[The use of cyanoacrylate tissue adhesive in the pterygium excisions with amniotic membrane transplantation].
摘要
PURPOSE: To find the proper way to use the cyanoacrylate tissue adhesive (CTA) in the pterygium excisions with amniotic membrane transplantation and To evaluate the therapeutic effects of it. METHOD: A prospective randomized clinical trial was carried out in 27 patients (32 eyes) who would have pterygium excision. They were divided into 2 groups randomly: 15 eyes in the CTA group, 17 eyes in the suture group. We evaluate the benefits of them with the respect to surgery time and postoperative sighs and symptoms. RESULTS: Average surgery time was 15.8 minutes for CTA group and 23.7 minutes for sutures, P < 0.05. The postoperative sighs were much more light in CTA group. The average pain was significantly lower when CTA had been used, P < 0.05. And the amniotic membrane was attached much better. The two groups have no significant difference in the other aspects. CONCLUSION: Using CTA instead of sutures when attaching the amniotic membrane in pterygium surgery shortens surgery time significantly and improve the postoperative sighs and symptoms. It's easy, safe and effective.