Aman Khanna
Khanna Eye Centre
India
Title: Pterygium excision with conjunctival autograft using various techniques
Biography
Biography: Aman Khanna
Abstract
Purpose: To study the efficacy and compare the outcome of various techniques used for surgical management of pterygium with conjunctival autograft.
Methods: Retrospective, comparative study of 300 patients undergoing primary pterygium excision with conjunctival autograft using 3 techniques. Patients randomly divided into 3 groups of 100 patients each. Patients were evaluated on 1, 7 and 30 day for inflammation, edema and graft stability, whereas, evaluation was made at 3, 6 and 9 month for recurrence. In group A 8-0 vicryl suture, group B fibrin glue and group C no suture no glue technique was used.
Result: In Group A, 84 out of 100 patients had inflammation, 16 had edema and graft was stable in all cases on post-op day 1. In Group B, 2 out of 100 had inflammation, 1 had edema on post- op day 1. In Group C, 1 out of 100 had inflammation and none had edema on day one. Evaluation made for same on day 7 and 30. At 6 months, 14 patients in group A showed recurrence, whereas, 6 in group B and 4 in group C, similar results observed at 9 month.
Conclusion: Study revealed significant reduction in inflammation and edema in group B and C, as compared to group A and similar results when compared on day 7 and 30. Recurrence also was higher in Group A at 6 and 9 month.
