A COMPARATIVE STUDY BETWEEN CONVENTIONAL AND AUTOGRAFT SURGERY FOR PTERYGIUM
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2015, Vol 2, Issue 18
Abstract
Pterygium excision by bare sclera technique was first described by Ombrain. However it is associated with recurrence rate of 9 to 75%. Conjunctival autografting is safe and cost effective method in preventing recurrence. In this study 100 cases of primary pterygium are evaluated. Mean age group was 47 years. 55% were male and 45% were females. Literature documents more incidence of pterygium in outdoor workers. This correlated with our study findings where in 66% of the patients were exposed to heat dust and sunlight while working outdoors. 89% had nasal pterygium. Most Patients (87%) had with the rule astigmatism. The average with the rule astigmatism was 2 diaptors preoperatively which decreased to 0. 67D postoperatively. In our study of 100 cases 50 underwent pterygium excision by bare sclera technique. Rest 50 underwent pterygium excision with conjunctival autografting. All cases were followed up for 6 months. In the bare sclera technique 6 (12%) cases had recurrence and none in conjunctival autograft technique (p-value < 0.05). Two cases had sclera thinning following pterygium excision which resolved after tapering steroid dosage. 2 cases had graft edema and three had loose sutures. 4 cases had granuloma formation in the bare sclera group and one had corneal scarring.
Authors and Affiliations
Venkateswara Rao A, Nagasree D. V. C. , Suresh Y
Keywords
Related Articles
- EP ID EP227413
- DOI 10.18410/jebmh/2015/404
- Views 66
- Downloads 0
A STUDY OF RELIABILITY OF RAPID TEST IN ACUTE DENGUE FEVER AND ITS IMPLICATION
Rapid diagnosis of dengue infection is essential to patient management and disease control. In a rural tertiary health setting and diagnostic laboratories, dengue suspect cases were assessed with a rapid (15 minutes) imm...
IMMUNOLOGICAL CAUSES OF BAD OBSTETRIC HISTORY
Occurrence of three consecutive pregnancy losses constitutes the classic definition of bad obstetric history (BOH). One of the important causes of BOH is the presence of antiphospholipid antibodies, which enhance the coa...
STUDY OF CLINICAL PROFILE OF VERNAL KERATOCONJUNCTIVITIS IN GHAZIABAD
BACKGROUND VKC is one of the most common ocular allergies. This study was undertaken with the objective of studying its clinical profile in the region of Ghaziabad over a period of 1 year. MATERIALS AND METHODS This pros...
BLUNT TRAUMA CHEST LEADING TO SUDDEN DEATH WITH ESTABLISHED CORONARY OCCLUSION: A CASE STUDY
BACKGROUND: A 28 yrs old male while driving an autorickshaw / three wheeler was thrown and dislodged after a four wheeler hit his vehicle from the rear. During this momentary collision his chest hit directly on the handl...
A COMPARATIVE STUDY OF THE ANALGESIC EFFECT OF LIGNOCAINE AND TRAMADOL IN AMELIORATING PROPOFOL INJECTION PAIN
BACKGROUND Propofol is an ideal intravenous anaesthetic agent which provides smooth induction and recovery, but its adverse effect is considerable pain on injection of unknown cause. Various drugs like lignocaine, tramad...