AIM: To study the efficacy of fibrin glue versus sutures for attaching amniotic membrane graft after pterygium excision- a randomized clinical trial METHODOLOGY: A total of 50 pterygium patients selected and divided into two groups of 25 each were studied. This study was carried out at Department of Ophthalmology, Santhiram Medical College, Nandyal from January 2014 to April 2015. RESULTS: Among group 1 mean surgical time was 3 4 . 3 2 m i n compared to group 2 which was 27.24min.Hemorrhage was observed in 4% patient in group 1 whereas in group 2 it was noted among 12% patients at postoperative day one. Displacement of graft was seen in 8% patients in group 2 on week one.Graft edema was present in 4 (18.18%) patients in group 1 and in 3 (13.63%) patients in group 2. Suture granuloma was noted in 2 cases in suture group. Scleral thinning was found in 2 (9.09%) cases in group 1 whereas no such cases were reported in glue group. Conjunctival inflammation (pain, foreign body, lacrimation, discomfort, hemorrhage ,graft displacement) were noted to be more among group 1 (p<0.05).