Comparison of sutureless glue free conjunctival autograft with sutured and glued grafts in Primary pterygium surgery

Dr Prajakta Dandekar; Dr Sagarika Patyal; Dr Priya Taank; Dr Shalendra Singh

Volume : VIII, Issue : V, May - 2019

Comparison of sutureless glue free conjunctival autograft with sutured and glued grafts in Primary pterygium surgery

Dr Prajakta Dandekar, Dr Sagarika Patyal, Dr Priya Taank, Dr Shalendra Singh

Abstract :

BACKGROUND: Various techniques have been tried in past to improve outcome in pterygium surgery with diverse results. In this study we compared the outcome between sutureless glue free conjunctival autograft with sutured and glued grafts in Primary pterygium surgery. METHODS: Patients in group �A� (n=30) received suture, patients in group �B� (n=30) received fiin glue and patient in Group �C� (n=30) received suture less glueless material. Postoperative follow up was done for postoperatively pain, foreign body sensation, and change in vision, graft position and recurrence of pterygium. RESULTS: Post operatively, majority of Group C patient has no change in vision however decline in 53.3% of group A patient (p< 0.001). Group A patients had severe pain while Group B and C experienced only mild pain (p< 0.001). All patients in group B and C had mild watering of eye and 96.6% of group A patient had severe watering of eyes on 1st day Post operatively(p<0.001). On 1st post op day maximum patients in Group A and B experienced severe and moderate foreign body sensation respectively (p< 0.001). Graft was well apposed in all patients in Group A. 01 and 03 patients in group B and C experienced retracted graft respectively (p< 0.16). No patient had recurrence reported at 6 month. CONCLUSION: Sutureless glueless surgery is an easy, effective method with shortest operating time and minimal discomfort to the patient in primary pterygium surgery. The complications encountered were of trivial nature and the recurrence rate was very low.