Clinical Difference between Autograft Post Operated Pterygium Using Fibrin Glue and Polyglycolic Acid 10-0 Suture
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 glue whereas 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 recurrence and cost-effectiveness analysis.
Penulis: Mandiri Nindiasari,
Agus Supartoto, Angela Nurini Agni
Kode Jurnal: jpkedokterandd080011
