Method of Preparation Autologous Fibrin Glue For Graft Adherence in Pterygium Excision with Conjuntival Transplant
Overview
Abstract:
Purpose: To evaluate the autologous
fibrin glue efficiency for conjuntival graft adherance in primary pterygium
surgery. Methods: The prospective
interventional case series of 45 eyes with primary pterygium grade II. On the
operation day, fibrinogen and thrombin were prepared from patients’own blood. A
1:1 ratio of fibrinogen and thrombin solution was applied for atchement the
conjuntival autograft. To evaluate outcomes of the graft adherence, pain,
surgical time and recurences after surgery. Results: The conjuntival grafts were adhered in 43/45 eyes (95,6%),
conjuntival autograft were appropriately attached in 32/45
eyes (71,11%), 2 eye with graft dehiscence. In the first postoperative day,
ocular pain was recorded as midlle grade in 37 eyes (86%). The average time
surgery was 28,5 ± 2,7 minutes. The result was good in 86% after 3 months and
no reccurence case was found 10 months follow-up. Conclusions: Autologous fibrin glue is a prospective option, simple,
safe and effective for graft fixation in pterygium surgery.
Keyword(s): Keywords: autologous fibrin glue, pterygium, conjuntival autograft, fibrinogen, thrombin.
Pages (from-to) | 170-179 |
Journal | Journal of Medical Researches, Hanoi Medical University |
Volume | 139 |
Issue number | 3 |
Publication status | Published - Jun-2021 |
ISBN | 2354-080X |