Comparison of Fibrin Glue versus Suture for Conjunctival Autografting in Pterygium Surgery: A Meta-Analysis
To evaluate the safety and clinical efficacy of fibrin glue in pterygium surgery with conjunctival autografting. The use of fibrin glue has been introduced in the treatment of pterygium. However, its role versus traditional suturing is still a matter of debate. We performed a meta-analysis to compar...
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| Published in | Ophthalmology (Rochester, Minn.) Vol. 118; no. 6; pp. 1049 - 1054 |
|---|---|
| Main Authors | , , |
| Format | Journal Article |
| Language | English |
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New York, NY
Elsevier Inc
01.06.2011
Elsevier |
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| Abstract | To evaluate the safety and clinical efficacy of fibrin glue in pterygium surgery with conjunctival autografting.
The use of fibrin glue has been introduced in the treatment of pterygium. However, its role versus traditional suturing is still a matter of debate. We performed a meta-analysis to compare the safety and clinical efficacy of fibrin glue with suture for conjunctival autograft attachment in pterygium surgery.
A total of 342 participants with 366 eyes in 7 studies were analyzed.
We searched Medline, EMBASE, Web of Science, Cochrane Central Register of Controlled Trials, and Google Scholar for relevant randomized controlled trials (RCTs).
The methodological quality of all the included trials was assessed with the Jadad score. The meta-analysis was performed with the fixed-effects model for complication rate and recurrence rate, and random-effects model for operating time.
Fibrin glue was associated with a significantly decreased operating time (weighted mean difference −17.61 minutes, 95% confidence interval [CI], −26.03 to −9.18,
P
<
0.0001) and was more effective in reducing the recurrence rate (Peto odds ratio [OR] 0.33, 95% CI, 0.15–0.71,
P = 0.004) compared with suture. There were no significant differences in the complication rate (Peto OR 1.82, 95% CI, 0.63–5.27,
P = 0.27) between the 2 groups.
Our meta-analysis supports the superiority of fibrin glue to suture in pterygium surgery with conjunctival autografting in that the use of fibrin glue can significantly reduce the recurrence rate without increasing the risk of complications. Ophthalmologists should consider the use of fibrin glue in pterygium surgery.
The author(s) have no proprietary or commercial interest in any materials discussed in this article. |
|---|---|
| AbstractList | To evaluate the safety and clinical efficacy of fibrin glue in pterygium surgery with conjunctival autografting.
The use of fibrin glue has been introduced in the treatment of pterygium. However, its role versus traditional suturing is still a matter of debate. We performed a meta-analysis to compare the safety and clinical efficacy of fibrin glue with suture for conjunctival autograft attachment in pterygium surgery.
A total of 342 participants with 366 eyes in 7 studies were analyzed.
We searched Medline, EMBASE, Web of Science, Cochrane Central Register of Controlled Trials, and Google Scholar for relevant randomized controlled trials (RCTs).
The methodological quality of all the included trials was assessed with the Jadad score. The meta-analysis was performed with the fixed-effects model for complication rate and recurrence rate, and random-effects model for operating time.
Fibrin glue was associated with a significantly decreased operating time (weighted mean difference -17.61 minutes, 95% confidence interval [CI], -26.03 to -9.18, P<0.0001) and was more effective in reducing the recurrence rate (Peto odds ratio [OR] 0.33, 95% CI, 0.15-0.71, P = 0.004) compared with suture. There were no significant differences in the complication rate (Peto OR 1.82, 95% CI, 0.63-5.27, P = 0.27) between the 2 groups.
Our meta-analysis supports the superiority of fibrin glue to suture in pterygium surgery with conjunctival autografting in that the use of fibrin glue can significantly reduce the recurrence rate without increasing the risk of complications. Ophthalmologists should consider the use of fibrin glue in pterygium surgery.
