Pterygium Excision and Conjunctival Graft from the Pterygium Tissue Itself without Rotation

Abstract

Objective: A modified technique of using conjunctival graft from the pterygium tissue itself without any rotation for primary pterygium in glaucoma suspects and double headed pterygium with fibrin glue. Methods: Hospital based study in a tertiary centre in Karnataka, from July 2017 to April 2018, involving38 patients with primary pterygium who underwent pterygium excision with conjunctival graft from pterygium tissue itself without Rotation of the flap using fibrin glue. Group one included glaucoma suspects with pterygium and group two included patients with double headed pterygium. Follow up was done at 24hours,1 week,4 weeks,8 weeks and 8 th month for recurrence, graft retraction and graft edema. Results: Out of 38 eyes (group 1 and group 2) average recurrence rate of 5.55%, graft retraction of 28.88% and graft edema of 44.44% was recorded. Conclusion: Conjunctival graft from the pterygium tissue itself without rotation of flap is an effective technique with lower recurrence rate for treating primary pterygium in glaucoma suspects and double headed pterygium.