Primer ve Rekürren Pterjium Cerrahisinde Fibrin Doku Yapıştırıcısının Kullanımı

Abstract

Objective: To evaluate and compare postoperative visual outcomes, complications and recurrence rates between patients with primary and recurrent pterygium operated by means of conjunctival autograft technique with fibrin glue. Material and Methods: Between March 2010 and May 2011, 72 eyes of 52 patients, [24 males (46%), 28 females (54%)], who had undergone pterygium operation with conjunctival autograft technique with fibrin glue were included in this study. Their medical records were examined retrospectively. Their mean age was 45.98±12.60 standard deviation (SD) (range 21-69) years. Thirty two of them (61%) had unilateral and 20 of them (39%) had bilateral pterygium. Twenty seven patients (52%) had primary (group 1) and 25 patients (48%) had recurrent pterygium (group 2). Results: The mean age was significantly lower in the second group (p=0.00). In terms of sex and laterality, there was no significant difference between two groups (p=0.680, p=0.270). The mean operation duration was significantly longer in the second group (p=0.042). The mean preoperative and postoperative best corrected visual acuities were not significantly different between the groups (p=0.573, p=0.110). In terms of postoperative complications and recurrence, there was no significant difference between two groups (p=0.530, p=0.905). Conclusion: The use of fibrin glue for attachment of conjunctival autografts is a safe technique and has low complication and recurrence rates. In recurrent pterygium group, the mean age was significantly lower and the mean operation duration was significantly longer. Complication and recurrence rates were low in both primary and recurrent pterygium groups and there was no significant difference between two groups.