The author(s) have no proprietary or commercial interest in any materials discussed in this article. Purpose To evaluate the safety and clinical efficacy of fibrin glue in pterygium surgery with conjunctival autografting. Design The use of fibrin glue has been introduced in the treatment of pterygium. However, its role versus traditional suturing is still a matter of debate. We performed a meta-analysis to compare the safety and clinical efficacy of fibrin glue with suture for conjunctival autograft attachment in pterygium surgery. Participants A total of 342 participants with 366 eyes in 7 studies were analyzed. Methods We searched Medline, EMBASE, Web of Science, Cochrane Central Register of Controlled Trials, and Google Scholar for relevant randomized controlled trials (RCTs). Main Outcome Measures The methodological quality of all the included trials was assessed with the Jadad score. The meta-analysis was performed with the fixed-effects model for complication rate and recurrence rate, and random-effects model for operating time. Results Fibrin glue was associated with a significantly decreased operating time (weighted mean difference −17.61 minutes, 95% confidence interval [CI], −26.03 to −9.18, P < 0.0001) and was more effective in reducing the recurrence rate (Peto odds ratio [OR] 0.33, 95% CI, 0.15–0.71, P = 0.004) compared with suture. There were no significant differences in the complication rate (Peto OR 1.82, 95% CI, 0.63–5.27, P = 0.27) between the 2 groups. Conclusions Our meta-analysis supports the superiority of fibrin glue to suture in pterygium surgery with conjunctival autografting in that the use of fibrin glue can significantly reduce the recurrence rate without increasing the risk of complications. Ophthalmologists should consider the use of fibrin glue in pterygium surgery. Financial Disclosure(s) The author(s) have no proprietary or commercial interest in any materials discussed in this article. To evaluate the safety and clinical efficacy of fibrin glue in pterygium surgery with conjunctival autografting.PURPOSETo evaluate the safety and clinical efficacy of fibrin glue in pterygium surgery with conjunctival autografting.The use of fibrin glue has been introduced in the treatment of pterygium. However, its role versus traditional suturing is still a matter of debate. We performed a meta-analysis to compare the safety and clinical efficacy of fibrin glue with suture for conjunctival autograft attachment in pterygium surgery.DESIGNThe use of fibrin glue has been introduced in the treatment of pterygium. However, its role versus traditional suturing is still a matter of debate. We performed a meta-analysis to compare the safety and clinical efficacy of fibrin glue with suture for conjunctival autograft attachment in pterygium surgery.A total of 342 participants with 366 eyes in 7 studies were analyzed.PARTICIPANTSA total of 342 participants with 366 eyes in 7 studies were analyzed.We searched Medline, EMBASE, Web of Science, Cochrane Central Register of Controlled Trials, and Google Scholar for relevant randomized controlled trials (RCTs).METHODSWe searched Medline, EMBASE, Web of Science, Cochrane Central Register of Controlled Trials, and Google Scholar for relevant randomized controlled trials (RCTs).The methodological quality of all the included trials was assessed with the Jadad score. The meta-analysis was performed with the fixed-effects model for complication rate and recurrence rate, and random-effects model for operating time.MAIN OUTCOME MEASURESThe methodological quality of all the included trials was assessed with the Jadad score. The meta-analysis was performed with the fixed-effects model for complication rate and recurrence rate, and random-effects model for operating time.Fibrin glue was associated with a significantly decreased operating time (weighted mean difference -17.61 minutes, 95% confidence interval [CI], -26.03 to -9.18, P<0.0001) and was more effective in reducing the recurrence rate (Peto odds ratio [OR] 0.33, 95% CI, 0.15-0.71, P = 0.004) compared with suture. There were no significant differences in the complication rate (Peto OR 1.82, 95% CI, 0.63-5.27, P = 0.27) between the 2 groups.RESULTSFibrin glue was associated with a significantly decreased operating time (weighted mean difference -17.61 minutes, 95% confidence interval [CI], -26.03 to -9.18, P<0.0001) and was more effective in reducing the recurrence rate (Peto odds ratio [OR] 0.33, 95% CI, 0.15-0.71, P = 0.004) compared with suture. There were no significant differences in the complication rate (Peto OR 1.82, 95% CI, 0.63-5.27, P = 0.27) between the 2 groups.Our meta-analysis