Conjunctival Autograft
Conditions
Keywords
pterygium, conjunctival graft, recurrence, primary pterygium
Brief summary
The use of Fibrin glue to place conjunctival graft will be as effective as suturing the graft, but will require much less operative time and will be better tolerated by the patients.
Detailed description
Pterygium surgery requires removal of the pterygia from cornea and conjunctiva and an additional technique to prevent recurrence which may be as high as 50%. Suturing a conjunctival auto-graft has become one of the most popular and effective methods in preventing recurrence. However suturing requires long operative time (10-20 minutes with removal alone less than 5 minutes) and requires sutures removal after 1-2 weeks which is very inconvenient to the patient. Using Fibrin Glue (Quixil) has been used in several places in pterygium surgery and we believe it will be as effective as suturing the graft, will use much less OR time (reduce surgery time from 40 minutes to 20-25 minutes) and will be less expensive since 2 ml glue (around 80US$) suffice for 10 cases, while one vicryl suture costs around 34 US$.
Interventions
quixil 0.1 ml
vicryl 10/0
Sponsors
Study design
Eligibility
Inclusion criteria
* primary pterygium * healthy subject * ability to attend follow-up visits
Exclusion criteria
* recurrent pterygium * underwent previous surgery / intervention to treat pterygium * ocular surface disease 0 minor
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pterygium recurrence | one year | Recurrence normally occurs 1-6 months after surgery. Success is achieved if ptergium does not recur after one year. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| operation time | one year | suturing a conjunctival graft takes 15-10 minutes while gluing only 5 minutes, we believe that by lowering OR time, total costs of surgery are less |
Countries
Israel