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Glue reduced surgical time, postop pain in pterygium surgery

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The use of glue instead of sutures in pterygium surgery caused less postoperative pain and shortened surgery time in a clinical study.

Gabor Koranyi, MD, and colleagues at the Karolinska Institute of St. Erik’s Eye Hospital in Stockholm examined the use of a fibrin glue in a randomized prospective trial of 43 patients undergoing surgery for primary nasal pterygium.

In the surgery, an autologous conjunctival graft was taken from the superotemporal limbus and used to cover the sclera after pterygium excision. Fibrin tissue adhesive was used to attach the transplant to the sclera in 20 patients, and absorbable sutures were used in 23 patients.

Postop pain was graded using the visual analogue scale twice daily for the first week after surgery. The average pain was lower when glue was used (P < 0.05). Average surgery time was 9.7 minutes when glue was used and 18.5 minutes with suture use (P < 0.001). No complications occurred.

This study is published in the July issue of British Journal of Ophthalmology.