Cornea and Refractive Surgeon Maxivision Eye Hospitals

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Cornea and Refractive Surgeon Maxivision Eye Hospitals EFFICACY OF SUTURELESS AND GLUE FREE LIMBAL CONJUCTIVAL AUTOGRAFT FOR PRIMARY PTERYGIUM SURGERY Dr. Nitesh Narayen Cornea and Refractive Surgeon Maxivision Eye Hospitals Somajiguda, Hyderabad THE AUTHOR HAS NO FINANCIAL INTEREST IN THE MATERIALS PRESENTED IN THIS POSTER

OBJECTIVE To study the efficacy and complications of sutureless and glue free limbal conjuctival autograft for the management of primary pterygium over a period of 1 year.

MATERIALS AND METHODS This was a retrospective case series and patients who were operated between December 2012 and June 2013 were analysed. 50 eyes of 48 patients were included in the study.

MATERIALS AND METHODS All eyes were operated by the same surgeon. Pterygium excision with limbal conjuctival autograft without using glue or sutures was performed in all patients followed by bandaging for 12 hours.

MATERIALS AND METHODS The patients were followed up post operatively on 1st day, 1 week, 6 weeks, 6 months and 12 months They were examined for hemorrhage, wound gape, graft shrinkage, chemosis, graft dehiscence, recurrence or any other complication.

RESULTS The mean age of the patients was 48.27±13.74 years ( range 19-77 years). 50% of which were males. The average follow up was 16.90±5.21 months. 5 patients had a line of improvement in UCVA.

RESULTS COMPLICATION N0. OF EYES TOTAL GRAFT DEHISCENCE 1 (2%) PARTIAL GRAFT RETRACTION 2 (4%) OVER-RIDING GRAFT ONTO THE CORNEA PARTIAL RECURRENCE IN BIHEADED PTERYGIUM GRAFT EDEMA 3 ( 6%)

COMPLICATIONS PARTIALLY RETRACTED GRAFT ( 2 EYES) OVER RIDING GRAFT

COMPLICATIONS PARTIAL RECURRENCE ( 1 EYE) GRAFT EDEMA ( 3 EYES)

LITERATURE REVIEW Efficacy of sutureless and glue free limbal conjuctival autograft for primary pterygium surgery. Malik KP et al, Nepal Ophthalmol. 2012 Jul-Dec;4(2):230-5. A prospective interventional case series was carried out in 40 consecutive eyes with primary nasal pterygium. Total graft dehiscence occurred in 2 eyes (5%), graft retraction in 3 eyes (7.5%) and recurrence was seen in 1 eye (2.5%).

DISCUSSION The presence of sutures to place CLAG can cause prolonged wound healing and fibrosis. Fibrin glues currently manufactured from human plasma theoretically carry the risk of transmissible diseases. With this technique, the operating time and post op complaints are subjectively less.

CONCLUSIONS Sutureless and glue free limbal conjuctival autografting following pterygium excision is a safe, effective and economical option for the management of primary pterygium. This simple technique for pterygium surgery may prevent potential adverse reactions encountered with the use of foreign materials.