A Comparison between Conjunctival Autograft with Bare Sclera Technique in Pterygium Excision and Its Recurrence
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 6, Issue 2
Abstract
Background: Pterygium is a fibrovascular growth that originates from conjunctiva encroaching onto the cornea. This study deals with the comparison between conjunctival autograft with bare sclera technique in pterygium excision and its recurrence. Several surgical and adjunctive medical therapies have been tried to reduce the fibrovascular activity and recurrence rate but none of its where universally accepted. This study might take an important role during treatment of pterygium. Methods: This study was done in the Kamlesh Netralaya Hospital, Ambikapur, Surguja, Chhattisgarh, between the periods of 2016 and 2018. A total of 120 eyes diagnosed with pterygium, of which 70 eyes operated with conjunctival autograft technique and 50 eyes were operated with bare sclera technique selected for this study. The patients with hypertension, diabetes mellitus, cataracts, dry eye syndrome, and pseudopterygium were excluded, and every patient has to fill a consent form. Slit-lamp examinations and routine investigation were done before the procedure. Post-operative follow-up visits of patients were scheduled and during follow-up visit operated eye was examined under slit lamp, and complication was recorded in tabulated form. Results: The present study was done on 120 eyes diagnosed with pterygium, of which 70 eyes (42 males and 28 females) operated with conjunctival autograft technique and 50 eyes (28 males and 22 Females) were operated with bare sclera technique selected for the study. Mean age in conjunctival autograft technique was 45.05, maximum age was 65, and minimum age was 30 wherein bare sclera technique mean age was 53.76, maximum age was 60, and minimum age was 45. The recurrence rate in conjunctival autograft technique was nil and recurrence rate in bare sclera technique was 4 (8%). In this study, 96 (80%) eyes (patients) are having an outdoor occupation and 24 (20%) eyes (patients) having indoor occupation, respectively. Conclusion: The present study revealed that conjunctival autograft technique having a minimum or nil recurrence rate of pterygium compared with bare sclera technique. Incidence of pterygium was more in male compared to female and pterygium was common inpatient having outdoor occupation compare to indoor. Hence, this studies useful for an ophthalmologist, clinicians for proper clinical diagnosis and treatment of disease.
Authors and Affiliations
Abhijeet Jain
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