Study of surgical outcome of ipsilateral conjunctival autograft in cases of primary double pterygium

Gyan Bhaskar; Vinitkumar S Kamble; Anita Ambastha; Bibhuti P Sinha; Rajnee Sinha

Volume : IX, Issue : VI, June - 2019

Study of surgical outcome of ipsilateral conjunctival autograft in cases of primary double pterygium

Gyan Bhaskar, Vinitkumar S Kamble, Anita Ambastha, Bibhuti P Sinha, Rajnee Sinha

Abstract :

Introduction: This study was designed to describe a modified technique for management of primary double pterygium using ipsilateral conjunctivo– limbal auto graft and to know its surgical outcome and success rate. Material and methods: This was an interventional study in which 35 eyes of 35 patients were included for conjunctivo–limbal autograft for primary double pterygium. Conjunctivo–limbal autograft was taken from nasal side of neck and body of pterygium to cover the temporal bared area left after excision of pterygium. The same procedure was followed for the opposite side. The patients were followed up on day 1 and after 1 week, 6 weeks, 6 months and 1 year to check for any recurrence or complications. Results: Average age of patients was 56.35±10.25 while male is to female ratio was 2.5 :1, 2 (5.71%) cases had recurrence, 5 (14.28%) cases had post operative graft oedema which resolved with medication. No serious complication observed. This modified technique had 94% success rate. Conclusions: Modified technique was easy technique to manage double pterygia with less limbal stem cell dysfunction. Preservation of superior conjunctiva also needful for trabeculectomy or small incision cataract surgery. Advantages of this technique are cost effective, easy learning curve, no complications from mitomycin C (0.02%) like sclera melting, granuloma formation etc.