Comparison Between Sutureless and Glue Free Versus Sutured Limbal Conjunctival Autograft in Primary Pterygium Surgery

Overview

Journal Saudi J Ophthalmol

Specialty Ophthalmology

Date 2014 Dec 5

PMID 25473346

Citations 14

Authors

Shaaban A M Elwan

Affiliations

Soon will be listed here.

Abstract

Purpose: To compare and evaluate the safety and efficacy of two surgical techniques for the management of primary pterygium.

Design: Prospective randomized clinical trial using the CONSORT 2010 Statement (Consolidated Standards of Reporting Trials) for parallel group randomized trials.

Setting: Department of Ophthalmology, Al-Minya University, Faculty of Medicine, Egypt.

Methods: The study included 150 eyes of 150 patients with primary pterygium. The mean age was 49 ± 12 years (range 24-74 years). Simple excision under local anesthesia was performed followed by closure of the bare sclera by suture less and glue free conjunctival autograft in 50 eyes of 50 patients (group 1), versus the conventional method of a sutured conjunctival autograft in 100 eyes of 100 patients (group 2).

Results: The pterygium recurrence rate was 6% for group 1, 8% for group 2. Graft dehiscence occurred in 4 eyes out of 50 (8%) in group 1. Graft retraction occurred in 6 (12%) out of 50 eyes for group 1 versus 6 eyes (6%) in group 2. Pyogenic granuloma occurred in 3 (3%) eyes out of 100 in group 2. No other serious complications were noted. At the 3 week visit the overall patient satisfaction score was statistically significantly higher for group 1 (P < 0.002) compared to group 2. At 3 months postoperatively, the gain in uncorrected visual acuity (UCVA) ranged from 0.2 to 0.5 Log MAR in 10 eyes.

Conclusion: Sutureless and glue free conjunctival autograft technique is easy, safe, effective, prevents potential adverse reactions encountered with the use of foreign materials. This technique has an acceptable pterygium recurrence rate that is comparable to conventional sutured conjunctival autograft for primary pterygium.

Citing Articles

Association between Tomographic Characteristics of Pterygium and Preoperative Anterior and Posterior Topography Measured by Anterior Segment Optical Coherence Tomography.

Aguilar-Gonzalez M, Espana-Gregori E, Pascual-Camps I, Pinazo-Duran M, Peris-Martinez C Life (Basel). 2024; 14(10).

PMID: 39459545 PMC: 11509247. DOI: 10.3390/life14101245.

Prospective Study: Utility of Anterior Segment Optical Coherence Tomography to Identify Predictive Factors of Recurrence in Pterygium Surgery.

Aguilar-Gonzalez M, Espana-Gregori E, Pascual-Camps I, Gomez-Lechon-Quiros L, Peris-Martinez C J Clin Med. 2024; 13(16).

PMID: 39200911 PMC: 11355903. DOI: 10.3390/jcm13164769.

Intermittent sliding-lock-knot suture for limbal conjunctival autograft fixation in pterygium surgery: a technique note.

Zhang L, Lyu R, Wang J, Shi W, Zheng F, Gao Y Int J Ophthalmol. 2024; 17(5):838-844.

PMID: 38766334 PMC: 11074188. DOI: 10.18240/ijo.2024.05.07.

Modified sutureless and glue-free method versus conventional sutures for conjunctival autograft fixation in primary pterygium surgery: a systematic review and meta-analysis.

Aljahdali F, Khayyat W, BinYamin A, Al-Qahtani S, Alghamdi M, Alsudais A BMJ Open Ophthalmol. 2024; 9(1).

PMID: 38565231 PMC: 10989108. DOI: 10.1136/bmjophth-2023-001621.

Evaluation of the Efficacy of Different Pterygium Surgeries in Polish Caucasian Population.

Palewski M, Budnik A, Lisowski L, Konopinska J J Ophthalmol. 2022; 2022:1641350.

PMID: 35462617 PMC: 9033351. DOI: 10.1155/2022/1641350.

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