A CLINICAL STUDY OF PRIMARY PTERYGIUM AND ITS MANAGEMENT USING AUTO CONJUNCTIVAL IN SITU GRAFT – A NOVEL TECHNIQUE
Pterygium is a degenerative condition of subconjunctival tissue which proliferates as vascularized granulation tissue to invade cornea destroying superficial layers of stroma and bowman’s membrane, the whole being covered by conjunctival epithelium. This study was conducted to learn clinical aspects primary pterygium and its management using autoconjunctival insitu graft. In this study total 95 eyes of 95 patients were included in the study. A detailed history and clinical examination, slit lamp examination and autoref-keratometry was done. After detailed examination, and taking fitness for surgery, patients were taken for excision of pterygium with auto-conjunctival insitu graft. After surgery, patients were followed up after a period of one week, 1 month and 3 months for post-operative complications and recurrence. The average refractive astigmatism (± SD) preoperatively in 67 cases was 2.94 ± 1.27 at axis 100.89 degree and in rest 28 cases it could not be calculated due to large-sized pterygium and this change was statistically significant. Recurrence rate seen in this study with conjunctival in situ graft was 4.27% which is comparable to standard autoconjunctival graft