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Visual outcome and efficacy of conjunctival autograft, harvested from the body of pterygium in pterygium excision

Authors Bhandari V, Roa CL, Ganesh S, Brar S

Received 2 August 2015

Accepted for publication 26 September 2015

Published 3 December 2015 Volume 2015:9 Pages 2285—2290

DOI https://doi.org/10.2147/OPTH.S93580

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Pelin Ozyol

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser


Vipul Bhandari, Chandan Latha Rao, Sri Ganesh, Sheetal Brar

Department of Cornea, Nethradhama Superspeciality Eye Hospital, Bangalore, India

Purpose: To evaluate the efficacy of conjunctival autograft after the pterygium excision with fibrin adhesive using conjunctiva over the pterygium.
Patients and methods: This prospective study included 25 eyes of 25 patients with a mean age of 40±10 years, who underwent the pterygium excision with conjunctival autograft derived from the body of the pterygium and attached using fibrin glue. The mean follow-up period was 6 months. On all postoperative visits, changes in uncorrected visual acuity, corrected distance visual acuity, astigmatism, complications, and the evidence of recurrence were recorded.
Results: At the end of mean follow-up, uncorrected visual acuity and corrected distance visual acuity improved by one or two lines in all eyes treated. Mean astigmatism reduced significantly from a preoperative value from 2.308D to 1.248D postoperatively (P<0.026). Minor postoperative complications such as congestion, chemosis, and subconjunctival hemorrhage were seen, which resolved with time. No major sight-threatening or graft-related complications were detected. There was no evidence of recurrence during a follow-up period of 6 months.
Conclusion: Self-conjunctival autograft following the pterygium excision appears to be a feasible, safe, and effective alternative method for management of pterygium. It also preserves the superior conjunctiva for future surgeries. However, longer follow-up is required to study the long-term outcomes, especially the incidence of recurrence.

Keywords:
Pterygium, self-conjunctival graft, body, autograft

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