Aim: To evaluate the surgical outcome of Suture free, Glue free, Conjunctival Autograft (SFGF-CAG) after Pterygium Excision. Design: Postoperative, Interventional, Hospital based study. Materials and methods: 45 eyes of 45 patients with primary Pterygium were graded and excision was performed by a single surgeon. To prevent recurrence, inferotemporal or inferior quadrant graft from the same eye and bare sclera was covered without the use of suture or fibrin glue, allowing natural autologous coagulation of the recipient bed to act as a bioadhesive. The eye was patched for 24 hours. Postoperatively patients were put on topical eyedrops moxifloxacin 0.5%, loteprednol
etabonate. 50% and Carboxymethyl cellulose 1% for 6 weeks. The outcome was assessed in terms of recurrence, complications and operative time at each follow-up visit on days 1,7,15,30,150 and 180. Results: There were 27 females and 18 males. The mean age of all patients was 36.2 ± 11 years. Range 18–60 years. Cosmetic blemish was the main indicator for surgery. Recurrence occurred in 1 and graft-related complications in 1 eye (Graft dehiscence). Re-surgery was required in 1 eye as the other deferred surgery. No other complication was noted. Average time of surgery was 16 ± 2 mins. Conclusion: The recurrence, complication rate and operative time of SFGF CAG was seen to be comparable with the current techniques in practice.
Keywords: Complications; Pterygium; Recurrence; SFG-CAG.