy, Mangalore, Karnataka, India. 2. Professor, Department of Ophthalmology, K.S.Hegde Medical Academy, Mangalore, Karnataka, India. 3. Professor, Department of Ophthalmology, K.S.Hegde Medical Academy, Mangalore, Karnataka, India. 4. Professor, Department of Ophthalmology, K.S.Hegde Medical Academy, Mangalore, Karnataka, India. 5. Additional Professor, Department of Ophthalmology, K.S.Hegde Medical Academy, Mangalore, Karnataka, India. 6. Additional Professor, Department of Ophthalmology, K.S.Hegde Medical Academy, Mangalore, Karnataka, India.

Correspondence Address :
Dr. Sucharita Das,
Flat-205, Shradha Block, Swarna Ganga Residency, Virpur Khurd, Rishikesh, Uttarakhand-249203, India.
E-mail: sucharitadas19@hotmail.com

Abstract

Introduction: Suturing is a conventional method for pterygium surgery. Owing to its several disadvantages newer techniques like autologous fibrin glue have been introduced as an alternative method of graft attachment. There are few studies which have compared the two techniques.

Aim: To compare suture versus patientís own blood for conjunctival autografting in pterygium surgery.

Materials and Methods: A pilot study was conducted in a Tertiary care hospital from October 2014-June 2016. Seventy-two adult patients with primary progressive pterygium undergoing pterygium surgery with conjunctival autograft were evaluated in this study. Thirty-six patients underwent primary pterygium excision and conjunctival autografting with autologous fibrin glue (glue group) and 36 with 10-0 monofilament polyamide (suture group). Parameters such as mean operating time, presenting complaints like pain, watering, burning and foreign body sensation and graft stability were compared between the two groups on 1st and 5th postoperative days respectively. Categorical data were analysed by Fisher-exact test and continuous data were analysed using Studentís t-test and Wilcoxon signed rank test as applicable.

Results: There was statistically significant difference in the mean operating times between the two groups with results favouring the glue group (p<0.05). The difference in pain (p<0.05 each), watering (p=0.032), burning (p=0.023) and foreign body sensation (p<0.05 each) was found to be statistically significant between the two groups on 1st and 5th postoperative days respectively. The difference in graft stability between the two groups was not statistically significant (p=0.114).

Conclusion: In present study we found that autologous fibrin glue was associated with significantly shorter duration of surgery, lesser postoperative discomfort compared to suturing.

Keywords

Autologous fibrin glue, Conjunctival autografting, Pterygium

How to cite this article :

Sucharita Das, Vijay Pai, Jayaram Shetty, Hrishikesh Amin, Subrahmanya Bhat K, Vasanthi Kotian. COMPARISON OF CONJUNCTIVAL AUTOGRAFT WITH SUTURE VERSUS AUTOGRAFT WITH PATIENTíS OWN BLOOD (WITHOUT SUTURE) IN PTERYGIUM SURGERY: A PILOT STUDY. Journal of Clinical and Diagnostic Research [serial online] 2018 August [cited: 2018 Aug 14 ]; 12:NC13-NC16. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2018&month=August&volume=12&issue=8&page=NC13-NC16&id=11953

DOI and Others

DOI: 10.7860/JCDR/2018/35922.11953

Date of Submission: Feb 07, 2018
Date of Peer Review: Apr 16, 2018
Date of Acceptance: May 21, 2018
Date of Publishing: Aug 01, 2018

FINANCIAL OR OTHER COMPETING INTERESTS: NONE.

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