Cauterization Versus fibrin Glue for Conjunctival Autografting in Primary Pterygium Surgery

Cauterization Versus fibrin Glue for Conjunctival Autografting in Primary Pterygium Surgery

Pterygium is a noncancerous growth of the conjunctival tissue over the cornea. It is a progressive disease that may lead to visual impairment in advanced stages, as well as restriction of ocular motility, chronic inflammation and cosmetic concerns. Surgical removal is the treatment of choice, but recurrence of pterygium is a frequent problem. In this randomized controlled cauterization will be compared with fibrin glue for conjunctival autografting in primary pterygium surgery.

Inclusion criteria:

• adults (older than 18 years of age)
• both sexes
• primary nasal pterygia ˃4 mm, which tends to increase, including patients with reduced visual acuity, chronic inflammation, cosmetic reasons
• if the patients had a bilateral pterygium, only one eye will be operated

Exclusion criteria:

• connective tissue disease
• prior eye surgery
• chronic use of topical drugs (anti-glaucoma drugs)