A Novel Technique - Pterygium excision followed by sutureless and gluefree conjunctival autografting

  • Poonam Bhargava Department of Ophthalmology, S.P Medical College, Bikaner
  • Anju Kochar Department of Ophthalmology, S.P Medical College, Bikaner
  • Rashmi Joshi Department of Ophthalmology, S.P Medical College, Bikaner
Keywords: Pterygium, Sutureless and gluefree conjunctival autograft, Recurrence .

Abstract

Purpose: To study the efficacy and safety of sutureless and gluefree conjunctival autograft as an adjunctive therapy after removal of primary pterygium and to determine the post operative recurrence.

Methods: A prospective, non-comparative, interventional case series. Pterygium excision and supero-temporal bulbar conjunctival autografting without sutures and glue was performed on 52 eyes of 50 patients with primary pterygium. patients were followed upto 1 year.

Results: The mean age of the patients was 40.9 +/- 12.09 years. Of the 50 patients recurrence was observed in 1 patient (1.92%).

Graft displacement was seen in 4 (7.69%) on 1st post operative day which were successfully repositioned .Graft edema was seen in 4 (7.69%) cases while graft haematoma occurred in 3(5.76%) cases. No granuloma, retention cyst or corneal dellen noted. After 4 weeks,all grafts were taken up well and there was stastically significant reduction in astigmatism(P<0.01).

Conclusion: This study suggests that a sutureless and gluefree conjunctival autografting in the management of primary pterygium is a useful procedure resulting in low recurrence rate and also avoids the potential risks and complications of sutures, glue and amniotic membrane.

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Author Biographies

Poonam Bhargava, Department of Ophthalmology, S.P Medical College, Bikaner

OPHTHALMOLOGY

MEDICAL OFFICER

Anju Kochar, Department of Ophthalmology, S.P Medical College, Bikaner

OPHTHALMOLOGY

PROFESSOR

Rashmi Joshi, Department of Ophthalmology, S.P Medical College, Bikaner

OPHTHALMOLOGY

ASSISTANT PROFESSOR

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Published
2015-09-07
How to Cite
1.
Bhargava P, Kochar A, Joshi R. A Novel Technique - Pterygium excision followed by sutureless and gluefree conjunctival autografting. AMS [Internet]. 7Sep.2015 [cited 22Feb.2020];2(6):96-9. Available from: http://asdpub.com/index.php/ams/article/view/226
Section
Original Articles

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