Comparison between sutureless conjuctival autograft using autologous blood versus sutured limbal conjunctival autograft in primary pterygium surgery
Journal Title: IP International Journal of Ocular Oncology and Oculoplasty - Year 2016, Vol 2, Issue 3
Abstract
Pterygium is an abnormal sub-conjunctival fibrovascular overgrowth, commonly seen in tropical countries as this population has increased exposure to light, dust, wind and heat. The main treatment of pterygium is surgical excision. However, recurrence is a bothersome issue. To avoid recurrence conjunctival autograft with mitomycin use is an option however there is a risk of scleral necrosis. Conjunctival graft may be held in place either with sutures or fibrin glue. Suture technique is when used increases the operative time, postoperative discomfort and is sometimes associated with postoperative complications like infection/abscess formation and pyogenic granuloma. Use of fibrin glue has gained the popularity to circumvent the use of sutures and its associated complications. Apart from increasing the cost of surgery there is a potential risk of anaphylaxis and prion disease transmission with use of fibrin glue. In this study we have used autologus blood for achieving the adherence of the conjunctival auto-graft and compared the technique with that of conventional sutured auto-graft for primary pterygium surgery.
Authors and Affiliations
Hemalatha BC, Pradeep Pradeep, SB Shetty, Malavika K
Keywords
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