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Pterygium Excision with Conjunctival Blood Autograft

Reshma Shaikhm, Assistant Professor, Dept of Ophthalmology, Navodaya Medical College, Raichur, Karnataka 584103, India. , Shaikhm Reshma1 , Ayisha Afreen2

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Ophthalmology and Allied Sciences 4(2):p 114-116, May - August 2018. | DOI: DOI: http://dx.doi.org/10.21088/oas.2454.7816.4218.11

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Abstract

 Aim: To analyse the outcome of Pterygium excision with conjunctival auto graft with no glue, no sutures technique using autologous blood as tissue adhesive. Objective: To analyse a simple, cost effective, less painful and less time consuming technique of conjunctival autograft with autologous blood. Materials and methods: A total of 30 patients with primary pterygium in the age group of 30-60 years were included in the study. All patients underwent pterygium excision followed by conjunctival autografting. Autoblood fibrin clot was used as tissue adhesive to secure the conjunctival autograft.

Follow up was done after 1 weeks, 4 weeks and 8 weeks postoperatively. Results were good with no recurrence and few complications in all 30 cases. Results: 28 out of 30 patients had good primary outcome with no complications (success rate 93.33%). There was no recurrence. Suture related complications can be completely avoided by this technique. Conclusion: Autologous blood fibrin clot instead of sutures, during pterygium excision may provide new easy and cost-effective method for securing conjunctival Autograft with complete avoidance of suture related complications and low or nil recurrence . 
 
Keywords: Pterygium Surgery; Conjunctival Auto Graft; Auto Blood Fibrin Clot; Limbal Auto Graft; Fibrin Glue. 

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DOI: DOI: http://dx.doi.org/10.21088/oas.2454.7816.4218.11

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