DOI: 10.36347/sjams.2019.v07i01.065

Pages: 363-366

Background: To compare conjunctivalautograft and anchored conjunctival rotation flap technique, in terms of recurrence and complication rates, after performing a primary pterygium surgery. Materials &Methods: Twenty patients who underwent pterygium surgery, which was performed on 1 eye , either using conjunctivalautograft or anchored conjunctival rotation flap techniques, were followed up postoperatively for a minimum period of 12 months. The anchored conjunctival rotation flap surgery was conducted by designing a conjunctival flap with a similar shape as that of the autograft; the inferior limbal anchoring point (1 mm) is preserved by the incomplete cutting of the limbal area. After rotation of the flap around the anchoring point, the flap was tightened with sutures to cover the bare scleral area. Early postoperative complications, such as flap or graft edema and granuloma formation, were assessed. Comparative evaluation was done between the two techniques in regard to the various factors mentioned. Results: The recurrence rate was similar in the conjunctival autograft group and in the anchored conjunctival rotational flap group. The occurrence of flap or graft edema was lower for anchored conjunctival rotational flap surgery. Neither group had any incidence of granuloma formation. Conclusions: The anchored conjunctival rotational flap surgery showed similar pterygium recurrence rates and a lower incidence of flap edema, while enabling simple recognition of flap orientation, compared with the conjunctivalautograft technique.