A Comparitive Study of Suturing And Sutureless/ Glue Free Limbal Conjunctival Autograft for Primary Pterygium Surgery - A Hospital Based Study

Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 9

Abstract

Purpose: To compare and evaluate the safety and efficacy of suture less glue free limbal conjunctival autograft and conventional sutured autograft for the management of primary pterygium. Methods: The Randomized clinical trial was done with 100 male and female patients with diagnosis of primary/ Progressive pterygium from October 2014 to September 2016. The study groups randomly selected into 2 groups using simple randomization technique. Experimental group underwent autologous conjunctival graft fixation without sutures (sutureless) and control group underwent autologous conjunctival graft fixation with sutures. Results: Early graft retraction occurred 6% in Experimental group whereas it was present among 14% in control group. Conjunctival granuloma occurred in 2% and 6% cases, corneal scar in 4% and 8% cases, graft dehiscence in 8% and 0% cases in each group respectively. Recurrence rate was almost 6% and 8% respectively in both groups. Conclusion: In recent times, the autologous conjunctival graft fixation without sutures is a simpler, quicker and more comfortable surgical procedure. Replacing sutures with tissue adhesives may shorten the operating time, improve postoperative comfort, and avoid suture related complications

Authors and Affiliations

Dr. Phani Kumar Sarkar

Keywords

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  • EP ID EP256169
  • DOI 10.9790/0853-1609063037
  • Views 63
  • Downloads 0

How To Cite

Dr. Phani Kumar Sarkar (2017). A Comparitive Study of Suturing And Sutureless/ Glue Free Limbal Conjunctival Autograft for Primary Pterygium Surgery - A Hospital Based Study. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS), 16(9), 30-37. https://europub.co.uk/articles/-A-256169