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  • Title: Long-term follow-up of pterygium surgery using a conjunctival autograft and Tissucol.
    Author: Nieuwendaal CP, van der Meulen IJ, Mourits M, Lapid-Gortzak R.
    Journal: Cornea; 2011 Jan; 30(1):34-6. PubMed ID: 20861727.
    Abstract:
    PURPOSE: To evaluate the rate of recurrence and to detect pre- or postoperative complications in pterygium surgery using fibrin glue to attach the conjunctival autograft. METHODS: Retrospective case series. In a period of 20 months, 35 patients were operated on for a pterygium using a conjunctival autograft, of which 7 patients were operated (20%) for a recurrent pterygium. The autograft was glued with Tissucol Duo 500, a human tissue glue. Follow-up was at least 1 year. RESULTS: Mean age was 50.4 years (range, 23-80 years), 18 women and 17 men. Success rate was 97.1%. In 1 patient with a primary pterygium, the lesion recurred after 4 months (2.9%). One autograft was lost on the first postoperative day. No other pre- or postoperative problems were encountered. CONCLUSIONS: The use of Tissucol fibrin glue seems to be a safe, easy, and effective technique for attaching the conjunctival autograft in pterygium surgery. The recurrence rate of the procedure is low.
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