Sutureless and Glue Free Conjunctivo - Limbal Autograft in Primary Pterygium Surgery : Outcome S and Recurrence Rate

Abstract

AIM: Evaluation of the benefits of suture less and glue free conjunctivo-limbal autograft for primary pterygium management. MATERIALS AND METHODS: This was clinical outcome study of 50 consecutive eyes with primary nasal pterygium requiring surgical excision. Autologous conjunctival graft taken at the superotemporal limbus was used to cover the sclera after pterygium excision. Sutureless and glue free conjunctivo-limbal autograft was performed in all the patients followed by bandaging for 24 hours. The patients were followed up post operatively on 2nd day, 1 week, 4weeks, 3 months, 6 months and 12 months. They were examined for subconjunctival hemorrhage, granuloma formation, graft dehiscence, graft rejection, graft retraction, chemosis, recurrence or any other complication. RESULTS: The study included 28 females and 17 males (mean age 39.3 years). Recurrence was seen in one eye (2.2%) of a patient at one year. Graft retraction on conjunctival side occurred in 5 eyes (11.1%). Partial Inferior flaps dehiscence in 2 patients (4.4%) and one conjunctival granuloma (2.2%) were noticed during 1 st week follow up. No any major postoperative complications occurred. CONCLUSION: The described technique is fast, safe, and effective and as well as economical while giving results without any increased chances of complications for the management of primary pterygium.