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Ophthalmology Congress 2016
December 05-06, 2016
Volume 7 Issue 11(Suppl) J Clin Exp Ophthalmol
ISSN: 2155-9570 JCEO, an open access journal
conferenceseries .com
December 05-06, 2016 Madrid, Spain
7th European Ophthalmology Congress
Haci Koc, J Clin Exp Ophthalmol 2016, 7:11(Suppl)
A useful way surgical ease and patient comfort in pterygium surgery: Fibrin glue
Haci Koc
Inci Eye Hospital, Turkey
Statement of the Problem: Pterygium is defined as a degenerative ocular surface disorder. It is characterised by fibrovascular
growth of bulbar conjunctiva and subconjunctival tissue extending onto cornea. Pterygium results in slight irritation, cosmetic
blemish, slight hyperemia and impairment of vision. Pterygium surgery still poses problems for surgeons and patients in terms
of postoperative discomforts, postoperative complications and recurrences.
Methodology & Theoretical Orientation: To minimize these problems various techniques are suggested for pterygium
surgery. Limbal conjunctival autograft is currently the most popular technique. Fibrin glue is widely used due to many reasons
like easy fixation of graft, short operation time and reduction in complications and postoperative discomforts. But at the same
time, it has also disadvantages like high cost, the risk of infections and inactivation by iodine preparations. Suturing is most
common fixation technique for conjonctival autograft. But it has disadvantages like increased operating time, inflammation,
buttonhole, necrosis, giant papillary conjonctivitis, scarring and granuloma formation.
Results: However, in our study we noticed our surgery time longer compare to the other studies both with fibrin and suture
groups. Despite this, surgery time in fibrin group was shorter than suture group. Similar to the other studies, we found that
high cost in fibrin glue group was a common point.
Conclusion & Significance: Both of fibrin glue and sutured conjunctival autograft technique are safe and effective methods for
pterygium surgery. Surgery time in fibrin glue method is shorter than sutured method and it has high cost than suture method.
Fibrin glue technique is considered to be more preferable for surgeons and patients due to the fact that it has shorter surgery
times and there are less recurrence and postoperative discomforts despite its high cost.
Biography
Haci Koc has completed his PhD at Eagean University and Post-doctoral studies at Istanbul Training Hospital, mostly associated with Vitreoretinal Surgery and
Anterior Segment Surgery. He has published almost 25 papers in medical journals.