A Study on recurrences of Primary pterygium following conjuctival auto transplant in diabetic patient

Dr. Amar K. Chakma; Dr. Ritesh Ch. Paul; Dr. Debasis Datta

Volume : VI, Issue : VIII, August - 2016

A Study on recurrences of Primary pterygium following conjuctival auto transplant in diabetic patient

Dr. Amar K. Chakma, Dr. Ritesh Ch. Paul, Dr. Debasis Datta

Abstract :

Aim: To study the recurrence rate after pterygium excision with conjunctival autograft in diabetic patient. Material and Methods:It is a retrospective study conducted at Department of Ophthalmology in collaboration with department of Medicine from November 2012 to October 2015. All the patients with primary pterygium were sent to Medicine department for diabetes status and patient with type –2 diabetes were taken up for surgery only after proper diabetic control and fitness given by clinician. Total 200 were divided into group A with diabetes and Group B without diabetes; comprising 100 patients in each group were operated of which 10 and 6 patient in group A and B came with recurrence respectively. All patients were in age group 30 to 60 and above.Results:Highest prevalence of pterygium was seen in age group of 40–49 years 36 eyes (36%) in group A and in group B, age group of 50– 59 shows the high prevalence around 34 eyes (34%). During the follow–up period of this study, progressive pterygium recurred in 10 patients of group A and 6 patients in group B. Graft rejection and subconjunctival haemorrhage were noted complication in both the group. The average duration of recurrence was 5.3months. The mean age of the patients with recurrence was 43.3 years.Conclusion:Autogenous conjunctival grafting is a safe, uncomplicated, quick procedure with low recurrence rate. There is no significant difference in recurrences in diabetic and non diabetic patients except delayed in healing in diabetic patients.