Original Articles
Outcome of pterygium surgery with sutureless glueless conjunctival autograft | |
Dr. Shweta Verma, Dr. Tushar Mohan | |
Introduction: To study the outcome following pterygium excision with conjunctival autografting by sutureless glueless technique with autologous blood clot. Material and Method: 30 eyes of 30 patients with primary nasal pterygium were selected according to inclusion criteria. They underwent pterygium excision with Conjunctival autografting (CAG) by sutureless, glue-less CAG with autologous in situ blood coagulum.The patients were followed up after 1 day, 1 week, 6 weeks , 6 months and. They were examined for sub graft haemorrhage, graft oedema, graft retraction, graft dehiscence, recurrence or any other complications. Results: The mean age of patient was 47years. There were 56.67% males and 43.33% females. Surgery was performed more in right eye (60%) as compared to left eye (40%). Post operative recurrence of pterygium was observed in 1 case (3.33%), graft oedema was noted in 5 cases(16.67%) which resolve within in 1week with topical treatment, graft retraction was noted in 3 cases (10%) and 2 patients (6.67%) had foreign body sensation following surgery which resolve in a month duration. None of the patient had graft loss. All the patients were comfortable with excellent cosmetic outcome during the subsequent follow ups. Conclusion: The results were very encouraging as they suggested that sutureless and glue free limbal conjunctival autografting following pterygium excision is an excellent surgery in view of easy technique short surgical time, excellent cosmesis, economical and without much complications. |
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