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Pterygium Surgery with Conjunctival Autograft(CAG)- No glue, no stitch technique
Gyan Bhaskar1, Anita Ambastha2, Bibhuti P Sinha3, MS Ali2, Piyush Kumar4, Rajnee Sinha5
1 Additional Professor, Regional Institute of Ophthalmology, IGIMS, Patna, Bihar, India
2 Associate Professor, Regional Institute of Ophthalmology, IGIMS, Patna, Bihar, India
3 Professor, Regional Institute of Ophthalmology, IGIMS, Patna, Bihar, India
4 Senior Resident, Regional Institute of Ophthalmology, IGIMS, Patna, Bihar, India
5 Junior Resident, Regional Institute of Ophthalmology, IGIMS, Patna, Bihar, India
Correspondence Address:
M S Ali
Associate Professor, Regional Institute of Ophthalmology, IGIMS, Patna-800014, Bihar
India
 Source of Support: None, Conflict of Interest: None
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Introduction :
Suturesare used to fixed the graft in pterygium surgery not only time-consuming process but also lead to local complications such as discomfort, scarring, granuloma formation, or infection. A Plasma-derived products fibrin glue may produce possible hypersensitivity reactions, post-operative foreign body sensation. In this study a simple method was described for achieving conjunctival autograft adherence during pterygium surgeryusing autologous blood as a bio -adhesive to avoid potential complications associated with the use of fibrin glue or sutures. Aim of this study was to know the outcome of pterygium surgery with limbal conjunctival autograft without sutures or fibrin glue.
Material and methods:
It was a prospective interventional study on 40 eyes of 40 patients who presented with primary pterygium to our outpatient department fulfilling the inclusion and exclusion criteria.Post-operative Examination done on Day- 1, end of 1st,2ndand 4th week then after 3rd and 6thmonth. On each visit assessment was done for Graft displacement, Retraction, Inflammatory reaction,Graft failure, Discomfort, Recurrenceand Success rate was assessed.Data was collected and analysed.
Results :
Outof 40 patients, age of patients ranges from 15 to 73years, male was 30 and female pt. was 10 and right eye was involved in 24 cases and left eye in 16 cases. average surgical time was 18.50±2.00 min.successrate was 95%, one case had graft retraction and one had graft displacement.
Conclusion :
This is the simple technique for pterygium surgery with comparable success rate, cost effective, quick and also prevent potential adverse reactions encountered with the use of foreign materials.
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