1Associate Professor, Dept. of Ophthalmology, Saraswathi Institute of Medical Sciences, Hapur, Uttar Pradesh
2Associate Professor, Dept of Pharmacology, Saraswathi Institute of Medical Sciences, Hapur, Uttar Pradesh
Online published on 16 January, 2016.
The aim of this study is to analyze the results and complications of suture less and glue free conjunctival auto graft fixation using oozing blood as tissue adhesive in pteygium surgery.
72 consecutive eyes of 70 patients with primary pterygium were enrolled for this study. Pterygium cases were operated under Peribulbar anesthesia with sutureless conjunctival autograft and oozing blood clotted over the bare area was used for graft fixation. Eye patch was removed on next day. Follow up was done on day 1, day3, day 7, 3weeks, 3months, 6months and 1year. All patients were examined for sub-conjunctival haemorrhage, graft oedema, graft retraction, graft loss, recurrence rate and any other complications.
The mean age of the patients was 45 years (range 32–58 yrs). About 60% of which were males. Medial edge graft retraction was seen in 26(36.11%) cases. Total graft edema, sub-conjunctiva graft hemorrhage and recurrence were observed in 12(16.66). 9(12.50) and (1.42%)cases respectively. No graft loss was noted during 1 year follow up period. This graft has all the benefits of synthetic glue with no drawbacks.
Sutureless and glue free conjunctival autograft fixation using oozing blood as tissue adhesive is a safe, effective and economical option for the management of pterygium..
Pterygium, conjunctival autograft, oozing blood, Peribulbar anaesthesia, sub-conjunctival haemorrhage, graft oedema, graft retraction, graft loss
