Outcome of Infero Temporal Suture Less and Glue Free Conjunctival Autograft in Patients with Pterygium at a Tertiary Care Hospital of Vidarbha Region

Abstract

Introduction: Pterygium is a common degenerative condition of the conjunctiva specially in the dry and
arid climate. There are numerous treatment options for pterygium. Gluefree & Sutureless conjunctival
autografting is one of the popular method to reduce its (Pterygium) recurrence.
Purpose: To study outcome of inferior temporal conjunctival autografting which is sutureless & gluefree in
Pterygium patients.
Material and Method: A Prospective study was carried out on 104 out of 123 patients, which met Inclusion
criteria. Pterygium surgery procedure include, pterygium excision followed by inferior conjunctival
autografting without any glue and suture. The patients were followed up post-operatively on day 1, 1
week, 15 days, 1 month, 2 months. They all were examined for complications such as graft displacement,
recurrence, haemorrhage along with routine post- operative examination.
Results: The age of Patients varied between 21 to 70 years. 62.50 % of which were Male. Common age group
in our study was 41-50 years. Redness & watering was most common symptoms in our study. Recurrence
was seen 09 patients & graft displacement was seen in 7 patients. Recurrence was most commonly seen in
patients having grade 3 Pterygium.
Conclusion: Pterygium excision followed by inferior conjunctival grafting has an advantage of leaving
the superior conjunctiva (commonly used in conjunctival autografting procedure) for glaucoma or cataract
surgery if need arises . its also economical in context to our Country. The study aims at exploring options to
improve the quality of life in cosmetically and visually challenged patients