DOI: 10.36347/sjams.2017.v05i04.091

Pages: 1705-1709

Pterygium excision and conjunctival autografting is preferred modality of treatment to prevent recurrence. Sutureless glue free technique is a novel way to reduce time, cost and complications. The aim of this study is to compare the outcome of sutureless and glue free technique with suture for limbal conjuntival auto grafting in primary pterygium. A comparative prospective study was carried out in 60 consequetive eyes with primary nasal pterygium. They were randomized to undergo pterygium surgery using with 8-0 vicryl interrupted sutures(30 eyes group -1) or sutureless, glue free conjuntival auto grafting (30 eyes group -2). Surgical time was recorded for both the techniques. Outcome assessment was performed on day 1, 7 & 14 days, 1 month, 3 months and 6 months. Outcome measured under following headings: duration of surgery, complication, postoperative discomfort and reccurence of pterygium. Mean surgical time for group 2 (25.20± 1.67 minutes) was significantly less as compared to group 1 (39.76±1.91) minutes (P<0.001). the symptoms like watering , irritation , pain were less. In group 2 as compared to group 1 (P>0.001) the duration of symptoms was less for group 2. Three cases in sutured group and 2 cases in glue free had recurrence and two case had pyogenic granuloma in group. Sutureless and glue free conjuntival autograft technique is easy safe fast and cost effective technique than sutured method. The postoperative adverse effects due to suture material are significantly less. The novel technique is effective and less time consuming than sutured limbal autograft technique with less postoperative discomfort and adverse reaction encountered, with the use of foreign material. This technique has an acceptable pterygium recurrence rate that is comparable to conventional sutured conjunctival autograft for primary pterygium.