scholarly journals Pterygium Excision with Suture- Free, Glue- Free Limbal Conjunctival Autograft By Cut And Paste Method – A Prospective Interventional Hospital Based Study

2020 ◽  
Vol 31 (2) ◽  
Author(s):  
Arathi Choudhary
Keyword(s):  
Conjunctival Autograft ◽  
Pterygium Excision ◽  
Limbal Conjunctival Autograft

scholarly journals Pterygium excision with suture-less and glue-free conjunctival autograft

2020 ◽  
Vol 17 (2) ◽  
pp. 227-232
Author(s):  
Fariha S. Wali ◽  
Muhammad Jawed ◽  
Rafeen Talpur ◽  
Naeemullah Shaikh ◽  
Shehnilla Shujaat ◽  
...  
Keyword(s):  
Operating Time ◽  
Operation Time ◽  
Institutional Review Board ◽  
Simple Method ◽  
Conjunctival Autograft ◽  
Institutional Review ◽  
Pterygium Surgery ◽  
Pterygium Excision ◽  
Operative Recovery ◽  
Limbal Conjunctival Autograft

Introduction: Pterygium excision is a commonly encountered surgery with different methods being used. These procedures range from simple excision to use of grafts. Limbal conjunctival autograft is currently the most popular surgical procedure. The most common method of autograft fixation is suturing. But it has its own drawbacks like increased operating time, post-operative discomfort, inflammation, buttonholes, necrosis, giant papillary conjunctivitis, scarring, and granuloma formation. Glue is widely used due to many advantages like easy fixation of the graft, shorter operation time, and reduction in complications and post-operative discomfort but at the same time has some disadvantages also like high cost, the risk of transmission of infectionsand inactivation by iodine preparations. Purpose: In the following study, we describe a simple method of accomplishing conjunctival autograft adherence during pterygium surgery avoiding possible complications associated with the use of fibrin glue or sutures. Design: Prospective study. Method: We used conjunctival autograft, which was not sutured or glued to the scleral bed. The fibrin formed from the oozing blood was used to get the graft adhesion to the scleral bed. This study was approved by institutional review board, and written consent form was taken from each participant. Results: The suture-less and glue-free conjunctival autograft was found to have excellent results in terms of surgical outcome as well as post-operative recovery. In addition, risk of side effects related to sutures and glue was eliminated. Conclusion: Suture-less and glue-free conjunctival autograft is a new, easy, and cheaper technique for the management of pterygium.

scholarly journals Efficacy of sutureless and glue free limbal conjunctival autograft for primary pterygium surgery

2012 ◽  
Vol 4 (2) ◽  
pp. 230-235 ◽  
Author(s):  
K P S Malik ◽  
R Goel ◽  
A Gupta ◽  
S K Gupta ◽  
S Kamal ◽  
...  
Keyword(s):  
Case Series ◽  
Surgical Excision ◽  
Recurrence Rates ◽  
Conjunctival Autograft ◽  
Uncorrected Visual Acuity ◽  
Pterygium Excision ◽  
One Year ◽  
Limbal Conjunctival Autograft ◽  
Conjunctival Autografting ◽  
Primary Pterygium

Introduction: There are numerous adjunctive measures described to reduce the recurrence rates after pterygium excision. Objective: To study the efficacy and complications of sutureless and glue free limbal conjunctival autograft for the management of primary pterygium over a period of one year. Materials and methods: A prospective interventional case series was carried out in 40 consecutive eyes with primary nasal pterygium requiring surgical excision. Pterygium excision with limbal conjunctival autografting without using glue or sutures was performed in all the patients followed by bandaging for 48 hours. The patients were followed up post operatively on 2nd day, 1 week, 6 weeks, 6 months and 12 months. They were examined for haemorrhage, wound gape, graft shrinkage, chemosis, graft dehiscence, recurrence or any other complication. Results: The mean age of the patients was 42.8 years (range 23-61), 75% of which were males. Total graft dehiscence occurred in 2 eyes (5%), graft retraction in 3 eyes (7.5%) and recurrence was seen in 1 eye (2.5%). At 6 weeks postoperatively, the gain in uncorrected visual acuity ranged from 0.18 to 0.5 log MAR in 7 eyes. No other complication was noted. Conclusions: Sutureless and glue free limbal conjunctival autografting following pterygium excision is a safe, effective and economical option for the management of primary pterygium.DOI: http://dx.doi.org/10.3126/nepjoph.v4i2.6537 Nepal J Ophthalmol 2012; 4 (2): 230-235

