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ORIGINAL ARTICLE
Year : 2017  |  Volume : 55  |  Issue : 2  |  Page : 104-106

No suture no glue conjunctival autografting with pterygium surgery: A retrospective study of 35 cases


1 Department of Ophthalmology, Aarthy Eye Hospital, Karur, Tamil Nadu, India
2 Department of Ophthalmology, R. K. Eye Care Centre, Rasipuram, Tamil Nadu, India

Correspondence Address:
Dr. R Vasumathi
R. K. Eye Care Centre, Rasipuram, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/tjosr.tjosr_9_17

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Background: Conjunctival autografting in pterygium surgery without the use of sutures and fibrin glue is being practiced by some surgeons recently. The present study was undertaken to evaluate the outcome of the procedure. Methods: This retrospective study was conducted by reviewing the records of thirty-five consecutive cases of pterygium surgery with sutureless and glue-free conjunctival autografting done by a single surgeon from February 1, 2017, to April 30, 2017. One patient had nasal and temporal pterygium, and all other patients had primary nasal pterygium. Under peribulbar block, pterygium was excised and autologous conjunctival grafting was performed without sutures or fibrin glue. Grafts were taken from superior bulbar conjunctiva. Postoperative follow-up was done on the 1st and 7th postoperative day and then after 1 month and 2 months. Results: Patients who had graft recession, graft edema, subconjunctival hemorrhage, and dellen during immediate postoperative period eventually settled down, and the cosmetic outcome was good in all patients. Except one, in all other cases, grafts were in situ. None of them had recurrence till the last follow-up. Conclusion: Sutureless glue-free conjunctival autografting in pterygium surgery takes short surgical time, is economic, and has good cosmetic outcome.


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