Conventional and Autograft Surgery for Pterygium: A Prospective Comparative Study
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 2
Abstract
Background: Pterygium is a wing shaped, thick, fleshy, vascular fold of conjunctival tissue. Various techniques like irradiation, conjunctival autografting, conventional bare sclera technique, amniotic membrane transplantation, glue and suture application methods are used for the treatment according to the grade of pterygium. Method: A prospective study was piloted in the Department of Ophthalmology, Teerthanker Mahaveer Medical College and Research Centre, Moradabad. In this study, 100 subjects who reported with the complaint of pterygium were included. The study compares the conventional bare sclera method with the current popular modality of treatment, the autologous conjunctival grafting method, keeping in mind the cost effectiveness as well as outcomes of the surgery with regards to recurrences, complications and patient satisfaction. The result was tabulated and the student’s ‘t’ test and chi square test were applied for quantitative and qualitative data respectively. The p value <0.05 was considered as significant. Results: The pterygium mainly occurs in the age group of 40-50 years affecting both the genders equally. The incidence of nasal type of pterygium is high. The visual acuity remained same in 10% of patients undergoing conventional method and 25% of patients after autograft technique which was statistically significant. The recurrence of the disease occurred in 17% of patients after conventional surgery compared to 2% after autograft. The rate of complication in conventional and autograft surgeries was 8 and 3% respectively. Conclusion: Conjunctival autografting is the gold standard method for the treatment of pterygium.
Authors and Affiliations
Farhat Abrar
Keywords
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- EP ID EP544798
- DOI 10.21276/ijmrp.2017.3.2.062
- Views 64
- Downloads 0
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