Aman Khanna

Purpose: To study the efficacy and compare the outcome of various techniques used for surgical management of pterygium with conjunctival autograft.

Methods: Retrospective, comparative study of 300 patients undergoing primary pterygium excision with conjunctival autograft using 3 techniques. Patients randomly divided into 3 groups of 100 patients each. Patients were evaluated on 1 , 7 and 30 day for inflammation, oedema and graft stability, whereas, evaluation was made at 3 ,6 and 9 month for recurrence. Group A where 8-0 vicryl suture, Group B fibrin glue and Group C no suture no glue technique was used.

Result: In Group A 84 out of 100 patients had inflammation, 16 had oedema and graft was stable in all cases on post-op day 1. In Group B, 2 out of 100 had inflammation, 1 had oedema on post- op day 1. In Group C 1 out of 100 had inflammation and none had oedema on day 1. Evaluation made for same on day 7 and 30. At 6 months 14 patients in group A showed recurrence, whereas, 6 in group B and 4 in group C, similar results observed at 9 month.

Conclusion: Study revealed significant reduction in Inflammation and oedema in group B and C, as compared to group A and similar results when compared on day 7 and 30. Recurrence also was higher in Group A at 6 and 9 month.