How to Use Autologous Glue for Pterygium Surgery

In this clinical video, Dr. Ashish Sapkal demonstrates how to perform pterygium surgery using autologous glue. The glue is made from platelet rich plasma, as previously described. This method can improve adherence of the conjunctival autograft. However, the fibrin clot created by the glue may be degraded by plasmin, leading to fibrinolysis and reducing graft adherence. Tranexamic acid can help mitigate this process by acting as an antifibrinolytic agent that preserves the fibrin clot.

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