Pterygium Excision with Sutureless, Glueless Conjunctival Autograft (SLGL-CAG): Experience of a Tertiary Care Hospital
Journal Title: Ophthalmology and Allied Sciences - Year 2018, Vol 4, Issue 3
Abstract
Aim: To evaluate and analyze the surgical outcome of sutureless, glueless conjunctival autograft (SLGL-CAG) after pterygium excision. Prospective, interventional, hospital-based study. Methods: seventy eyes of seventy patients with primary pterygium were graded, and excision was performed by the single surgeon. To prevent recurrence, free CAG was taken from superotemporal or superior quadrant from the same eye and bare sclera was covered without the use of sutures or fibrin glue, allowing natural autologous coagulum of the recipient bed to act as a bioadhesive. The eye was patched for 24 h. postoperatively; patients were put on topical eye drops (gatifloxacin 0.3%, loteprednol etabonate 0.5%, and carboxymethyl cellulose 1%) for 4 weeks. The outcomes were assessed in terms of any recurrence, complication(s), and operative time at each follow-up visit on day 1, 7, 30, and 60. Results: There were 52 females (74.2%) and 18 males (25.7%) with mean age (38.83±9.2 years and 38.88±6.5 years, respectively, range 20–60 years. Cosmetic blemish was the chief indication of surgery (51 eyes, 72.8%). Graft-related complication took place in four eye (5.71%; graft dehiscence). Resurgery was required in the latter (5.71%). Granuloma was noted in 2 patients (2.85%). An average surgical time was 20±2 min. Conclusion: The recurrence, complication rate, and the operative time of SLGL-CAG seem to be comparable with the current techniques in practice, without adding possible potential hazard of the surgical adjunct.
Authors and Affiliations
Moizuddin M. D
Keywords
Related Articles
- EP ID EP550979
- DOI 10.21088/oas.2454.7816.4318.3
- Views 80
- Downloads 0
Incidence and Outcome of Bilateral Rhegmatogenous Retinal Detachment in a Tertiary Eye Hospital in South India: A Retrospective Study
Background: Advanced stages of retinal detachment may cause blindness, hence a need for early diagnosis and treatment is recommended. Aim of Study: To find out the incidence, risk factors and outcome of patients with bi...
Prevalence of Cataract Type in Relation to Axial Length in Subjects with Myopia in Southern Part of Rajasthan
Background: Cataract is a leading disease with increasing age of visual impairment in and around the Southern part of Rajasthan. Hence, this study was carried out for understanding the type as well as densities of catara...
Prevalence of Glaucoma Capsulare and Cataract in Patients withOcular Pseudo Exfoliative Syndrome
Introduction: Pseudoexfoliation is a complex ocular disorder having increased production and accumulation of fibrillar material in the anterior segment of eye. It is more commonly seen with increasing age. Lindberg was t...
Assessing and Creating Awareness of Primary Glaucomas in Central India
Objective: The study was aimed at assessing & creating awareness of those attending eye department of our tertiary care hospital to save the precious sight and take a step forward in preventing this avoidable blindness....
Evaluation of Ocular Manifestations in HIV/AIDS Patients on HAART in a Tertiary Care Hospital in Southern India : A Cross Sectional Study
Human immunodeficiency virus (HIV)/Acquired immune deficiency syndrome (AIDS) is one of the most feared infectious diseases of the late 20th century with Indian estimates of 21.17 lakhs patients living with HIV contribut...