Dr.Shreeshruthi N, N18565, Dr. D N Prakash, Dr.Megha G, Dr. S. Shyam
Purpose : To study the effectivity of natural hemostatic mechanism for attachment of the conjunctival limbal autograft following pterygium excision.
Materials and methods : Prospective comparative study was carried on 60 eyes of 51 patients undergoing pterygium excision with conjunctival autografting for primary pterygium. Patients were randomised into two groups. Sutures used in one of the groups and natural hemostasis in the other, for attaching the graft. Operating time, post-op graft stability, discomfort and recurrence rate were studied.
Result : Operating time(12mins) and post-op discomfort was significantly reduced in sutureless group compared to sutured group(20mins). Post-op day1, 2 out of 30 eyes had graft displacement in sutureless group, 1 in the other. 2 out of 30 eyes had recurrence in sutureless group, 1 in the other.
Conclusion : Natural hemostatic mechanism for attaching conjunctival limbal autograft considerably decreases the operative time and post-op discomfort.