Comparative Study of Surgical Outcome in Case of Primary Pterygium By Bare Sclera Excision & Conj. Autografting
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 6
Abstract
Aim: To evaluate and analyze the surgical outcome of Simple pterygium excision (Bare sclera method) and Conjunctival Autografting (CAG). Design: Prospective Randomized control trial, hospital based study. Materials and Methods: 60 cases with primary pterygium were graded, and excision was performed by the single surgeon. 30 cases are treated by simple excision method and remaining 30 cases are treated by conjunctival autografting method (CAG).graft for CAG is taken from superotemporal quadrant from the same eye. The eye was patched for 24 hours, postoperatively patients were put on antibiotics and steroids eye drop (moxifloxacin 0.5% with loteprednol etabonate 0.5%) and carboxymethylcellulose eye drop 1% for 6 weeks. The outcomes were assessed in terms of any recurrence, complications and change in astigmatism at each follow up visit on 1, 7, 30, 45, 120, 180 days. Results: In this study 32 % cases were in the age group 30-40 years, 38% 41-50 years,20% 51-60 years,10% 61-70 years. (2) Pterygium location –Nasal side 83%, Temporal side 12%, Bilateral 5%. (3) 50% patients are treated by Autologous conjunctival autografting method, out of these 83 % patients show reduction in astigmatism & 17 % shows no change in astigmatism, remaining 50% patients are treated by simple conjunctival excision method out of these 70% patients show reduction in astigmatism, 10% patients show increased astigmatism, 13 % show no change in astigmatism. (4) In CAG method 3% patients show recurrence, in Simple excision method 20% patients show recurrence. Conclusion: Autologous conjunctival grafting method is safe, simple, quick procedure. It does not involve loss of tissue & is effective in preventing recurrence.
Authors and Affiliations
Snehal D. Burkule, Sangita Patil, V. M. Sahastrabudhe
Keywords
Related Articles
- EP ID EP548796
- DOI 10.21276/ijmrp.2017.3.6.048
- Views 71
- Downloads 0
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