Pterygium surgery and fibrin glue: Avoiding dehiscence

Abstract

Objective/method

The purpose of the study is to evaluate those cases of pterygium surgery with fibrin sealant that produced dehiscence of the graft, and then apply and evaluate the efficacy of a different surgical technique in an attempt to eliminate this complication in previously identified cases of high risk. The first phase is a retrospective study of 42 cases of pterygium surgery. In the second phase, the variation in the surgical technique was prospectively used in 14 cases of pterygium surgery.

Results/conclusions

Cases of recurrent pterygium, broad pterygium, and complicated surgery were identified as the groups with a risk of suffering dehiscence of the graft. With the variant applied surgery no dehiscence occurred when using the variation in surgical technique, with no added complications.

Resumen

Objetivo/método

Pretendemos un doble objetivo: valorar en qué casos de pterygium intervenidos con tissucol se produce dehiscencia del injerto y aplicar y valorar la eficacia de una variante quirúrgica destinada a evitar dicha complicación en los casos de riesgo previamente identificados. La primera fase es un estudio retrospectivo de x cirugías. La segunda fase, en la que aplicamos la variante de la técnica, es prospectiva.

Resultados/conclusiones

Identificamos como grupos de riesgo predisponentes a padecer dehiscencia del injerto los pterygium recidivados, los pterygium anchos, y cirugías complicadas. Con la variante quirúrgica aplicada no ocurrieron nuevas dehiscencias, y su aplicación no reportó complicaciones añadidas.