Study of post operative surgical outcome of conjunctival limbal autograft transplantation technique by no suture no glue fixation following pterygium excision.

Dr. Surekha Bangal; Dr. Akshay Bhandari; Dr. Ruchita Bhatt; Sanket Kharde

Volume : IX, Issue : VIII, August - 2020

Study of post operative surgical outcome of conjunctival limbal autograft transplantation technique by no suture no glue fixation following pterygium excision.

Dr. Surekha Bangal, Dr. Akshay Bhandari, Dr. Ruchita Bhatt, Sanket Kharde

Abstract :

Aim: The present study was undertaken to study post operative surgical outcome of Conjunctival Limbal Autograft Transplant ( CLAT) by no suture no glue technique. The natural activation of clotting factors allow formation of fiin which acts as natural glue in adhering the graft to dry surface of bare sclera. MATERIAL AND METHODS: In this retrospective study, 80 patients were enrolled. Patients were examined for changes in autograft as regards to post operative surgical outcome such as graft position, edema, graft hemorrhage, infection and retraction of graft . RESULTS : Mean age of the patients was 48.4 years and 55% were male. Out of 80 patients operated 62(77.5%) were found to have uneventful postoperative outcome. Sixteen (20%) patients were found to have graft edema which manifested on 2nd to 4thpost operative day, which resolved by post- operative day 7 with use of topical steroids. Ten (12.5%) patients were found to have graft retraction. Graft haemorrhage was seen in Two (2.5%) patient, which resolved in 2 weeks. Graft loss with recurrence was seen in only one patient(1.25%) . CONCLUSION: Surgical outcome in the form of graft behaviour by no suture, no glue technique is excellent with low recurrence rate.