Sohaib Afzal* and Aneeta Amber

Department of Ophthalmology, AR Medicare, Pakistan

*Corresponding Author: Sohaib Afzal, Department of Ophthalmology, AR Medicare, Pakistan.

Received: June 07, 2023; Published: July 04, 2023

Abstract

Background: Pterygium is a fibrovascular conjunctival growth extending onto the corneal surface within the palpebral fissure. Recurrence is a common post-op complication of pterygium excision surgery, with various rates depending on the techniques used for its excision.

Objective: Comparison of conjunctival autograft versus bare sclera technique as treatment modalities for primary pterygium.

Material and Methods: This research was carried out at a tertiary-care hospital in Bahawalpur. In a prospective randomized controlled trial, a sample size of 102 eyes with primary pterygium was allocated into two equally sized groups (51 patients in each): Group A underwent pterygium excision by bare sclera method, Group B underwent pterygium excision followed by conjunctival autograft. Both groups were analyzed and compared for recurrence and complications with a mean follow-up time of 3 months.

Result: Pterygium recurrence was detected in 16 (31.37%) patients using the bare sclera technique (group A) and in 4 (7.84%) patients using the conjunctival autograft technique (group B), which reveals a statistically significant difference (p = 0.003).

Conclusion: Both surgical techniques are effective for pterygium excision; however, a statistically significant difference (p = 0.003) in pterygium recurrence between both techniques. Pterygium excision with conjunctival autograft should opt for better results in terms of recurrence as well as other complications. The bare sclera technique can be opted for preserving conjunctiva in case of glaucoma or scaring but at the expense of pterygium recurrences.

 Keywords: Pterygium; Conjunctival Autograft Technique; Bare Sclera; Recurrence

References

1. Aslan L., et al. “Comparison of wide conjunctival flap and conjunctival autografting techniques in pterygium surgery”. Journal of Ophthalmology (2013).
2. di Girolamo N., et al. “Pathogenesis of pterygia: Role of cytokines, growth factors, and matrix metalloproteinases”. Progress in Retinal and Eye Research 23 (2004): 195-228.
3. Narsani AK and Gul S. “Treatment of primary pterygium with conjunctival autograft and Mitomycin C. A comparative study”. Article in Journal of the Liaquat University of Medical and Health Sciences (2008).
4. Paracha Q., et al. “Recurrence rate with use of intraoperative mitomycin-C versus conjunctival autograft following pterygium excision”. Pakistan Journal of Medical Sciences6 (2014).
5. Young AL., et al. “Ten-year results of a randomized controlled trial comparing 0.02% mitomycin c and limbal conjunctival autograft in pterygium surgery”. Ophthalmology 12 (2013): 2390-2395.
6. Altan-Yaycioglu R., et al. “Astigmatic changes following pterygium removal: Comparison of 5 different methods”. Indian Journal of Ophthalmology3 (2013): 104-108.
7. Chen PP., et al. “Randomized trial comparing mitomycin C and conjunctival autograft after excision of primary pterygium”. American Journal of Ophthalmology 1995;120 (2): 151-160.
8. Al Fayez MF. “Limbal versus Conjunctival Autograft Transplantation for Advanced and Recurrent Pterygium”. Ophthalmology 109 (2002).
9. Chan TCY., et al. “Twelve-year outcomes of pterygium excision with conjunctival autograft versus intraoperative mitomycin C in double-head pterygium surgery”. Journal of Ophthalmology (2015).
10. Khan N., et al. “To Compare the Recurrence Rate of Pterygium Excision with Bare-sclera, Free Conjunctival Auto Graft and Amniotic Membrane Grafts”. Pakistan Journal of Ophthalmology6 (2010).
11. Mallikarjun Salagar K and Gurlingappa Biradar K. “Conjunctival autograft in primary and recurrent pterygium: A study”. Journal of Clinical and Diagnostic Research 12 (2013): 2825-2827.
12. Jha KN. “Conjunctival-limbal autograft for primary and recurrent pterygium”. Medical Journal Armed Forces India4 (2008): 337-339.
13. Kenyon KR., et al. “Conjunctival Autograft Transplantation for Advanced and Recurrent Pterygium”. Ophthalmology11 (1985): 1461-1470.

Citation

Citation: Sohaib Afzal and Aneeta Amber. “Comparison of Conjunctival Autograft Versus Bare Sclera Technique as Treatment Modalities for Primary Pterygium".Acta Scientific Ophthalmology 6.8 (2023): 05-08.

Copyright

Copyright: © 2023 Sohaib Afzal and Aneeta Amber. 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.