Comparative study of pterygium excision with suture and sutureless conjunctival autograft

Authors

  • Richa Khandelwal Ophthalmology Department Shri Shankaracharya Institute of Medical Sciences, Bhilai, Chhattisgarh, India https://orcid.org/0009-0000-9284-0389
  • Mary Jenifa Tigga Ophthalmology Department Shri Shankaracharya Institute of Medical Sciences, Bhilai, Chhattisgarh, India
  • Rajashekar Metri Ophthalmology Department Shri Shankaracharya Institute of Medical Sciences, Bhilai, Chhattisgarh, India
  • Anand Deshpande Ophthalmology Department Shri Shankaracharya Institute of Medical Sciences, Bhilai, Chhattisgarh, India
  • Tarun Ophthalmology Department Shri Shankaracharya Institute of Medical Sciences, Bhilai, Chhattisgarh, India

DOI:

https://doi.org/10.15584/ejcem.2024.2.15

Keywords:

astigmatism, autologous blood conjunctival autograft, pterygium

Abstract

Introduction and aim. This is a prospective interventional study to compare corneal astigmatism before and after pterygium excision with conjunctival autograft, to determine the difference in mean corneal curvatures before and after pterygium excision, to evaluate the safety and efficacy of autologous blood technique, and sutured conjunctival autograft for primary pterygium.

Material and methods. Patients were divided into group A – pterygium excision+sutured conjunctival limbal autograft and group B – pterygium excision+autologous conjunctival limbal autograft under local anesthesia. The preoperative and post operative K1 and K2 values and BCVA were noted.

Results. There was statistically significant reduction in mean astigmatism at each post operative follow up in group A at 1 week (p=0.0249), 2 weeks (p=0.004), 1 month (p=0.0031) and at 3 months (p=0.0009) and similarly in group B post operative follow up at 1 week (p=0.0011), 2 weeks (p=0.0021), 1 month (p=0.0009) and at 3 months (p=0.0003).

Conclusion. Pterygium surgery decreases the cylindrical error and reverts corneal curvatures to normal, thus improving subjective visual acuity. Astigmatism produced by the pterygium is reduced after surgery We found autologous conjunctival autograft is superior than sutural conjunctival autograft. Pterygium causes astigmatism depending upon the size of pterygium it should be surgically removed to prevent obstruction in the vision.

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Published

2024-06-30

How to Cite

Khandelwal, R., Tigga, M. J., Metri, R., Deshpande, A., & Tarun. (2024). Comparative study of pterygium excision with suture and sutureless conjunctival autograft. European Journal of Clinical and Experimental Medicine, 22(2), 334–339. https://doi.org/10.15584/ejcem.2024.2.15

Issue

Vol. 22 No. 2 (2024)

Section

ORIGINAL PAPERS

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