Clinical observation on fibrin glue technique in pterygium surgery under surface anesthesia
10.3980/j.issn.1672-5123.2014.08.47
- VernacularTitle:表面麻醉下翼状胬肉手术中应用纤维蛋白胶的效果
- Author:
Hui, LIU
;
Rui-Hua, WEI
;
Yue, HUANG
;
Rui-Bo, YANG
;
Chen, ZHANG
;
Shao-Zhen, ZHAO
- Publication Type:Journal Article
- Keywords:
surface anesthesia;
fibrin glue;
pterygium;
stem cell transplant;
pain estimation
- From:
International Eye Science
2014;(8):1527-1528
- CountryChina
- Language:Chinese
-
Abstract:
AIM:To compare the efficiency of fibrin glue to suture technique in pterygium surgery performed with limbal autograft under different methods of anesthesia.
METHODS: A prospective randomised clinical trial was carried out in 60 eyes of 55 patients operated for primary nasal pterygium, which were divided into two groups randomly: experimental group ( 30 eyes in 27 patients ) was under surface anesthesia ( oxybuprocaine ) and control group ( 30 eyes in 28 patients ) was under local anesthesia ( 20g/L lidocaine ). Autologous limbal graft taken from the superotemporal limbus was used to cover the sclera by a fibrin tissue adhesive after pterygium excision. Patients were followed up at least for 6mo. Time of operation, matching degree of graft and VAS score were mainly observed and recorded.
RESULTS: In experimental group the average surgery time was shorter (P=0. 008) and matching degree of graft ( 93%) was better than control group ( 83%) , the differences had statistical significance(P<0.05).
CONCLUSION: The surface anesthesia is enough when using fibrin glue for graft fixation in pterygium surgery, which will shorten surgery time and get better matching degree of graft.
