Dr.Sandip Sarkar, S21438
Purpose: To compare and evaluate the safety,efficacy and outcome of both the technique in the management of primary pterygium.Methods : The study included 100 eyes of 100 patients with primary pterygium. Simple excision was performed followed by closure of the bare sclera by suture less and glue free conjunctival autograft in 50 eyes of 50 patients (group 1), versus sutured conjunctival autograft in 50 eyes of 50 patients.Results: The pterygium recurrence rate was 6% for group1, 8% for group 2.Graft dehiscence occurred in 3 eyes out of 50 (6%) in group1. Graft retraction occurred in 3(6%) out of 50 eyes for group 1 versus eyes (8%) in group 2. Granuloma occurred in 1(2%) eyes out of 50 in group 1and 3(6%) in group 2. At the 1 week visit the overall patient satisfaction score was statistically significantly higher for group 1 .Conclusion: Pterygium excision with conjunctival autograft without suture is a very simple, easy, economical, less time consuming procedure.
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