To study the management of primary pterygium by surgical excision with conjunctival autograft with limbal stem cells in a tertiary care hospital in hilly area of North India
Journal Title: Indian Journal of Clinical and Experimental Ophthalmology - Year 2018, Vol 4, Issue 1
Abstract
Aim The aim is to study the management of primary pterygium by surgical excision with sutureless conjunctival autograft with limbal stem cellsMaterials and Methods Patients with advanced pterygium were recruited from eye outpatient department OPD of rural tertiary care hospital of central India from January 2016 to October 2016 Informed written consent was taken before enrollment The total 54 eyes of 42 patients were operated for pterygium with conjunctival autograft with limbal stem cells Graft margins were buried around 025mm below the host conjunctivaResults The mean age of the patients was 4871 plusmn 1287 years The male patient were 30 38 eyes 7143 and females were 12 16 eyes 2857 The most common age group of presentation was 40 to 60 years 28 patients 6667 followed by 61 to 80 years 10 patients 2381 and lastly age less than 40 years 4patients all female 952 At the follow up of 6 months 1 eyes showed recurrence and at 1 year 1 eyes showed recurrence The recurrence was 370 percentage at 1 year of follow up The recurrent pterygium were reoperated with pterygium excision with mitomycin C 002 The patients with recurrence have completed 2 months follow up without any signs of recurrence In 28 patients 5185 showed improvement in visual acuity 2 or more lines on Snellen chartConclusion Management of primary pterygium by surgical excision with sutureless conjunctival autograft with limbal stem cells is a effective surgical technique in preventing recurrence of pterygium and good cosmetic appearance of eyes after pterygium surgeryThe author recommends use of Mitomycin C MMC or 5 Fluorouracil FU only in selected cases pterygium like extensively infiltrating pterygium or recurrent pterygiumKeywords Conjunctival autograft Pterygium surgery Stem cells
Authors and Affiliations
Sushil Ojha, Ashutosh Sayana, Neeraj Saraswat, Vaibhav Kumar Jain
Keywords
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- EP ID EP474212
- DOI 10.18231/2395-1451.2018.0028
- Views 75
- Downloads 0
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