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IJHSR. 2016; 6(1): 112-118


Cut & Place: A New Technique for Pterygium Surgery with Conjunctival Autograft.

Sethia Rajni V., Kothari Raghunanadan N., Shah Harita G., Patel Krunal M, Shah Ruta S..

Abstract
Background: Sutureless glueless conjunctival autografting in pterygium surgery is gaining popularity due to short surgical time, no recurrence and good cosmetic outcome.
Aims: To study the efficacy, safety and reliability, post operative recovery, complications and recurrence rate of pterygium with glueless and sutureless conjunctivo-limbal autograft for the management of primary pterygium.
Materials and Methods: This was prospective, non comparative, interventional case series of 40 consecutive eyes with primary nasal pterygium requiring surgical excision. After pterygium excision, conjunctival autograft was taken from the superotemporal limbus and the bare sclera was covered with glueless and sutureless conjunctival autograft. Patching was done for 24hours and followed up post operatively on day 1, one week, one month, 3 months and 6 months. They were examined for graft dehiscence, graft recession, graft retraction, chemosis, recurrence or any other complications on each follow-up.
Results: The study included 19 males and 21 females. All grafts were intact in first follow up. 22.5% had medial edge graft recession on 1 week follow up. 5% had graft retraction on 1 month follow up, 2.5% had graft edema on 1 week follow-up and there was no graft dehiscence. No recurrence of pterygium was found till 6 month follow up.
Conclusion: Glueless and sutureless conjunctival autograft is a good option for pterygium surgery. It takes short surgical time and easy to perform, less patient discomfort, excellent cosmetic outcome and no recurrence.

Key words: Pterygium, Conjunctvo-limbal autograft, Tissue glue, Suture.



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