scholarly journals Comparison of Wide Conjunctival Flap and Conjunctival Autografting Techniques in Pterygium Surgery

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Lokman Aslan ◽  
Murat Aslankurt ◽  
Adnan Aksoy ◽  
Murat Özdemir ◽  
Erdem Yüksel
Keyword(s):  
Inflammatory Cell ◽  
Surgical Excision ◽  
Treatment Method ◽  
Inflammatory Cell Infiltrate ◽  
Conjunctival Flap ◽  
Pterygium Surgery ◽  
Matrix Accumulation ◽  
Time Of Operation ◽  
Conjunctival Autografting ◽  
Primary Pterygium

Pterygium is an abnormal fibrovascular tissue extending on the cornea which is a degenerative and hyperplastic disorder. A stromal overgrowth of fibroblast and blood vessels is accompanied by an inflammatory cell infiltrate and abnormal extracellular matrix accumulation. The surgical excision is the main treatment method of pterygium, but recurrence is the most common postoperative complication. In the present study, we aimed to compare the wide conjunctival flap and the conjunctival autografting techniques in pterygium surgery according to time of operation, safety, and effectiveness. Results showed that the effect of wide conjunctival flap techniques on primary pterygium surgery was found close to the conjunctival autograft techniques. In addition, the flap technique has a shorter surgical time, the surgery does not require extreme experience, feeding of the flap is provided with own vessels since the vascular structure is protected on the upper temporal conjunctival area, reverse placement of the flap is not seen, it needs fewer sutures, so that suture disturbances may reduce, and it is less traumatic than autograft technique during conjunctival transport. Therefore, this technique may be preferred in suitable cases.

scholarly journals Steroid induced ocular hypertension following pterygium surgery

1970 ◽  
Vol 10 (1) ◽  
pp. 57-58
Author(s):  
BK Khatri ◽  
H Ton
Keyword(s):  
Ocular Hypertension ◽  
Topical Steroid ◽  
Surgical Excision ◽  
Eye Drops ◽  
Glaucoma Medication ◽  
Intra Ocular Pressure ◽  
Ocular Pressure ◽  
Pterygium Surgery ◽  
Ocular Morbidity ◽  
Primary Pterygium

Background: Steroid induced glaucoma is an important cause of ocular morbidity and blindness. Objective: To determine the incidence of steroid induced ocular hypertension following pterygium surgery. Methods: A total of 202 eyes of 202 patients with primary pterygium which received steroid eye drops after undergoing surgical excision were selected. Pre-operative and post-operative intra-ocular pressure (IOP) were measured and followed up after 2nd and 6th weeks following surgery. Results: Ocular hypertension developed in 47 (23.27 %) eyes. The IOP returned to normal after two weeks following discontinuation of topical steroid drops (dexamethasone) and initiation of anti-glaucoma medication (Timolol drops 0.5% BD). Conclusion: Nearly one fourth of the patients receiving topical steroid following pterygium surgery presented with ocular hypertension. Measurement of IOP as early as 2 weeks of initiation of steroid drops helps identify steroid induced ocular hypertension. DOI: http://dx.doi.org/10.3126/hren.v10i1.6009 HREN 2012; 10(1): 57-58

scholarly journals Comparison of Conjunctival Autograft Technique Using Autologous Blood as Glue Versus Suture Technique in Pterygium Surgery

2020 ◽  
pp. 7-14
Author(s):  
Suchita Singh ◽  
Prabha Sonwani ◽  
M. Shrivastava
Keyword(s):  
Autologous Blood ◽  
Suture Technique ◽  
Interventional Study ◽  
Surgical Time ◽  
Conjunctival Autograft ◽  
Department Of Ophthalmology ◽  
Pterygium Surgery ◽  
Group 5 ◽  
Conjunctival Autografting ◽  
Primary Pterygium

