Background and objectives:

Primary pterygium is one of the most common  disorders  seen  in  our  community  because  the  inhabitants  have  a  high  exposure  to  ultraviolet light. But recurrence after excision of pterygium is a common problem and various techniques have been used to reduce its recurrence rates. This study was undertaken  to  compare  the  surgical outcome  after  pterygium excision  with  bare  sclera  technique  and conjunctival limbal autograft.

 Methods: A prospective study was done which included 41 patients who attended the  OPD  during  the study period.  They  were randomly  assigned  into  the following 1  group of 21 eyes and other group of 20 eyes, group A( bare sclera excision) and group B(conjunctival limbal autograft) and  surgeries were done in Goverment general hospital, Siddhartha Medical Sciences during June 2014 to December 2014. All patients were followed up on  post operative day 1, day 7, 1 month for recurrence and  graft complications.To make a comparative study of  pterygium management in order to  evaluate the methods of effective management and prevention of recurrence of  pterygium and complications

Results :    

In our study, which included 41 patients, there were four cases of recurrence after the pterygium excision and conjunctival autograft surgery. 

Interpretation & Conclusion: 

 Conjunctival autografting is a safe and effective procedure in the management of  pterygium. The recurrence rate following limbal conjunctival autografting is  significantly lower than that following primary conjunctival closure.