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 .


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



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



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




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How to Cite
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
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