Skip Navigation LinksHome > November 2010 - Volume 29 - Issue 11 > Recurrence Rate Using Fibrin Glue-Assisted Ipsilateral Conju...
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doi: 10.1097/ICO.0b013e3181d5d96d
Clinical Science

Recurrence Rate Using Fibrin Glue-Assisted Ipsilateral Conjunctival Autograft in Pterygium Surgery: 2-Year Follow-up

Sarnicola, Vincenzo MD; Vannozzi, Lorenzo MD; Motolese, Paolo Alfonso MD

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Aims: To determine the recurrence rate after pterygium excision with ipsilateral conjunctival autograft using fibrin glue.

Methods: One hundred eleven eyes of 92 patients operated for primary pterygium were retrospectively evaluated for recurrence rate and intraoperative and postoperative complications. Pterygia were preoperatively divided in atrophic/grade 1 (n = 2; 1.80%), intermediate/grade 2 (n = 85; 76.58%), or fleshy/grade 3 (n = 24; 21.62%) types. All patients were operated using an ipsilateral conjunctival autograft fixed with fibrin glue. Only patients with 2-year follow-up were included in this study.

Results: Two years after surgery, the mean recurrence rate was 4.50% (n = 5). No intraoperative complications were noted. Postsurgical complications were graft pseudoedema (n = 45; 40.54%), graft retraction (n = 3; 2.70%), and donor site granuloma (n = 1; 0.90%).

Conclusion: Fibrin glue-assisted ipsilateral conjunctival autograft seems to be safe and efficacious and associated with a low rate of recurrence.

© 2010 Lippincott Williams & Wilkins, Inc.


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