The autologous blood become gold standard procedure in pterygium surgery: An observational study
Journal Title: Indian Journal of Clinical and Experimental Ophthalmology - Year 2018, Vol 4, Issue 1
Abstract
Introduction Degenerative pterygium causes visual impairment due to astigmatism and blockade of visual axis As pterygium cannot be treated medically surgical excision of pterygium is the only way Simple excision can be done but it is associated highest recurrence rate Hence the standard method of preventing the recurrence after pterygium excision is Limbal conjunctival Auto Graft LCAG Adherence of the Auto graft to the excisional site is done by overlaying the auto graft upon the sclera either with sutures or glue routinely However to address suture and fibrin related complications the concept of Autologous Blood came up The current study taken up to find out whether autologous blood has become standard technique in treatment of degenerative pterygiumAim To assess the efficacy of Autologous blood in the adherence of the LCAGPurpose To know whether leaving the Autologous blood on the scleral bed can be made as a standard procedure in Pterygium surgeryMaterials and Methods 30 patients with the degenerative pterygium grown beyond the limbus were taken for the study Patients with bleeding disorders recurrent pterygium ocular surface disorders minimal pterygia and pregnancy were excluded Pterygium was excised leaving the patientrsquos own blood on the excised area with minimal cautery and LCAG is placed on the bare sclera and then pad bandage applied Post operatively eyes were examined whether LCAG is well adhered or not All the patients were followed for minimum of 6 weeksResults All eyes 100 showed excellent adherence throughout the post operative period None of the eyes lost the graftConclusion The autologous blood excellent replacement for sutures and donor fibrin Autologous blood is simple adjuvant of choice and has become gold standard in Pterygium surgeryKeywords Autologous blood Adherence Fibrim Graft Pterygium
Authors and Affiliations
Talluri Jeeva Ratnam, Vijetha P
Keywords
Related Articles
- EP ID EP474214
- DOI 10.18231/2395-1451.2018.0029
- Views 84
- Downloads 0
Comparison of post operative astigmatism from superiotemporal vs temporal incision in small incision cataract surgery
Introduction: Cataract surgery has become one of the most common and successful procedures in ophthalmology. In addition to improving visual acuity (VA), one of the goals of modern cataract surgery is to reduce pre-exist...
Evaluation of efficacy of amniotic membrane in preventing failures in external dacryocystorhinostomy
Aim: To Evaluate the efficacy of Amniotic Membrane in preventing failures in external Dacryocystorhinostomy. Methods: It was a prospective randomized comparative study of external DCR and external DCR with AM. It was con...
Serum C – reactive protein level and other risk factors in age related macular degeneration patients
Introduction: Recent evidence suggests that inflammation and abnormalities of innate immunity play a role in the pathogenesis of age-related macular degeneration. In light of the evidence linking inflammation and AMD, it...
Effect of Type II Diabetes mellitus on Intra ocular pressure in Central India
Aim: Intraocular pressure distribution and its association with Type 2 Diabetes Mellitus. Material and Methods: A comparative cross-sectional study was done in a tertiary care hospital. Patients of 20-80 years of age whe...
Comparative analysis of 0.4% vs 0.5% ketorolac tromethamine ophthalmic solution in post operative small incision cataract surgery patients
Purpose: The study was to compare the effectiveness and patient tolerability of two strengths of ketorolac tromethamine ophthalmic solution i.e. 0.4% vs 0.5% in post-operative small incision cataract surgery patients. Th...