Autograft technique for pterygium surgery with no glue and no suture -cut and paste: Our experience
Journal Title: IP International Journal of Ocular Oncology and Oculoplasty - Year 2016, Vol 2, Issue 3
Abstract
Background: Pterygium is a common disorder of the age and surgical excision with conjunctival autografting is the treatment of choice. But recurrence is the main problem. Use of sutures and glue to secure autograft is confronted with a number of adverse effects. We present the autograft technique for pterigium surgery using autologous fibrin derived from a thin layer of blood. Aim: To evaluate a suturesless, glue free conjunctival autograft technique for pterygium surgery. Materials and Methods: Thirty eyes of 30 patients were included. After surgical excision of pterygium, the recipient bed was allowed to achieve natural haemostasis. A thin layer of blood was allowed to cover the recipient bed to provide a source of autologous fibrin. A thin conjunctivalautograft free of Tenon’s, taken at the superotemporallimbus was placed over the recipient scleral bed without sutures or fibrin glue. Patient’s follow up was done for any complications. Results: Follow up of patients was done for 6 to 15 months. The mean surgical time was 15 mins. Graft displacement was seen in 3 cases on 1st post-operative day, which was repositioned. Graft retraction was seen in 1 case at 1 month post-operative follow up. In only one case, there was conjunctival granuloma, which was excised. No recurrences were noticed during follow-up period. Conclusions: Potential adverse reactions seen with the use of materials such as sutures or fibrin glue (foreign materials) can be prevented with the use of this simple technique for pterygium surgery.
Authors and Affiliations
Prasanna Shankar Babu TG, Lavanya P, Shreeraja Y. , Praveenkumar Praveenkumar, Raviprakash D.
Keywords
Related Articles
- EP ID EP243696
- DOI -
- Views 88
- Downloads 0
Comparison of the functional visual outcomes in pseudophakic patients implanted with different intraocular lenses
A good functional visual outcome after meticulous cataract surgery and intraocular lens implantation is the ultimate aim of every eye care practitioner Combining the measurement of functional acuity contrast sensitivity...
Immunoglobulin G4(IgG4)-Related Orbital Disease – An overview
Immunoglobulin G4 related orbital disease is a systemic fibro-inflammatory disorders with a generalized form of clinical manifestations. Although it has a wide spectrum of various pathologies that may affect distant orga...
Self-Inflicted accidental chemical injury to eye
Background: Cyanoacrylate has become popular choice as an adhesive for industrial, medical and household purposes. The widespread new packaging of this adhesive into single use unim resembling eye drop/unim have resulted...
A comparative study for the management of nasolacrimal duct obstruction; transcanalicular laser DCR vs conventional external DCR
Purpose: To evaluate the incidence and severity of intra operative and Postoperative complication and success rate of transcanalicular laser DCR and compare it with conventional external DCR. Method: This is a prospectiv...
Apocrine adenocarcinoma arising in the Gland of Moll – a brief clinico-pathological case report
A 85 year old lady came with a recurrent eyelid swelling since last 5 years with a previous history of surgery at the same site. The present swelling was excised and sent for histopathological examination. Apocrine adeno...