Mandeep Singh Rai1, Neenu Kalra2, Anand Aggarwal1*, Rajinder Khalsa1, Divjot Kaur1, Indu Khosa1, Ravneet Kaur1 and Surmila Meena1
1Department of Ophthalmology, Government Medical College Patiala, Punjab, India
2Director, Kalra Eye and Maternity Hospital, Yamunanagar, Haryana, India
*Corresponding Author: Anand Aggarwal, Cornea, Glaucoma and Refractive Surgery Services, Department of Ophthalmology, Government Medical College Patiala, Punjab, India.
Received: February 25, 2022; Published: March 10, 2022
Purpose: To compare and evaluate efficacy of two surgical techniques for management of primary pterygium in terms of post-operative signs, symptoms and complications.
Design: This was a comparative, prospective, randomized, open labelled parallel study.
Setting: Department of Ophthalmology, Government Medical College, Patiala, Punjab.
Methods: The study included 60 patients with primary pterygium. The mean age was 42 ± 10 years (range 22-62 years). Simple excision under local anaesthesia was performed followed by closure of the bare sclera by suture less and glue free conjunctival autograft in 30 patients (Group I), versus conventional method of a sutured conjunctival autograft in 30 patients (Group II).
Results: At Visit 1, 6 patients (20%) of Group I had Graft edema in comparison to 5 patients (16.67%) in Group II. Subcutaneous haemorrhage was noted in 6 (20%) patients in both the groups. Graft retraction was noticed in 4 patients (13.33%) in Group I and in 2 patients (6.66%) in Group II. Graft dislodgement was observed in 1 patient (3.33%) in Group I.
One (3.33%) case of recurrence was reported at 6 months in Group I whereas 2 (6.67%) cases were reported in Group II. One case of Granuloma was reported in Group II.
There were significantly lower post-operative signs and symptoms in group I as compared to group II in the first post-operative week and the difference between the two groups was statistically significant (p value < 0.05) at visit 1 and visit 2. The satisfaction survey revealed higher overall satisfaction score for group I as compared to group II.
Conclusion: Sutureless technique may be considered as a viable alternative to sutured technique in terms of surgical outcomes. It scores better in terms of post-operative symptoms when compared to sutures.
Keywords: Pterygium Surgery; Sutureless Glue Free Conjunctival Autograft; Conjunctival Autograft
Citation: Anand Aggarwal., et al. “A Comparative Study between Sutureless, Glue-less Conjunctival Autograft vs Sutured Limbal Conjunctival Autograft for Primary Pterygium".Acta Scientific Ophthalmology 5.4 (2022): 19-27.
Copyright: © 2022 Anand Aggarwal., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.