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