The Comparison Of Conjunctival Autograft Method With Fibrin Glue And Sutured Conjunctival Autograft Method In Terms Of Vision, Refraction And Corneal Topography

Abstract

Purpose: To compare the results of pterygium surgery done by using the conjunctival autograft method with suture and the outcomes of pterygium surgery done by using the conjunctival autograft method with fibrin glue in terms of visual acuities, corneal astigmatism and corneal topography changes. Methods: 20 eyes were included in this prospective study. The patients were divided into two groups. Sutured conjunctival graft were performed to the first group. Conjunctival graft with Tisseel fibrin glue were performed to the second group. 10 eyes have been assigned for each group. The best corrected visual acuities, slit lamp and corneal topographic (Orbscan II, Bausch&Lomb) examination were performed. Patients were followed up postoperative day 1, in the 1.week and 1. month. Results: . The mean age of patients was 56. It has not been observed that there is a significant difference between the group in which the autograft method with suture has been used and the group in which fibrin glue has been used in terms of postoperative refractive astigmatism(p=0.96) and corneal topographic astigmatism(p=0.93). Conclusions: Sutured conjunctival autograft and fibrin glue methods for pterygium surgery have similar results in terms of visual acuity, refractive and corneal topographic changes. Both methods could be used safe end effective. Key words: pterygium, astigmatism,