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A Study of Outcome of Pterygium Dissection and Surface Conjunctival Autografting with Sparing of the Superior Conjunctiva for the Management of Primary Pterygium

Reshma Shaikh Assistant Professor, Dept of Ophthalmology Navodaya Medical College Raichur584103, Karnataka, India. , Reshma Shaikh1 , Rizwan Pathan2

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Ophthalmology and Allied Sciences 3(2):p 140-144, Jul-Dec 2017. | DOI: http://dx.doi.org/10.21088/oas.2454.7816.3217.18

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Abstract

Objective: To evaluate the success and outcome of pterygium dissection and surface conjunctival autografting with sparing of the superior conjunctiva for the management of primary pterygium. Methods: Prospective non comparative interventionalcase seriesinvolving 30 eyes with primary pterygium who underwent pterygium dissection with surface conjunctival autografting in the cornea clinic of a medical college. Results: There were 22 (73.33%) males and 8 (27%) females included in the study. Mean age of the patients was 43.88 years (range 1966 years). Pterygium was Grade 1 in 9 (30%) eyes, grade 2 in 10 (33.3%) and Grade 3 in 11 (36, 6%) eyes. No significant intraoperative complications were encountered. Average surgical time was 12.8mins. Mean followup period was 48 weeks (ranged 24 weeks to 72 weeks). Graft adherence by the end of 4 weeks post operative period was seen in 29 (99.218%) eyes. Pterygium recurrence occurred in 1 (3.3%) eye. No vision threatening complications were encountered either intraoperatively or postoperatively. Conclusion: pterygium dissection with surface conjunctival grafting is an excellent option for treating primary pterygia and helps in maintaining a virgin superior bulbar conjunctiva which may be required for future glaucoma surgeries.

Keywords: Pterygium; Pterygium Surgery; Conjunctival Limbal Autograft. 

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DOI: http://dx.doi.org/10.21088/oas.2454.7816.3217.18

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