Clinical Study

Outcomes of Vertical Split Conjunctival Autograft Using Fibrin Glue in Treatment of Primary Double-Headed Pterygia

Table 1

Summary of demographic and clinical results.

VariableResult (mean ± SD)

Age (years)36.9 ± 10.8
Gender, total (%)
Men9 (60%)
Women6 (40%)
Pterygium grade, total (%) (pterygia)
Grade I9 (30%)
Grade II18 (60%)
Grade III3 (10%)
Pterygium morphology, total (%) (pterygia)
Atrophic8 (26.7%)
Intermediate14 (46.6%)
Fleshy8 (26.7%)
Pterygium size (mm)2 ± 0.7
Follow-up period (months)16 ± 3.4
Operative time (minutes)32 ± 4.1
Conjunctival defects/conjunctival grafts (mm2)
Nasal7.9 ± 1.2
Temporal6.5 ± 1.1
Total13.6 ± 1.5
BCVA (logMAR)
Preoperative0.64 ± 0.26
12-month follow–up0.26 ± 0.18
Sim K astigmatism (diopters)
Preoperative3.05 ± 1.5
12-month follow-up1.15 ± 0.84
BUT (seconds)
Preoperative9 ± 1.5
12-month follow-up12.2 ± 2.3
Schirmer’s test I (mm)
Preoperative11.6 ± 5
12-month follow-up13.6 ± 4.4
Recurrence, total (%)Zero (0%)
Cosmetic grading, total (%)
Grade 112 (80%)
Grade 23 (20%)
Postoperative complication, total (%)
Graft edema7 pterygia (23%)
Subconjunctival hemorrhage8 pterygia (23%)

Horizontal length of the pterygium from the limbus to the head (mm). The size of conjunctival grafts equal to the size of conjunctival defects.