A COMPARATIVE STUDY OF THE CONJUNCTIVAL AUTOGRAFTING WITH SUTURES AND WITHOUT SUTURES IN PTERYGIUM

Dr.Esam Sathya Narayana Murthy; Dr. Pasam Raja Kumar; Dr.G.S.Ramesh Kumar

Volume : VII, Issue : VIII, August - 2018

A COMPARATIVE STUDY OF THE CONJUNCTIVAL AUTOGRAFTING WITH SUTURES AND WITHOUT SUTURES IN PTERYGIUM

Dr. Esam Sathya Narayana Murthy, Dr. Pasam Raja Kumar, Dr. G. S. Ramesh Kumar

Abstract :

BACKGROUND

A prospective, randomised case–control study conducted at a tertiary level eye care center Government General Hospital, Vijayawada between Oct 2016 and Sep 2017 to compare the outcomes of Conjunctival Autograft (CAG) with sutures and CAG with patients� own blood acting as a bioadhesive in treating pterygium after surgical excision.

MATERIALS AND METHODS

Twenty eyes of 50 patients with pterygium were randomly divided into 2 groups– group I (25eyes) underwent CAG with the patients� own blood coagulum acting as a bio–adhesive or fixative and group II underwent CAG with sutures (25 eyes). Any ocular surface disorders, cataract, pseudopterygium, previous surgery and positive HIV and Hep B were excluded.

RESULTS

Time for the surgery was compared. Patients were then closely followed up for a period of 6 months for anatomy, outcomes of graft, recurrence rate, graft displacement, retraction, Inflammatory reaction or any other complications.

CONCLUSION

Study shows that autologous fiin in blood is a useful alternative method for graft fixation.