- 作者：Uy ; Harvey S. ; Reyes ; Johann Michael G. ; Flores ; John D.G. ; Lim-Bon-Siong ; Ruben
- 刊名：Ophthalmology
- 出版年：2005
- 出版时间：April, 2005
- 年：2005
- 卷：112
- 期：4
- 页码：667-671
- 全文大小：232 K
ass=""h4"">Purpose
To compare the efficacy and safety of fibrin glue and suturing for attaching conjunctival autografts among patients undergoing pterygium excision.ass=""h4"">Design
Prospective, randomized, interventional case series.
ass=""h4"">Participants
Twenty-two patients undergoing excision of primary pterygium.
ass=""h4"">Methods
A superior conjunctival autograft was harvested and transferred onto bare sclera after pterygium excision. Fibrin glue (Beriplast P) was used to attach the autograft in 11 eyes and nylon 10-0 suture was used to attach the autograft in 11 eyes. The patients were followed up for 2 months.
ass=""h4"">Main Outcome Measures
Graft success, recurrence rate, operating time, patient comfort.
ass=""h4"">Results
All conjunctival autografts in both groups were successfully attached and were intact after 2 months. The average operating time for the fibrin glue group was significantly shorter (P<0.001). Postoperative symptoms were fewer for the fibrin glue group than the suture group. One patient (9 % ) from the fibrin group experienced subconjunctival hemorrhage, and 1 patient (9 % ) from the suture group experienced partial graft dehiscence.
ass=""h4"">Conclusions
Fibrin glue is a safe and effective method for attaching conjunctival autografts. The use of fibrin glue results in shorter operating times and less postoperative discomfort.