English

Abstract

INTRODUCTION: Pterygium represents fibroblastic degeneration of the conjunctiva with encroachment over the cornea; common causative factors are hot, dry climate, UV radiation, limbal stem cell damage etc. AIM: Alternative surgical approach for Auto-conjunctival Graft fixation. Current management is excision with conjunctival autograft placement. It was first done by Kenyon et.al. In 1985.Several new techniques have been described over the past few years main concern was higher recurrences and for this new technique is needed. METHOD: A prospective study done in 25 eyes of 22 patients in a tertiary eye care centre at Bhopal between December 2011 to April 2013. All surgery performed under peribulbar block anesthesia. Technique was based on use of wet field bipolar diathermy to achieve heating to the target tissue & subsequent coagulation of proteins and tissue adhesion with Hemostasis. Additional use of oozing blood in between bare sclera & graft. RESULT: This study enrolled 25eyes of 22 patients, 18male and 4 females. Average Time taken for surgery was 22.5 min. We found button holing in 2 patients, graft displacement in 2 patients, in 7 patients, we found tissue retraction post-operatively, astigmatism developed in 3 patients within 3rd to 4th postoperative period with cyl. Power 25 - 0.5 D at 90*which was completely resolved before final follow up. In our study no graft loss seen in any patients and no recurrence found in any patient. CONCLUSION: protein coagulation as tissue adhesive and blood fibrin could be a better option with advantage of less surgical time, faster recovery, good cosmesis and lesser recurrence rate.