Aswathy Vijayan*, Vijayalakshmi MS, Leila Mohan and M Nivean

Department of Ophthalmology, MN Eye Hospital, Chennai, India

*Corresponding Author: Aswathy Vijayan, Department of Ophthalmology, MN Eye Hospital, Chennai, India.

Received: April 04, 2022; Published: April 29, 2022

Abstract

Purpose: To compare autologous blood coagulum versus sutures for attaching limbal conjunctival autografts in patients undergoing primary pterygium excision. To compare graft stability, postoperative pain and discomfort, and recurrence rate in the two groups.

Methods: Prospective cohort study of patients undergoing surgery for pterygium from Comtrust Eye Hospital, Calicut, Kerala during for 1 year,6 months, where sutures or autologous blood coagulum was used for graft adhesion.154 patients who underwent pterygium excision with limbal conjunctival autografting were selected into 2 groups.

Group A: Autografts attached by sutures (77 cases).

Group B: Autografts attached by autologous blood coagulum (77 cases).

Results: 1 case (1.3%) showed graft displacement in group A. In group B, 6 cases (7.8%) showed graft displacement and 2 cases (2.6%) showed graft loss. Thus a total of 8 cases (10.6%) showed graft instability. At the end of 6 months post operatively, recurrence was found to be equal 4 cases (5.2%) in both the groups. Post operative pain at the end of 1^st week was found in 21 cases (27.3%) in the group A as compared to 4 cases (5.2%) in the group B. Foreign body sensation was present at the end of 1 week in 29 cases (37.7%) in the group A compared to 2 cases (2.6%) in the group B.

Conclusion: The postoperative discomfort was high in group A but subsided in 4 weeks. Graft stability is higher in the suture group. Both groups had equal number of recurrences.

Keywords: Conjunctiva; Autograft; Autologous Blood Coagulum; Suture; Pterygium

References

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Citation

Citation: Aswathy Vijayan., et al. “A Comparative Study of Conjunctival Autografting after Pterygium Excision with Autologous Blood Coagulum and Sutures".Acta Scientific Ophthalmology 5.5 (2022): 59-64.

Copyright

Copyright: © 2022 Aswathy Vijayan., 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.