In situ blood coagulum vs sutures for autograft fixation after pterygium excision

Session Details

Session Title: Cornea Surgical II

Session Date/Time: Tuesday 13/09/2016 | 08:00-10:30

Paper Time: 10:24

Venue: Hall C2

First Author: : T.Celik TURKEY

Co Author(s): :                        

Abstract Details

Purpose:

To compare the outcomes of autograft fixation using patient's own blood coagulum or sutures after pterygium excision

Setting:

Thirty eyes of 30 patients with primary pterygium were randomly assigned into two groups: Group 1(15 eyes) underwent autograft fixation with 10-0 nylon sutures and Group 2 (15 eyes) underwent autograft fixation by using in situ blood coagulum following pterygium excision.

Methods:

Primary outcome measure of this study was graft failure and displacement.The duration of surgery, graft recurrence and other complications were also evaluated.The patients were examined at day 1, day 7,month 1, month 6 and month 12.

Results:

Mean duration of the surgery was found significantly less in Group 2 (mean duration 14±2 minutes) than Group 1 (mean duration 48 ±2 minutes). Graft failure and displacement were seen more common in Group 2 (13,3%) than group 1 (3,3%). Graft recurrence was reported equal in both groups.Patient discomfort was found significantly more in Group 1 (foreign body sensation due to sutures.)

Conclusions:

Autograft fixation by using in situ blood coagulum after pterygium excision is an effective technique with less patient discomfort and short operation duration time.

Financial Disclosure:

NONE