Conjunctival limbal autograft of Two millimeter strip of two clock hours after Pterygium excision – No glue No suture technique

Madhura KS; Dharani Padam; Pallavi Elizabeth; K Dayasagar Reddy; Mohammed Ather

Volume : X, Issue : II, February - 2020

Conjunctival limbal autograft of Two millimeter strip of two clock hours after Pterygium excision – No glue No suture technique

Madhura Ks, Dharani Padam, Pallavi Elizabeth, K Dayasagar Reddy, Mohammed Ather

Abstract :

Aim: To study surgical outcome of Pterygium excision followed by 2 clock hours of 2mm narrow strip of Conjunctival Limbal auto graft with no suture and no glue technique. Materials and Methods: This is a prospective interventional study conducted at the department of Ophthalmology of Bhaskar general hospital during September 2017 to May 2018. 36 patients above 20 years of age of both sex with Primary pterygium were included in the study. Patients with recurrent Pterygium, Double headed Pterygium and Pterygium associated with other Conjunctival disease were excluded from the study. All cases were examined by an experienced Ophthalmologist using Slit lamp. Surgical profile was done. Pterygium was excised under topical anaesthesia using 0.5% of Proparacaine and Injection of 2% Lidocaine intra–Pterygially. Crescent blade and Westcott’s scissors was used to excise Pterygium. Then 2mm strip of 2 clock hours of CLAG harvested from supero temporal area was placed at the limbus of bare area after pterygium excision. Leaving water shed zone from graft to Caruncle. Pad and bandage was given and case followed after Ist, 3rd, 7th post operative day. Then they were followed every month till 6th month. Result: 36 patients of which 18 were males and 18 were females. 3 patients had graft edema, 2 patients had sub graft hemorrhage, and 2 had recurrence. There is no graft loss in our series. Conclusion: Pterygium excision with 2 clock hours of 2mm thick strip of CLAG with no suture and no glue is good technique with recurrence rate which matches with old technique of covering whole bare area with Conjunctival graft using suture or glue