supports the superiority of fibrin glue to suture in pterygium surgery with conjunctival autografting in that the use of fibrin glue can significantly reduce the recurrence rate without increasing the risk of complications. Ophthalmologists should consider the use of fibrin glue in pterygium surgery.CONCLUSIONSOur meta-analysis supports the superiority of fibrin glue to suture in pterygium surgery with conjunctival autografting in that the use of fibrin glue can significantly reduce the recurrence rate without increasing the risk of complications. Ophthalmologists should consider the use of fibrin glue in pterygium surgery.The author(s) have no proprietary or commercial interest in any materials discussed in this article.FINANCIAL DISCLOSURE(S)The author(s) have no proprietary or commercial interest in any materials discussed in this article. To evaluate the safety and clinical efficacy of fibrin glue in pterygium surgery with conjunctival autografting. The use of fibrin glue has been introduced in the treatment of pterygium. However, its role versus traditional suturing is still a matter of debate. We performed a meta-analysis to compare the safety and clinical efficacy of fibrin glue with suture for conjunctival autograft attachment in pterygium surgery. A total of 342 participants with 366 eyes in 7 studies were analyzed. We searched Medline, EMBASE, Web of Science, Cochrane Central Register of Controlled Trials, and Google Scholar for relevant randomized controlled trials (RCTs). The methodological quality of all the included trials was assessed with the Jadad score. The meta-analysis was performed with the fixed-effects model for complication rate and recurrence rate, and random-effects model for operating time. Fibrin glue was associated with a significantly decreased operating time (weighted mean difference −17.61 minutes, 95% confidence interval [CI], −26.03 to −9.18, P < 0.0001) and was more effective in reducing the recurrence rate (Peto odds ratio [OR] 0.33, 95% CI, 0.15–0.71, P = 0.004) compared with suture. There were no significant differences in the complication rate (Peto OR 1.82, 95% CI, 0.63–5.27, P = 0.27) between the 2 groups. Our meta-analysis supports the superiority of fibrin glue to suture in pterygium surgery with conjunctival autografting in that the use of fibrin glue can significantly reduce the recurrence rate without increasing the risk of complications. Ophthalmologists should consider the use of fibrin glue in pterygium surgery. The author(s) have no proprietary or commercial interest in any materials discussed in this article. |
| Author | Zhong, Jing-Xiang Jing, Chun-Xia Pan, Hong-Wei |
| Author_xml | – sequence: 1 givenname: Hong-Wei surname: Pan fullname: Pan, Hong-Wei email: panhongwei@hotmail.com organization: Department of Ophthalmology, the First Affiliated Hospital of Jinan University, Guangzhou, China – sequence: 2 givenname: Jing-Xiang surname: Zhong fullname: Zhong, Jing-Xiang organization: Department of Ophthalmology, the First Affiliated Hospital of Jinan University, Guangzhou, China – sequence: 3 givenname: Chun-Xia surname: Jing fullname: Jing, Chun-Xia organization: Department of Epidemiology, Medical College, Jinan University, Guangzhou, China |
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| Keywords | Pterygium Surgical glue Fibrin glue Conjunctiva disease Suturation Conjunctiva Metaanalysis Eye disease Autograft Treatment Surgery Graft Hemostatic adhesive Ophthalmology Comparative study |
| Language | English |
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| Snippet | To evaluate the safety and clinical efficacy of fibrin glue in pterygium surgery with conjunctival autografting.
The use of fibrin glue has been introduced in... Purpose To evaluate the safety and clinical efficacy of fibrin glue in pterygium surgery with conjunctival autografting. Design The use of fibrin glue has been... To evaluate the safety and clinical efficacy of fibrin glue in pterygium surgery with conjunctival autografting.PURPOSETo evaluate the safety and clinical... |
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| SubjectTerms | Biological and medical sciences Conjunctiva - transplantation Diseases of eyelid, conjunctiva and lacrimal tracts Fibrin Tissue Adhesive - therapeutic use Humans Medical sciences Miscellaneous Ophthalmology Pterygium - surgery Suture Techniques - instrumentation Sutures Tissue Adhesives - therapeutic use Transplantation, Autologous |
| Title | Comparison of Fibrin Glue versus Suture for Conjunctival Autografting in Pterygium Surgery: A Meta-Analysis |
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