Evidence map›Paper›PMID 29950464›Full record

ArticleBMJ open2018

Cauterisation versus fibrin glue for conjunctival autografting in primary pterygium surgery (CAGE CUP): study protocol of a randomised controlled trial.

Mladen Lešin, Martina Paradžik, Josipa Marin Lovrić, Ivana Olujić, Žana Ljubić, Ana Vučinović, Kajo Bućan, Livia Puljak

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03321201 (Cauterization Versus fibrin Glue for Conjunctival Autografting in Primary Pterygium Surgery), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.5field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03321201 narecruitingnot on this map

Cauterization Versus fibrin Glue for Conjunctival Autografting in Primary Pterygium Surgery

TypeinterventionalSponsorUniversity of Split, School of MedicineRan2018 to 2026Enrolled164ConditionsPterygium of Conjunctiva and CorneaArmsCauterization, Fibrin glue
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Review
  3. Potential Role ofInternational journal of molecular sciences · 2025
    Article
  4. Article
  5. Article
  6. How to minimize pterygium recurrence rates: clinical perspectives.Clinical ophthalmology (Auckland, N.Z.) · 2018
    Review
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Mladen Lešin *Department of Ophthalmology, University Hospital Split, Split, Croatia.
Martina Paradžik *Department of Ophthalmology, University Hospital Split, Split, Croatia.
Josipa Marin LovrićDepartment of Ophthalmology, University Hospital Split, Split, Croatia.
Ivana OlujićDepartment of Ophthalmology, University Hospital Split, Split, Croatia.
Žana LjubićDepartment of Ophthalmology, University Hospital Split, Split, Croatia.
Ana VučinovićDepartment of Ophthalmology, University Hospital Split, Split, Croatia.
Kajo BućanDepartment of Ophthalmology, University Hospital Split, Split, Croatia.
Livia PuljakLaboratory for Pain Research Department of Anatomy, Histology and Embryology, University of Split School of Medicine, Split, Croatia.
University of Split · HR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPterygium is a non-cancerous growth of the conjunctival tissue over the cornea that may lead to visual impairment in advanced stages, restriction of ocular motility, chronic inflammation and cosmetic concerns. Surgical removal is the treatment of choice, but recurrence of pterygium is a frequent problem. It has been previously shown that fibrin glue may result in less recurrence and may take less time than sutures for fixing the conjunctival graft in place during pterygium surgery. However, fibrin glue is a biological material and it carries the risk of transmitting infectious agents from pooled and single-donor blood donors and anaphylaxis in susceptible individuals. Cauterisation is another surgical option, and it would be advantageous to know whether cauterisation may be superior surgical option compared with fibrin glue. This protocol describes the rationale and design of the randomised controlled trial (RCT) in which we will compare cauterisation versus fibrin glue for conjunctival autografting in primary pterygium surgery. METHODS AND ANALYSES: This will be a parallel group RCT comparing cauterisation versus fibrin glue for conjunctival autografting in primary pterygium surgery. Computer-generated randomisation will be used, and allocation concealment will be conducted using sequentially numbered opaque sealed envelopes. Surgeons will not be blinded to the procedures, but participants, other investigators and outcome assessors will be blinded. Adult participants with primary pterygium operated in a tertiary hospital in Split, Croatia, will be included. Primary outcome will be recurrence of pterygium, defined as any regrowth of tissue from the area of excision across the limbus onto the cornea after 180 days. ETHICS AND DISSEMINATION: The trial was approved by the ethics review board of the University Hospital Split (500-03/17-01/68). Results will be disseminated at conferences and through peer-reviewed publications. TRIAL REGISTRATION NUMBER: NCT03321201; Pre-results.

Indexed as

CauteryConjunctivaCroatiaFemaleFibrin Tissue AdhesiveHumansMaleOphthalmologic Surgical ProceduresPatient SatisfactionPostoperative ComplicationsPterygiumRandomized Controlled Trials as TopicRecurrenceTransplantation, AutologousVisual AcuityFibrin Tissue Adhesivecauterisationfibrin glueophthalmologypterygiumsurgery

Identifiers

PMID29950464
PMCPMC6020953
OpenAlexW2811015453

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.