Efficacy and safety of no glue, no stich technique of conjunctival autograft after pterygium excision
Journal Title: MRIMS Journal of Health Sciences - Year 2016, Vol 4, Issue 4
Abstract
Background: The treatment of pterygium is still quite controversial, with various treatments being advocated in the scientific literature. Unfortunately, there are very few well-conducted controlled clinical trials of treatments. Objective: To assess the efficacy and safety of no glue, no stich technique of conjunctival autograft after pterygium excision. Methods: A hospital based cross sectional study was carried out. A total of 30 patients were included in the present study using the selection criteria. Institutional Ethics Committee permission was taken. Patients were informed about the nature of the study and their informed consent was obtained. The study was carried out for a period of one year at Department of Ophthalmology, Sarojini Devi Eye Hospital, Hyderabad. Results: Maximum patients were in the age group of 40-50 years (27%). Only one patient was above 60 years of age. 90% of patients were females. All patients presented with fleshy growth. 55% of patients presented with cosmetic problems. Watering was reported by 50% of the patients. All patients had nasal pterygium. Majority i.e. 60% had grade III pterygium. Half of the patients had type III pterygium. Graft edema and hemorrhage were the complications noted in 20% of cases but no one was found to have graft dislocation. Conclusion: No glue and no stich technique of limbal conjunctival autografting following pterygium excision is safe effective and economical option for the management of primary pterygium requiring surgical intervention. However there is a risk of graft retraction, graft dislocation and recurrence in small percentage of cases.
Authors and Affiliations
Sree Kavitha Kuruva Nandyala, Samuel Christopher Matcha, Vijaya Keerthi Murahari
Keywords
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