A Study of efficacy of conjunctival autografting for the management of pterygia at tertiary health care center
Journal Title: Medpulse International Journal of Ophthalmology - Year 2018, Vol 5, Issue 2
Abstract
Background: Pterygium word comes from the greek word ‘pterygos` meaning “wing of an insect” which was described by Hippocrates, Callen and others. Aims and Objectives: To Study efficacy of conjunctival autografting for the management of pterygia at tertiary health care center Methodology: This was cross-sectional study was carried out in the Department of Ophthalmology, Government Medical college and Hospital, Latur during August 2015 to February 2017. Total 37 eyes of 35 patients underwent pterygium excision with conjunctival autografting. Out of 37 pterygia, 35 were primary and 2 were recurrent pterygia. Patients attending the outpatient Department of Ophthalmology were selected. Result: In our study we have seen that 73% of the patients belonging to the age group of 30-50 yrs., which is youngest age and the pterygial tissue is fleshy and vascular 5.71% of patients from extreme age group and 8.57% from the very young age. The majority of the patients were Female i.e. 60% and Males were 40% 94.59% of the patients were having Primary and 5.41% were having recurrent pterygia majority of the patients were having Progressive pterygium i.e. 81.08%, where recurrence rate was more, where as 16.21 % were having stationary, while 2.70% were having atrophic Preoperative unaided visual acuity was compared with 3 month postoperative visual acuity on Snellen’s chart. Visual acuity was either improved or unchanged in 94.5% (81% of patient Showing improved, 13.5% showing unchanged) and 5.5 % deterioration. The deterioration was not due to surgery as complication, but due to senile cataract. Not a single case of recurrence was found in primary pterygium group, while on case out of 2, with recurrence from recurrent pterygium group. Conclusion: It can be concluded from our study that conjunctival autografting for the management of pterygia was effective with respect to improved visual acuity and no recurrence in primary cases.
Authors and Affiliations
Gosavi Vivek Suresh, Mohite Uday Shesherao
Keywords
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