Pterygium
Conditions
Keywords
pterygium, pterygia, excision, amniotic membrane transplantation, fibrin glue, suture
Brief summary
The purpose of this study is to compared between conventional pterygium excision and AMT transplantation with suture and with fibrin glue.
Detailed description
There are few studies about use of fibrin glue in pterygium surgery with conjunctival auto-graft with promising outcome. Less recurrent rate, less discomfort and halve surgical time were reported. Up to our knowledge,there is no report of fibrin glue in pterygium excision with amniotic membrane transplantation(AMT). There is conventional technique to use AMT in King Chulalongkorn Memorial Hospital because some benefits over conjunctival auto-graft e.g. * Preserve healthy superior conjunctiva for future glaucoma filtering surgery * Can use in big or 2-headed pterygium * Not contract as conjunctival graft esp. in case of fibrin glue * Potential easier to use with fibrin glue * Available from Thai Red Cross Eye Bank Comparison(s): amniotic membrane transplantation using fibrin glue compare to suture after pterygium excision.
Interventions
After pterygium excision, amniotic membrane was shaped and attached to bare scleral area using fibrin glue (Quixil®) in 16 eyes of 16 patients of FG group and continuous suture with nylon 10-0 in 16 eyes of 16 patients of SU group.
Sponsors
Study design
Eligibility
Inclusion criteria
* primary pterygium
Exclusion criteria
* Pregnant women * Recurrent pterygium * Pseudopterygium * Uncontrolled systemic disease. * Known allergy to any of the study agents or preservatives used in the formulations.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain and discomfort during and after surgery using visual analog scale | during surgery and after surgery up to 30 days |
Secondary
| Measure | Time frame |
|---|---|
| Surgical time | start and to the end of surgery |
| Healing of epithelial defect on cornea and AMT | until 30 days |
| Postoperative inflammation | up to 30 days |
| Complications e.g. Recurrent, graft loss/dehiscent, re-operation | until last follow up |
Countries
Thailand