Title: Pterygium Excision and Conjunctival Autografting without Sutures/Glue

Authors: Dr Battula Vishnuvardhan, Dr Akshay Uday Nayak

 DOI: https://dx.doi.org/10.18535/jmscr/v7i3.137

Abstract

Objective: To evaluate the outcome of the pterygium excision and sutureless conjunctival autografting using patients own blood as a Bioadhesive.

Methods: Hospital based prospective study conducted in KIMS hospital Bengaluru from July 2016 to April 2017. 36 patients with primary nasal pterygium underwent pterygium excision with conjunctival autografting using their own blood. A detailed post-operative Evaluation was done.

Results: A total of 36 primary pterygium cases were included in the study. The mean operation time was 16+/- minutes. Out of 36 eyes 4(11.1%) had subconjunctival haemorrhage and 2(5.5%) had graft recession and oedema after 24hrs of operation. At 10 weeks follow up 2 cases (5.5%) of graft recession and no case of recurrence of pterygium was found.

Conclusion: pterygium excision and conjunctival autografting using patients own blood appears to be a affective alternative with no additional cost.

Keywords: pterygium, autografting, bioadhesive.

References

  1. Chen CW, Tasi YH, Lin CY, et al: An epidemiologic study of pterygium among Taiwan aborigines. Trans Ophthal Soc ROC 1964; 3:12-19.
  2. Coroneo MT. Pterygim as an early indicator ofultraviolet insolation: a hypothesis. Br J Ophthalmol. 1993;77:734–739
  3. Singh PK, Sing S, Vays C, Sing M. Conjunctival auto grafting without fibrin glue or sutures for pterygium surgery. Cornea 2013; 32(1): 104-107.
  4. Fukamachi Y, Hikita N. Ocular complication following pterygium operation and instillation of mitomycin C. Folia OphthalmolJpn 1981;32:197-201.
  5. Comparison of Fibrin Glue and Sutures for Attaching Conjunctival Autografts After Pterygium Excision Uy HS, Reyes JMG, Flores JDG, et al (Univ of the Philippines, Manila; Asian Eye Inst, Makati, Philippines) Ophthalmology 112:667-671, 2005.
  6. Marticorena J, Rodríguez-Ares MT, Touriño R, Mera P, Valladares MJ, Martinez-de-laCasa JM, Benitez-del-Castillo JM. Pterygium surgery: conjunctival autograft using a fibrin adhesive. Cornea 2006; 25(1): 34-36.
  7. Sharma A, Raj H, Gupta A, Raina AV. Sutureless and glue-free versus sutures for limbal conjunctival autografting in primary pterygium surgery: a prospective comparative study. J Clin Diag Res 2015; 9(11): NC06NC09.

Corresponding Author

Dr Battula Vishnuvardhan

Department of Ophthalmology, Kempegowda Institute of Medical Sciences (KIMS), Bengaluru, Karnataka

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