Aim: To evaluate and analyze the surgical outcome of sutureless, glueless conjunctival autograft (SLGL-CAG) fter pterygium excision. Prospective, interventional, hospital-based study. 

Methods: seventy eyes of seventy patients with primary pterygium were graded, and excision was performed by the single surgeon. To prevent recurrence, free CAG was taken from superotemporal or superior quadrant from the same eye and bare sclera was covered without the use of sutures or fibrin glue, allowing natural autologous coagulum of the recipient bed to act as a bioadhesive. The eye was patched for 24 h. postoperatively; patients were put on topical eye drops (gatifloxacin 0.3%, loteprednol etabonate 0.5%, and carboxymethyl cellulose 1%) for 4 weeks. The outcomes were assessed in terms of any recurrence, complication(s), and operative time at each follow-up visit on day 1, 7, 30, and 60.

Results: There were 52 females (74.2%) and 18 males (25.7%) with mean age (38.83±9.2 years and 38.88±6.5 years, respectively,  range 20–60 years. Cosmetic blemish was the chief indication of surgery (51 eyes, 72.8%). Graft-related complication took place in four eye (5.71%; graft dehiscence). Resurgery was required in the latter (5.71%). Granuloma was noted in 2 patients (2.85%). An average surgical time was 20±2 min.

Conclusion: The recurrence, complication rate, and the operative time of SLGL-CAG seem to be comparable with the current techniques in practice, without adding possible potential hazard of the surgical adjunct. 

Keywords: Pterygium; Recurrence; Suture-Less Glue-Less Conjunctival Autograft.