HUBUNGAN ANTARA PTERIGIUM PRIMER DAN REKUREN DENGAN KEKAMBUHAN PASCA OPERASI PTERIGIUM SECARA AUTOGRAF MENGGUNAKAN LEM FIBRIN

• Main Authors: , Cisca Kuswidyati, , Dr. Agus Supartoto, SpM(K)
• Format: Theses and Dissertations NonPeerReviewed
• Published: [Yogyakarta] : Universitas Gadjah Mada 2012
• Subjects: ETD
• Online Access: https://repository.ugm.ac.id/100177/; http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=56797
• Institution: Universitas Gadjah Mada

The main challenge of pterygium surgery is to prevent recurrence. It has been reported that the conjunctival transplant autograft using fibrin glue is the most effective method in reducing the recurrence rate (3-14%) in primary pterygium and less complications. However, the ideal procedure to reducing recurrence rate in recurrent pterigium not been established yet. Fibrin glue is a tissue adhesive glue that shorten the duration of the operation, reduce inflammation and recurrence. The purpose of this study is to determine differences of recurrence rate after conjunctival autograft attach by fibrin glue in primary and recurrent pterygium. Fifty patients consisted of 25 patients of primary pterygium and 25 patients of recurrent pterygium were conducted conjunctival autograft with MMC application and attached with fibrin glue. Clinical assessment and documentation with digital cameras that have been standardized at 2 days post-surgery, 1 week, 2 weeks, 4 weeks-2 months and every month up to 6 months. Recurrence obtained in 2 patients (4%) in the recurrent pterigium, but there was no statistically significant differences between the two groups. The propotion of subconjunctival haemorrhage were significant differences on day 2 and the first week. However, there was no statistically significant in weeks 2 and 4. The study found no statistically significant differences in the degree of inflammation between the two groups. In conclusion, the proportion of recurrence was higher in recurrent group compared to the primary, however, there were no statistically significant between the two groups.