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Scholars Journal of Applied Medical Sciences | Volume-3 | Issue-05
Suture less and Glue less Limbal Conjunctival Auto grafting in Pterygium Surgery
Arvind Kumar Morya, Arunendu Shekhar Thakur, Samia Rahman Khan
Published: Aug. 29, 2015 | 57 45
DOI: 10.36347/sjams.2015.v03i05.046
Pages: 2033-2037
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Abstract
Foreign elements like sutures used in ocular surface surgery can lead to many local complications like irritation , scarring, infection or vascularization. Whereas plasma -derived products like fibrin glue can produce hypersensitivity reactions along with the risk of viral transmission. Prospective, multicentric study in which a simple method of achieving limbal conjunctival auto graft adherence during pterygium surgery avoiding many complications related with the use of fibrin glue or sutures in 24 young patients. After proper pterygium excision the autologous limbal conjunctival graft is placed over the recipient bare-scleral bed and is allowed to attain natural haemostasis and relative desiccation before graft placement. A total of 24 patients (13 Male and 11Female) with primary progressive nasal pterygium with age group 23 Yrs with SD 2.5 Yrs underwent SGF limbal conjunctival auto grafting after pterygium excision. Cosmesis was excellent in all the cases with only 1 recurrence after a follow up period of 9 months with SD of 2.3 months.SGF limbal conjunctival auto grafting can be the surgery of choice with very little or no adverse effects as seen in this study of 24 young patients with comparable results to all other such studies.