# Cost-Effective Surgical Management of Pterygium: A Blood-Based Adhesion Technique Substituting Fibrin Glue

## TL;DR

This paper introduces a cheaper pterygium surgery method using blood instead of fibrin glue and avoiding a blade to reduce complications.

## Contribution

A novel blood-based adhesion technique is proposed as a cost-effective alternative to traditional fibrin glue in pterygium surgery.

## Key findings

- The use of autologous blood instead of fibrin glue reduces surgical costs.
- Immediate and post-operative complications were evaluated with promising results.
- Recurrence rates were monitored at the three-month mark for effectiveness.

## Abstract

Pterygium is a degenerative eye condition marked by the abnormal growth of conjunctival tissue over the cornea, primarily affecting individuals near the equator. When it reaches the cornea’s center, patients may experience obstructed and blurry vision, necessitating pterygium surgery. The standard surgical approach involves excision with a blade, using a conjunctival autograft to address the defect, and securing it with fibrin glue. Recurrence rates exhibit variability, with approximately half occurring within the initial three months. In this case, we present a more cost-effective surgical approach, avoiding the use of a blade to minimize intraoperative complications. Additionally, autologous blood is employed instead of fibrin glue. We evaluate immediate and post-operative complications, as well as the incidence of recurrence rates at the three-month mark.