Objective: Pterygium is a growth that develops on the conjunctiva or mucous membrane covers theÂ white part of eye. It is a benign or noncancerous growth that is often shaped like a wedge. This studyÂ aims to assess the efficacy and safety attachment graft on conjunctiva-limbus autograft transplantationÂ using fibrin glue compared with suture technique in pterygium patient.
randomized clinical trials. The samples were all pterygium patients with grade two or more whoÂ underwent pterygium surgery at the eye clinic and central operating theatre Sanglah General HospitalÂ Denpasar, Bali-Indonesia and met the eligibility criteria. Samples were divided into suture and fibrin
glue groups based on permutation-block randomization. Mann-Whitney U test and repeatedÂ measurement of ANOVA Analyses were performed to determine the different between twoÂ treatments.
Results: There were no significant differences in the stability of graftâ€™s attachmentÂ between the two groups either on the first day, first week and first month despite fibrin glue techniqueÂ showed lower results in the first week and first month (p = 0.787, p = 0.233, and p = 0.475). TheÂ average time it takes the fibrin glue technique 21.80 Â± 2:37 minutes, much shorter than 41.67 Â± 6.99Â min in the suture technique (p = 0.001). Postoperative comfort in the fibrin glue group showed lowerÂ scores on the first day, first week and first month compared with the suture group (p = 0.000, p =
0.000 and p = 0.035). During the follow-up period no complications were found.
Conclusion: TheÂ stability of graft attachment between the fibrin glue and suture technique is not significantly different.Â Fibrin glue could be chosen as an alternative method in the conjunctiva-limbus autograft and helpfulÂ in shortening the operating time and improve comfort postoperatively.