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Introduction
Purpose
To evaluate the efficacy and safety of
fibrin glue fixation of amniotic
membrane and to compare the
results with suture fixation in surgery
for primary pterygium
Methods
Prospective,
randomized clinical
study of 40 eyes (40
patients) with primary
pterygium divided into
2 groups
Surgical method
Extensive pterygium
removal and AMT
Group 1
Amniotic membrane
was fixated with 8/0
Vicryl sutures
Group 2
Methods
Results
Group 1
Group 2
p<0.05
Recurrence
rate (%)
5.8
5.5
p>0.05
p>0.05
Mean
operation
time
(minutes)
Results
In group 2
Clear cornea after extensive pterygium removal and AMT with fibrin glue at 1st
month
Clear cornea after extensive pterygium removal and AMT with 8/0 Vicryl sutures at
1st month
Discussion
AMT with sutures
Completely biodegradable
Easy to fixate the amniotic membrane and shorter
operation time
Less patient discomfort
Conclusion
Fixation of amniotic membrane using
fibrin glue
Effective and safe method
Reduced the operation time
Improved postoperative comfort
No additional effect on reducing
pterygium recurrence