Abstract

Purpose: To determine the outcome of suture less and glue free conjunctival autograft for the management of primary pterygium.
Materials and Methods: This prospective nonrandomized, noncontrolled interventional study was carried out in a tertiary eye care hospital, Bangladesh from July 2018 to December 2019. We included all patients with primary nasal pterygium who were selected for surgical excision with limbal conjunctival auto grafting without using fibrin glue or sutures. The patients were followed-up post-operatively on 1st day, 1 week, 1 month, and 3 monthly up to one year. They were examined for sub-conjunctival hemorrhage, graft displacement, chemosis, graft dehiscence, graft retraction, recurrence, or any other compilation. Appropriate statistical method was used to analyze the data.
Result: Fifty eyes of fifty patients were evaluated in this study. 13 cases were female, and 37 cases were male. The mean age was 38.23 years with age range from 20 years to 50 years. The recurrence rate was 8% (4 eyes out of 50). All cases of recurrence occurred after 6 months. Graft dehiscence occurred in 4% (2 eyes out of 50). Graft dislocation was found in 8 % (4 eyes out of 50 eyes) and the graft was not found in recipient scleral bed at 1 st week. Graft retraction with exposure of scleral bed occurred in 10% cases (5 eyes out of 50) within the first post-operative week due to conjunctival oedema and chemosis. Conjunctival graft oedema occurred in 20 cases (40%), that was resolved gradually within a week. Conjunctival sub-graft hemorrhage occurred in two cases (4%) at 1st post-operative day, and it was gradually resolved within 3 weeks and was no effect on graft fixation.
Conclusion: Suture less and glue free conjunctival auto grafting following pterygium excision is a safe, effective, and economical option for the management of primary pterygium. This procedure is free of any untoward complication

Keywords: Pterygium, suture less, glue free, conjunctiva, autograft

1. Assistant Professor

   Sheikh Fazilatunnesa Mujib Eye Hospital and Training Institute, Gopalganj
   

2. Assistant Professor

   Sheikh Fazilatunnesa Mujib Eye Hospital and Training Institute, Gopalganj
   

   [email protected]

3. Sr. Consultant

   Sheikh Fazilatunnesa Mujib Eye Hospital and Training Institute, Gopalganj
   

4. Senoior Consultant

   Sheikh Fazilatunnesa Mujib Eye Hospital and Training Institute, Gopalganj
   

5. Junior Consultant

   Sheikh Fazilatunnesa Mujib Eye Hospital and Training Institute, Gopalganj
   

6. Medical Officer

   Sheikh Fazilatunnesa Mujib Eye Hospital and Training Institute, Gopalganj