Abstract
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.
Highlights
Pterygium is a fibrovascular overgrowth arising from subconjunctival tissue extending across the limbus onto the cornea
Fibrin glue autografts after pterygium excisions are done in several Malaysian general hospitals, including Sibu Hospital, where the technique was introduced in March 2013
A total of 81 cases of pterygium excision were included in the study
Summary
Pterygium is a fibrovascular overgrowth arising from subconjunctival tissue extending across the limbus onto the cornea. There have been a few reports, namely done by Koranyi et al.[2] in Sweden and Srinivasan et al.[3] in Canada, regarding the outcome from comparison studies between fibrin glue and sutured autografts. These studies are noted to have been performed in countries that have four seasons. There have not been many reports regarding postoperative satisfaction from pterygium surgery in countries that receive sun Pterygium excisions in Malaysia are traditionally done with sutured autografts. Fibrin glue autografts after pterygium excisions are done in several Malaysian general hospitals, including Sibu Hospital, where the technique was introduced in March 2013
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