Aim: To compare the post-operative inflammation, surgical time and complications in conjunctival autografting with oozed autologous blood versus sutures in primary pterygium surgery. Study Design: Prospective interventional study. Place and Duration of Study: Department of Ophthalmology, CIMS, Bilaspur (C.G), India. (Jan 2017-May 2018). Methodology: 80 eyes of 80 patients (25 to 75 years) presented with primary pterygium up to grade 3 were included in this prospective interventional study presented in eye OPD, CIMS, Bilaspur (CG). All the procedures and post-operative evaluation was done by the same surgeon. All the patients were divided into two groups on alternate basis. 40 patients received conjunctival autografting with oozed autologous blood (CAGb) and 40 patients received sutures (CAGs). These two groups were then compared for post-operative inflammation, surgical time and complications (day 1, day 5, 2 weeks, 1 month and 3 month). Result: Total 80 patients were evaluated after surgery. Progressive pterygium was observed in more than 50% cases in both groups. Post-operative inflammation and discomfort was significantly lower in CAGb group compared to CAGs group (P<.001). Mean surgical time was also significantly less in CAGb group (11.6±2 min) compared to CAGs group (21.6±3min) (P<.001). In CAGb group 5% patients had graft displacement while none in CAGs group. Granuloma formation was higher in CAGs group (12.5%) compared to CAGb group (7.5%). Subgraft haemorrhage was 10% in CAGb and 17.5% in CAGs group. Dellen formation was seen in 3 patients in CAGb and 4 patients in CAGs. Recurrence rate was higher in suture group (5/40 in CAGs vs 1/40 in CAGb). Conclusion: Our study concludes that placement of conjunctival autograft with oozed autologous blood as adhesive after pterygium excision is an effective, less inflammatory and less time consuming approach, with significantly lower rates of post-operative complications. This can be used as a better alternative to suture technique.

scholarly journals Efficacy of sutureless and glue free limbal conjunctival autograft for primary pterygium surgery

2012 ◽  
Vol 4 (2) ◽  
pp. 230-235 ◽  
Author(s):  
K P S Malik ◽  
R Goel ◽  
A Gupta ◽  
S K Gupta ◽  
S Kamal ◽  
...  
Keyword(s):  
Case Series ◽  
Surgical Excision ◽  
Recurrence Rates ◽  
Conjunctival Autograft ◽  
Uncorrected Visual Acuity ◽  
Pterygium Excision ◽  
One Year ◽  
Limbal Conjunctival Autograft ◽  
Conjunctival Autografting ◽  
Primary Pterygium

Introduction: There are numerous adjunctive measures described to reduce the recurrence rates after pterygium excision. Objective: To study the efficacy and complications of sutureless and glue free limbal conjunctival autograft for the management of primary pterygium over a period of one year. Materials and methods: A prospective interventional case series was carried out in 40 consecutive eyes with primary nasal pterygium requiring surgical excision. Pterygium excision with limbal conjunctival autografting without using glue or sutures was performed in all the patients followed by bandaging for 48 hours. The patients were followed up post operatively on 2nd day, 1 week, 6 weeks, 6 months and 12 months. They were examined for haemorrhage, wound gape, graft shrinkage, chemosis, graft dehiscence, recurrence or any other complication. Results: The mean age of the patients was 42.8 years (range 23-61), 75% of which were males. Total graft dehiscence occurred in 2 eyes (5%), graft retraction in 3 eyes (7.5%) and recurrence was seen in 1 eye (2.5%). At 6 weeks postoperatively, the gain in uncorrected visual acuity ranged from 0.18 to 0.5 log MAR in 7 eyes. No other complication was noted. Conclusions: Sutureless and glue free limbal conjunctival autografting following pterygium excision is a safe, effective and economical option for the management of primary pterygium.DOI: http://dx.doi.org/10.3126/nepjoph.v4i2.6537 Nepal J Ophthalmol 2012; 4 (2): 230-235

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