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Sutureless, glue-less conjunctival autograft vs conjunctival autograft with sutures in primary pterygium surgery: a randomized clinical trial

Poster Details

First Author: T.Natung INDIA

Co Author(s):    A. Keditsu                    

Abstract Details

Purpose:

To compare and evaluate the outcome of sutureless, glue-less conjunctival autograft versus conjunctival autograft with sutures in pterigium surgery.

Setting:

Department of Ophthalmology of a Medical College.

Methods:

Thirty eyes of 30 consecutive patients with primary pterigia were randomised into group 1(n=16) (sutureless, glue-less conjunctival autograft) and group 2 (n=16) (conjunctival autograft with sutures). In group 1, the graft was attached with the help of blood only whereas in group 2, 6-0 vicryl sutures were used to attach the graft. The outcome parameters evaluated were graft stability, subconjunctival haemorrhage, inflammation, recurrence and symptoms of pain, foreign body sensation and watering at day 1, day 7, day 14, 1 month, 3 months and 6 months.

Results:

The mean age in the study was 44.77±13.74 (range – 22-52) years. Group 1 had better scores in symptom parameters than group 2 (P<0.05%). Graft stability was better in group 2 (P<0.05%). In group 1, 3 (20%) patients had one side displacement which was repositioned and 3 (20%) patients had full displacement of graft the next day, which were converted to group 2. Subconjunctival haemorrhage was more in group 1. Four patients (26.6%) in group 1 had recurrence whereas in group 2, 5 patients (33.3%) had recurrence. The difference was not statistically significant (P = 0.456).

Conclusions:

Sutureless, glue-less pterigium surgery is better in symptom scores but graft stability is better in the suture group. Sutureless, glue-less pterigium is unpredictable in graft stability. There is no statistically difference in the recurrence rate in the two groups.

Financial Disclosure:

NONE

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