Detail Article

Jurnal Oftalmologi Indonesia

ISSN 1693-2587

Vol. 5 / No. 3 / Published : 2001-01

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Original Article :

Clinical difference between autograft post operated pterygium using fibrin glue and polyglycolic acid 10-0 suture

Author :

  1. Mandiri Nindiasari*1
  2. Agus Supartoto*2
  3. Angela Nurini Agni*3
  1. Department of Ophthalmology, Faculty of Medicine Gadjah Mada University/Dr. Sardjito General Hospital, Yogyakarta
  2. Department of Ophthalmology, Faculty of Medicine Gadjah Mada University/Dr. Sardjito General Hospital, Yogyakarta
  3. Department of Ophthalmology, Faculty of Medicine Gadjah Mada University/Dr. Sardjito General Hospital, Yogyakarta

Abstract :

The aim of this study is to compare the clinical results of fibrin glue versus Polyglycolic Acid (PGA) 10–0 suture for conjunctival autograft attachment after pterygium excision with mitomycin (MMC) application. A quasi experimental study at Dr. YAP Eye Hospital Yogyakarta, January until December 2010. Patients underwent standardized digital photograph and completed a questionnaire at each follow-up visit for grading pain, ephiphora, foreign body sensation and itching with visual analogue score (VAS). Thirty six eyes underwent primary pterygium surgery with conjunctival autograft were allocated into 2 groups, group 1 (n = 19) used fibrin gluewhereas group 2 (n = 17) used PGA 10–0 suture for attaching the autograft. There were significantly differences for foreign body sensation (p = 0.016) and severe degree of inflammation (p = 0.001) at day 2 whereas the glue group was less than suture. To determine whether generally fibrin glue is superior to PGA 10–0 suture similar researches need to be done to assess factors of recurrenceand cost-effectiveness analysis.

Keyword :

Fibrin glue, PGA 10-0, conjunctival autograft, primary pterygium, MMC,

References :

Allan BDS, Short P, Crawford GJ,(1988) Pinguecula and Pterygia - : Surv Ophthalmol

Tan DT, Chee SP, Dear KB, Lim AS,(1997) Effect of Pterygium Morphology on Pterygium Recurrence in A Controlled Trial Comparing Conjunctival Autografting With Bare Sclera Excision. - : Arch Ophthalmol

Koranyi G, Seregard S, Kopp ED,(2004) Cut and Paste: A No Suture, Small Incision Approach to Pterygium Surgery - : Br J Ophthalmol.

Harvey SU, Reyes JM, Flore JD, Siong LB,(2005) Comparison of Fibrin Glue and Sutures for Attaching Conjunctival Autografts After Pterygium Excision - : Ophthalmology

Archive Article

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