rss
Br J Ophthalmol 2004;88:911-914 doi:10.1136/bjo.2003.032854
  • Clinical science
    • Extended reports

Cut and paste: a no suture, small incision approach to pterygium surgery

  1. G Koranyi,
  2. S Seregard,
  3. E D Kopp
  1. St Erik’s Eye Hospital, Karolinska Institutet, Stockholm, Sweden
  1. Correspondence to: Gabor Koranyi MD St Erik’s Eye Hospital, 112 82 Stockholm, Sweden; gabor.koranyisankterik.se
  • Accepted 30 November 2003

Abstract

Aim: Evaluation of the benefits of a new technique for pterygium surgery with respect to postoperative pain and surgery time.

Methods: A prospective randomised clinical trial was carried out in 43 patients. 43 eyes were operated for primary nasal pterygium. Autologous conjunctival graft taken at the superotemporal limbus was used to cover the sclera after pterygium excision. After randomisation, in 20 patients the transplant was attached to the sclera with a fibrin tissue adhesive (Tisseel Duo Quick) and in 23 patients with absorbable sutures (7–0 Vicryl Rapid). The Mann-Whitney test was used as statistical analysis. Postoperative pain was graded according to the visual analogue scale (VAS) twice daily during the first week after surgery. Surgery time was noted from the first incision until the lid speculum was removed.

Results: The average pain was significantly lower when glue had been used, p<0.05. Average surgery time was 9.7 minutes (range 6–13) for glue and 18.5 minutes (range 12–30) for sutures, p<0.001. No complications occurred.

Conclusion: Using glue instead of sutures when attaching the conjunctival transplant in pterygium surgery causes significantly less postoperative pain and shortens surgery time significantly.

Footnotes

    Responses to this article

    • Comments on using fibrin glue in pterygium surgery
      • Lenio S Alvarenga
      Br J Ophthalmol published online September 14, 2009
    • Authors' response
      • Gabor Koranyi
      Br J Ophthalmol published online September 14, 2009

    This Article

    1. Abstract
    2. Full text
    3. PDF

    Register for free content

    The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.

    Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.