DR. SOWMIYA SARAS M

Dr. MARY SANTHOSH, Dr.Praveena Venkatakrishnan, Dr.UMA MAHESHWARI S

Abstract

AIM

To describe a modified technique of using conjunctival tissue from the pterygium itself in patients with primary pterygium and to study the outcome.

METHODS

40 patients with primary pterygium were included in this prospective observational study from February to December 2019. Conjunctival layer was separated from the underlying pterygium and cut to get a rectangular graft. Pterygium tissue then excised completely. Corneal scraping done. Graft was placed over the bare sclera and was taken up by autologous blood. Follow up was done on POD 1, 1 week, 1st,3rd,6th month.

RESULTS

12 out of 40 patients (30%) had graft edema on POD 1, 8 (20%) had graft retraction. Granuloma was seen in 2 patients (5%). None had recurrence.

CONCLUSION

This method is useful to prevent recurrence in circumstances to cover the large size defect, double pterygium and in glaucoma patients to preserve the superior bulbar conjunctiva for future glaucoma surgeries if needed.