scholarly journals OUTCOME OF AUTOLOGOUS LIMBAL CONJUNCTIVAL TRANSPLANTATION IN TERMS OF RECURRENCE RATE, AS THE MAIN OUTCOME MEASURE AND COMPLICATIONS AS THE SECONDARY OUTCOME

2019 ◽  
Vol 3 (5) ◽  
Author(s):  
Dr Rishi Gupta
Keyword(s):  
Recurrence Rate ◽  
Outcome Measure ◽  
Secondary Outcome ◽  
Care Hospital ◽  
Eye Care ◽  
Main Outcome Measure ◽  
Conjunctival Autograft ◽  
Pterygium Excision ◽  
Limbal Conjunctival Autograft ◽  
Primary Pterygium

Purpose: To find the outcome of autologous limbal conjunctival transplantation in terms of recurrence rate, as the main outcome measure and complications as the secondary outcome. Methods: The present study retrospective study conducted from a tertiary eye care hospital. Pterygium excision with limbal conjunctival autograft from the affected eye was performed for primary pterygium. Secondary pterygia resulting from inflammation, trauma and other diseases were excluded. Patients were followed up for 18 months for recurrence and other complications. Results: A total of 36 eyes of 36 patients with primary pterygia from November 2016 and October 2017 were included in the study. The study recruited 19 (52.7%) males and 17 (47.2%) females with mean age of 38.2 ±10.42 years. Pterygium was diagnosed more commonly in left eye(55.5%)  as compare to right eye(44.4%). Out of 36 cases 32 (88.8%) cases of  nasal and 4 (11.1%) cases of temporal pterygium noted. Out of 36 cases Graft edema in 1 (2.7%) case, graft retraction in 2 (5.5%) cases and 1 (2.7%) case of granuloma were noted. Any kind of pterygium recurrence and graft necrosis was not noted in present study. Conclusions: Pterygium excision with autologous limbal conjunctival autograft is safe and effective method to treat primary pterygium.

Comparison of 4 Techniques for Limbal-Conjunctival Autograft Fixation in Primary Pterygium Surgery

2017 ◽  
Vol 27 (4) ◽  
pp. 466-469 ◽  
Author(s):  
Luis F. Mejía ◽  
Juan P. Santamaría ◽  
Miguel Cuevas ◽  
Andrea Córdoba ◽  
Sergio A. Carvajal
Keyword(s):  
Recurrence Rate ◽  
Fibrin Glue ◽  
Ocular Inflammation ◽  
Postoperative Patient ◽  
Patient Discomfort ◽  
Conjunctival Autograft ◽  
Significant Difference ◽  
Fixation Techniques ◽  
Pterygium Surgery ◽  
Limbal Conjunctival Autograft

Purpose To compare 4 limbal-conjunctival autograft fixation techniques—conventional suture, commercial fibrin glue, autologous fibrin glue, and cautery—in primary nasal pterygium surgery. Methods This is a retrospective and descriptive study. The postoperative patient discomfort, graft edema, ocular inflammation, and other complications of 4 limbal-conjunctival autograft fixation techniques in primary nasal pterygium surgery were evaluated. Results Postoperative patient discomfort was significantly lower with the sutureless techniques (p<0.001), with fixation with cautery having the lowest rate of discomfort. Graft edema and ocular inflammation during the early postoperative period were significantly higher when fibrin glue techniques were used (p<0.001). The recurrence rate did not show a statistically significant difference (p = 0.682) among the 4 groups. Conclusion In primary nasal pterygium surgery, limbal-conjunctival autograft fixation using cautery is the technique with the lowest postoperative discomfort rate and without a statistically significant increase in recurrence rate when compared to conventional suture and fibrin glue techniques.

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