Chirurgie du ptérygion avec greffe de conjonctive fixée par du sang autologue

Abstract

Pterygium surgery is marked by the possibility of recurrences; one of the techniques which results in the least recurrences is conjunctival autograft. Fixation of the conjunctiva had traditionally been accomplished with sutures. In recent years, conjunctival grafting has also been performed with fibrin glue. Even more recently, with a view towards improving the quality of postoperative results, some surgeons recommend the use of autologous blood. This study aims to evaluate the stability of this latest method of graft fixation, while assessing its postoperative results. After diagnosis of pterygium, the patients underwent pterygium surgery with a conjunctival graft fixated with autologous blood. They were then monitored for one year, at 24h postoperatively, then seven days, 15days, one month 3months, and every 3months thereafter. In totl, 84.21% of the patients demonstrated stable postoperative fixation; 5.26% of patients experienced significant displacement of the graft. After one year of follow-up, 15.79% of patients experienced recurrent pterygium. Recurrences were more frequent in younger patients and in patients with previous recurrence. Pterygium surgery by conjunctival graft fixated with autologous blood is a safe surgery, with results similar to other pterygium surgery techniques with conjunctival autograft. However, this technique has the advantage less irritation, no risk of transmitting infection and lower cost.