The use of fibrin glue in pterygium surgery with amniotic membrane transplantation: Systematic review and meta-analysis

被引:0
|
作者
Karam, Mohammad [1 ,8 ]
Alsaif, Abdulmalik [2 ]
Aldubaikhi, Ahmed [3 ,4 ]
Aljebreen, Meshaal
Alazaz, Rand [5 ]
Almudhaiyan, Tariq [6 ,7 ]
AlBaghli, Abdullah
机构
[1] Ibn Sina Hosp, AlBahar Ophthalmol Ctr, Minist Hlth, Swansea, West Midlands, Wales
[2] Walsall Healthcare NHS Trust, Dept Surg, Walsall, West Midlands, England
[3] King Faisal Specialist Hosp & Res Ctr, Dept Radiol, Riyadh, Saudi Arabia
[4] Prince Mohammed Bin Abdulaziz Hosp, Dept Radiol, Riyadh, Saudi Arabia
[5] King Khalid Eye Specialist Hosp, Dept Ophthalmol, Riyadh, Saudi Arabia
[6] King Abdullah Int Med Res Ctr, Dept Ophthalmol, Riyadh, Saudi Arabia
[7] Natl Guard Hosp, Div Ophthalmol, Riyadh, Saudi Arabia
[8] Ibn Sina Hosp, AlBahar Ophthalmol Ctr, Al-Sabah Medical Area, Shuwaikh, Kuwait
关键词
Amniotic membrane transplant; fibrin glue; Pterygium; sutures; CONJUNCTIVAL INFLAMMATION; VICRYL SUTURES; AUTOGRAFTS;
D O I
10.4103/sjopt.sjopt_143_22
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
PURPOSE: To compare the outcomes of fibrin glue versus sutures in pterygium surgery with amniotic membrane transplantation. METHODS: A systematic review and meta-analysis were performed as per the Preferred Reporting Items for Systematic Reviews and Meta-analyses Guidelines. An electronic search identified all studies comparing the outcomes of using fibrin glue versus sutures in pterygium surgery with amniotic membrane transplantation. Conjunctival inflammation, postoperative pain and discomfort, pterygium recurrence, pyogenic granuloma, and surgical time were primary outcome measures. Secondary outcome measures included amniotic membrane transplant outcomes, time to recurrence, graft loss, and subconjunctival hemorrhage. Fixed and random-effects models were used for the analysis. RESULTS: Four studies enrolling 180 patients were identified. Conjunctival inflammation (odds ratio [OR] 0.21, P = 0.0005) demonstrated a significant difference favoring the fibrin glue group. Despite the trend favoring the use of fibrin glue, there were no significant differences in terms of postoperative pain and discomfort (OR = 0.46, P = 0.25), pterygium recurrence (OR = 0.74, P = 0.48), pyogenic granuloma (OR = 0.47, P = 0.38), and surgical time (mean difference = -17.52, P = 0.13). For secondary outcomes, fibrin glue had significantly fewer cases of graft loss compared with sutures. No statistically significant difference was found in amniotic membrane graft outcomes, time to recurrence, and subconjunctival hemorrhage. CONCLUSION: Fibrin glue is comparable to the sutures used in pterygium surgery with amniotic membrane transplantation as it significantly improves conjunctival inflammation and does not increase postoperative pain and discomfort, pterygium recurrence, pyogenic granuloma, and surgical time.
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页数:7
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