Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Comparative Study to Evaluate the Outcome of Sutures Versus Sutureless in Attachment of Conjunctival Autograft for Pterygium Excision


Affiliations
1 Post-graduate Resident, Dept. of Ophthalmology, MMIMSR, Maharishi Markandeshwar (Deemed to be University), India
2 Professor & Head, Dept. of Ophthalmology, MMIMSR, Maharishi Markandeshwar (Deemed to be University), India
3 Professor, Dept. of Ophthalmology, MMIMSR, Maharishi Markandeshwar (Deemed to be University), India
4 P.G. Resident, Dept. of Ophthalmology, MMIMSR, Maharishi Markandeshwar (Deemed to be University), India
5 Assistant Professor, Dept. of Ophthalmology, MMIMSR, Maharishi Markandeshwar (Deemed to be University), India
6 Senior Resident, Dept. of Ophthalmology, MMIMSR, Maharishi Markandeshwar (Deemed to be University), India
     

   Subscribe/Renew Journal


Background: Suturing of conjunctival graft is a traditional technique for pterygium excision surgery. Owing to its many disadvantages & complications many newer techniques like autologous fibrin glue have been introduced & accepted as an alternative method of graft adhesion. Methodology: The present study was conducted at the Department of Ophthalmology, MMIMSR, Mullana (Maharishi Markandeshwar Deemed to be University) in the time period extending between December 2017 and January 2019. 100 eyes of patients of either sex with primary pterygium were selected and divided into 2 groups of 50 each in Group 1- patient underwent conjunctival auto graft with 10-0 ethilon sutures while in Group 2 suture less conjunctival auto graft was done with patient’s own blood fibrin. Results: Parameters such as mean operating time, presenting complaints like pain, watering, burning and foreign body sensation, complications & recurrence were compared between the two groups on postoperative Day 1, Day 7, 2 weeks, 1 month, 2 month, 3 month & 6th month. Statistical significant difference (p<0.01) was found between the suture and sutureless surgery for pterygium in relation to post-operative discomfort grading. There was a significant difference (t = 22.149, p = 0.001) in the duration of surgery for GROUP I surgery. Conclusion: Conjunctival auto graft with autologous serum is a safe and fast method. It is equally effective as conventional sutured autograft technique. Post operative discomfort is significantly less in this method. It also prevents suture related complications.

Keywords

Pterygium, sutures, sutureless, duration of surgery postoperative discomfort, complications, recurrence.
Subscription Login to verify subscription
User
Notifications
Font Size


Abstract Views: 52

PDF Views: 0




  • Comparative Study to Evaluate the Outcome of Sutures Versus Sutureless in Attachment of Conjunctival Autograft for Pterygium Excision

Abstract Views: 52  |  PDF Views: 0

Authors

Kunal Sharma
Post-graduate Resident, Dept. of Ophthalmology, MMIMSR, Maharishi Markandeshwar (Deemed to be University), India
P.K. Manjhi
Professor & Head, Dept. of Ophthalmology, MMIMSR, Maharishi Markandeshwar (Deemed to be University), India
M.L. Pandey
Professor, Dept. of Ophthalmology, MMIMSR, Maharishi Markandeshwar (Deemed to be University), India
Neha
P.G. Resident, Dept. of Ophthalmology, MMIMSR, Maharishi Markandeshwar (Deemed to be University), India
Vineet Gupta
Assistant Professor, Dept. of Ophthalmology, MMIMSR, Maharishi Markandeshwar (Deemed to be University), India
Roopam Chauhan
Senior Resident, Dept. of Ophthalmology, MMIMSR, Maharishi Markandeshwar (Deemed to be University), India
Kritika Singla
Senior Resident, Dept. of Ophthalmology, MMIMSR, Maharishi Markandeshwar (Deemed to be University), India

Abstract


Background: Suturing of conjunctival graft is a traditional technique for pterygium excision surgery. Owing to its many disadvantages & complications many newer techniques like autologous fibrin glue have been introduced & accepted as an alternative method of graft adhesion. Methodology: The present study was conducted at the Department of Ophthalmology, MMIMSR, Mullana (Maharishi Markandeshwar Deemed to be University) in the time period extending between December 2017 and January 2019. 100 eyes of patients of either sex with primary pterygium were selected and divided into 2 groups of 50 each in Group 1- patient underwent conjunctival auto graft with 10-0 ethilon sutures while in Group 2 suture less conjunctival auto graft was done with patient’s own blood fibrin. Results: Parameters such as mean operating time, presenting complaints like pain, watering, burning and foreign body sensation, complications & recurrence were compared between the two groups on postoperative Day 1, Day 7, 2 weeks, 1 month, 2 month, 3 month & 6th month. Statistical significant difference (p<0.01) was found between the suture and sutureless surgery for pterygium in relation to post-operative discomfort grading. There was a significant difference (t = 22.149, p = 0.001) in the duration of surgery for GROUP I surgery. Conclusion: Conjunctival auto graft with autologous serum is a safe and fast method. It is equally effective as conventional sutured autograft technique. Post operative discomfort is significantly less in this method. It also prevents suture related complications.

Keywords


Pterygium, sutures, sutureless, duration of surgery postoperative discomfort, complications, recurrence.



DOI: https://doi.org/10.37506/v11%2Fi2%2F2020%2Fijphrd%2F194905