SUTURELESS AND GLUE FREE CONJUNCTIVAL AUTOGRAFT (CAG) IN PTERYGIUM SURGERY WITH AUTOLOGOUS BLOOD SERUM VS BARE SCLERA TECHNIQUE.

Abstract

Introduction: Pterygium is a common ocular surface disorder. The pathognomonic feature is elastotic degeneration of conjunctival stroma, and, an excessive bro-proliferative reaction. Aim: To compare and analyze the surgical outcome of pterygium excision followed by sutureless glue-free CAG with autologous blood serum vs bare sclera technique. Study Design: Prospective, Randomized control study. Materials & Methods: 32 eyes of 32 patients with primary Pterygium were selected. Ptrygium excision with Conjunctival autograft and in other group bare sclera was done and results were compared. Post-operative course were followed for 12 months after surgery. Inclusion Criteria:We included patients of all ages and gender with primary pterygium of different grades viz. grade 1, grade 2 and grade 3.We did not included temporal pterygium in our research study, as it is rare to occur. Exclusion Criteria: Glaucoma, recurrent pterygium, retinal pathology requiring surgical intervention, patients with history of previous ocular surgery or history of scleritis, Pseudo-pterygium, HIV/hepatitis B. Discussion: The standard treatment for pterygium is; excision followed by CAG. Results: Pterygium excision followed by CAG with autologous blood serum is better and recurrence rate is nil to minimal than with bare sclera technique. Conclusion: Sutureless, glue-free pterygium excision with CAG is effective, safe and cosmetically better option for management of primary pterygium also, it showed lesser recurrence rate.