A COMPARATIVE STUDY OF GLUELESS AND SUTURELESS TECHNIQUE OF CONJUNCTIVAL AUTOGRAFT VERSUS SUTURED CONJUNCTIVAL AUTOGRAFT FOR THE MANAGEMENT OF PRIMARY PTERYGIUM

Author(s):Dr. Zainab Parveen, Dr. Manoj Mehta, Dr.Shubhra Mehta

Received: 2024-10-22 Accepted: 2024-10-30 Published: 2024-11-15

Abstract

Background: Sutureless glueless pterygium surgery is a newer alternative to the conjunctival autograft with sutures technique. Objective: The objective of the study was to compare and evaluate efficacy of two surgical techniques for the management of primary pterygium in terms of complications and post-operative signs and symptoms.Methods: The study included 50 patients with primary pterygium. Simple excision under local anaesthesia was performed followed by closure of the bare sclera by suture less and glue free conjunctival autograft in 25 patients (Group 1), versus the conventional method of a sutured conjunctival autograft in 25 patients (Group 2).Results: The study found that graft displacement and edema were more common in Group 1, whereas suture granulomas and epithelial cysts were observed more frequently in Group 2, likely due to the use of sutures. Additionally, recurrence of pterygium was observed in 2 patients (8%) in Group 1 at 4 and 6 weeks, compared to 1 patient (4%) in Group 2. Conclusion: Both techniques were effective in managing pterygium, but complications such as graft displacement, graft edema, and recurrence were more prevalent in Group 1 compared to Group 2. Sutureless technique may be considered as a viable alternative to sutured technique in terms of surgical outcomes. 

Keywords: Pterygium, Graft edema, Graft displacement, Epithelial cyst, Suture Granuloma

DOI: 10.5281/zenodo.14169344

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