Effectiveness of Inferior Conjunctival Autograft In Primary Pterygium Surgery
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 11
Abstract
Aim:To assess the effectiveness of inferior conjunctival autograft with respect to recurrence rates in the management of primary pterygium. Methods: 100 patients with primary nasal pterygium of >2mm in horizontal diameter without any other ocular or systemic disease were included in the study. Under peribulbar anaesthesia, patients underwent pterygium excision. All patients underwent inferior conjunctival autografting using sutureless glueless technique. Patients were followed up on 1st day, 1month, 3 months, 6months and 1 year. Results: Out of 100 patients, M:F = 68:32, post operatively 55 patients had vision improvement, 45 patients had static vision . 03 patients of inferior conjunctival autograft had recurrence of Grade 1 in 1 month, 03 patients had retracted graft requiring repositioning, 01 patient had graft edema on the 1st post op day. Recurrence rate was 3%. Conclusion: This method is highly efficient in terms of post op patient symptoms, safety, efficacy, economy and low recurrence rates and is preferred because the superior bulbar conjunctiva is intact for eventual future surgical intervention.
Authors and Affiliations
Dr (Maj) Prajakta Dandekar, Dr (Maj Gen) Sagarika Patyal SM
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