Delhi Journal of Ophthalmology

Pterygium Excision with Suture- Free, Glue- Free Limbal Conjunctival Autograft By Cut And Paste Method – A Prospective Interventional Hospital Based Study

Arathi Choudhary, Dyamenahali S. Hamsa, Menashinkai P. Jayashree, Halmuthur V. Raksha, Divya Ramanna
Department of ophthalmology, S. Nijalingappa Medical college and Research centre and HSK hospital ,Navanagar , Bagalkot, India

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.


Corresponding Author:

Dyamenahali S. Hamsa, MBBS (MS)
Department of Ophthalmology
S. Nijalingappa Medical college and Research centre and HSK hospital Navanagar, Bagalkot, India
Email id : hamsads@gmail.com


Received: 29-APR-2020 Accepted: 14-MAY-2020 Published Online: 20-DEC-2020
DOI: https://dx.doi.org/10.7869/djo.589

Abstract
Aim: To evaluate and analyze the surgical outcome of limbal conjunctival autograft by cut and paste method after pterygium excision. 

Materials and Methods: Prospective, interventional, hospital based study. 65 eyes of 65 patients with primary pterygium were graded, and excision with free limbal conjunctival autograft (LCAG) was performed by the single surgeon allowing natural autologous coagulum of the recipient bed to act as a bio adhesive. The outcomes were assessed in terms of operative time, postoperative pain, any recurrence, and complication(s) at post operative day 1 and at each follow-up visit at day 7, 30,120 and 180. 

Results: There were 34 males (52.3%) and 31 females (47.7%). The mean age of all the patients was 43.48 ± 12.128 years, ranging between 23 to 76 years. Cosmetic blemish was the chief indication of surgery (48 eyes, 73.8%). Mean graft size was 14.4mm2. No recurrence occurred. Graft related complications occurred in 5 eyes (7.6%); graft displacement in 3 eyes, cystic degeneration in 1 eye and sub-conjunctival haemorrhage in 1 eye. The average surgical time was 16.91 ± 2.972 minutes. Post operative pain was less which was graded on Visual analogue scale. 

Conclusion: The- surgical technique of using a suture-free and glue-free conjunctivo-limbal autograft is safe and cost-effective method, with less operative time and post operative pain, without adding possible potential hazard of the surgical adjunct.

Keywords :Pterygium, Autograft, Complications, Recurrence