1 / 12

Parameters of Successful Pterygium Surgery with Fibrin Glue

Parameters of Successful Pterygium Surgery with Fibrin Glue. Chan Young Im , MD 1 Bong Jun Choi , MD 2 1 Ian Eye Center, Seoul, Korea 2 Lee Eye Clinic, Busan , Korea. We have no financial interest for this presentation. Pterygium surgery. Koranyi G et al.

asasia
Download Presentation

Parameters of Successful Pterygium Surgery with Fibrin Glue

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Parameters of Successful Pterygium Surgery with Fibrin Glue Chan Young Im, MD 1 Bong Jun Choi, MD 2 1 Ian Eye Center, Seoul, Korea 2 Lee Eye Clinic, Busan, Korea We have no financial interest for this presentation.

  2. Pterygium surgery • KoranyiGet al. Cut and paste: a no suture, small incision approach to pterygium surgery. Br J Ophthalmol. 2004 • Harvey S. et al. Comparison of Fibrin Glue and Sutures for Attaching Conjunctival Autografts after Pterygium Excision Ophthalmology 2008 • Marcelo Ayala Results of Pterygium Surgery Using a Biologic Adhesive Cornea Volume 2008

  3. Methods • 417 primary pterygium • Autologousconjunctival transplantation • TissucolDuoquick ( Baxter, Vienna, Austria ) • Follow up 6 months • Parameters • Recurrence: 1mm over limbus • Operation time : speculum time • Flap size : 4,5,6,7,8 mm in diameter • Complications

  4. Inclusion criteria • Primary pterygium • Size  0.5 mm from limbus • Bilateral pterygium • One eye randomly chosen • Exclude • recurred, pseudopterygium Patient characteristics • Age 42.73  11.59 ( 22 ~ 77 ) • Sex M : F = 198 : 219 • Pterygium size 

  5. Surgical technique • Anesthesia • Subconjunctival xylocaine • Pterygium removal • Wescott scissors • Conjunctival donor graft • Superior limbus side • Fibrin glue • Fibrinogen on scleral bed • Thrombin on graft • Medication • Rimexolone q.i.d for 1 month postop • Levofloxacin q.id. For 1 week postop

  6. Photo PreopPostop

  7. Recurrence • 3 ( n=417 ) : 0.7 % • Female n=2 , Male n=1 • Discussion • Small flap size < 6 mm • F/31, F/37, M/40 Operation time • 11.8  2 minutes

  8. Complications • Recurrence : 0.7%, 3 ( n= 417 ) • Short term complications • Subconjunctival hemorrhage : 15, 3.5% • Flap swelling : 49, 11.7% • Flap dehiscence : 31, 7.4%

  9. Complications * Flap swelling ( POD 1wk ) : 49, 11.7% * Subconjunctival hemorrhage ( POD 1wk )

  10. Complications Flap dehiscence : 31, 7.4%

  11. Complications Recurrence ( n=3 / 417 )

  12. Conclusion • Fibrin glued pterygium surgery is effective method with low recurrence, short operation time and few complications. • Parameters related to recurrence after fibrin glued autologousconjunctival graft are small flap size ( smaller than 6 mm ), younger age ( under age 40 ).

More Related