Recurrence rate of pterygium following Excision by bare sclera technique versus conjunctival autograft

Authors : Brij K Gupta, Isha Gupta, Kanav Gupta

DOI : 10.18231/j.ijooo.2020.021

Volume : 6

Issue : 2

Year : 2020

Page No : 99-103

Purpose: To compare the post operative results of pterygium excision surgery by bare sclera technique
versus conjunctival autograft technique.
Materials and Methods: Retrospective analysis of patients who underwent pterygium excision with either
bare sclera technique or with conjunctival autograft between March 2015 to March 2020 was done. Data
of 38 eyes was shortlisted and analyzed. Data analysis was done using Microsoft Excel 2017 and SPSS
Software.
Results: 38 patients were shortlisted and divided into two groups. Bare sclera technique (Group A) was
used in 19 patients, whereas Pterygium excision with conjunctival autograft (Group B) was done in 19
patients.
There was no major vision threatening complications in any group. Moreover, there was not a single case
of graft rejection or graft shedding in group B.
Conclusion: Comparison of the groups showed that the rate of recurrence was more in group A (Bare
Sclera Technique Group) as compared to group B (Excision with Autograft method). Although conjunctival
autograft technique is comparatively difficult and time consuming, but cosmetic results are better and
rewarding.

Keywords: Pterygium, Autograft Technique, Fibrin Tissue Adhesive.


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