ROLE OF SERUM ASSISTED CONJUNCTIVAL AUTOGRAFT IN THE MANAGEMENT OF PRIMARY PTERYGIUM
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 43
Abstract
BACKGROUND Objective- To evaluate the outcome of serum assisted conjunctival autograft in patients with primary pterygium. MATERIALS AND METHODS An uncontrolled clinical trial was done over a period of 18 months, where 86 cases of primary pterygium of different age group had undergone excision of the pterygium followed by conjunctival autografting without suturing and without application of glue. Patient’s owned serum was utilised as the bioadhesive material for stability of the graft. All the cases were followed up for 6 months. The recurrence rates, graft stability, improvement of visual acuity and presence or absence of untoward symptoms that are common in suturing or glue application were observed. RESULTS Successful outcome with stable graft observed in 89.5% of the cases and the recurrence, which is the most common long-term complication of the pterygium surgery was noticed only in 2.3% of cases after 6 months followup period. Visual acuity improvement was observed in 15% of cases and the untoward symptoms like foreign body sensation, watering and pain were completely absent in this technique. CONCLUSION Serum assisted conjunctival autografting is a safe and effective method of treatment for primary pterygium with a high success rate. The recurrence rate is minimum and the visual acuity improvement occurs in a quite significant number of cases. Suture related complications and the glue associated risks can be avoided by this technique. As this method is cost effective with an easy learning curve, this can be considered as valid alternative to other methods.
Authors and Affiliations
Mishra S, Mayuri B, Debabrata Panigrahi
Keywords
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- EP ID EP214515
- DOI 10.14260/Jemds/2017/730
- Views 65
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