Pterygium excision with conjunctival advancement technique: A clinical study

Authors : Pavana Acharya, Parvathy P.S, Kavitha CV, Renuka S.K

DOI : 10.18231/j.ijceo.2019.055

Volume : 5

Issue : 2

Year : 2019

Page No : 232-235

Aim: To assess the stability of overlying conjunctiva and recurrence of pterygium following subconjunctival pterygium excision with conjunctival advancement technique.
Materials and Methods: A prospective interventional study was done on 16 patients with progressive nasal pterygium. The pterygium was excised, separating it from the overlying conjunctiva. The overlying conjunctiva was secured at limbus with 10-0 nylon sutures. Patients were followed up for a period of 6 months following surgery.
Results: Good stability of conjunctiva was seen in all patients. Recurrence was seen in 2 patients and persistence of redness in the excised area in 4 patients.
Conclusion: This procedure helps to save the superior conjunctiva for future glaucoma surgery. Less number of sutures reduces the time required for surgery and improves patient comfort factor.

Keywords: Conjunctival advancement, Glaucoma surgery, Pterygium, Recurrence, Subconjunctival excision.


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