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Year : 2016  |  Volume : 4  |  Issue : 3  |  Page : 143-148

Pterygium excision with suture-free, glue-free conjunctival autograft (SFGF-CAG): Experience of a tertiary care hospital of the Northern India

Department of Ophthalmology, Sri Guru Ram Rai Institute of Medical and Health Sciences and Sri Mahant Indiresh Hospital, Patel Nagar, Dehradun, Uttarakhand, India

Correspondence Address:
Sushobhan Dasgupta
Department of Ophthalmology, Sri Guru Ram Rai Institute of Medical and Health Sciences and Sri Mahant Indiresh Hospital, Patel Nagar, Dehradun - 248 001, Uttarakhand
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2320-3897.190788

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Aim: To evaluate and analyze the surgical outcome of suture-free, glue-free conjunctival autograft (SFGF-CAG) after pterygium excision. Design: Prospective, interventional, hospital-based study. Materials and Methods: Sixty eyes of sixty patients with primary pterygium were graded, and excision was performed by the single surgeon. To prevent recurrence, free CAG was taken from inferotemporal or inferior quadrant from the same eye and bare sclera was covered without the use of sutures or fibrin glue, allowing natural autologous coagulum of the recipient bed to act as a bioadhesive. The eye was patched for 24 h. Postoperatively, patients were put on topical eye drops (moxifloxacin 0.5%, loteprednol etabonate 0.5%, and carboxymethyl cellulose 1%) for 6 weeks. The outcomes were assessed in terms of any recurrence, complication(s), and operative time at each follow-up visit on day 1, 7, 15, 30, 120, and 180. Results: There were 44 females (73%) and 16 males (27%). The mean age of all the patients was 38.92 ± 11.2 years, range 18–60 years. Cosmetic blemish was the chief indication of surgery (42 eyes, 70%). Recurrence occurred in one eye (2%) and graft-related complication took place in one eye (2%; graft dehiscence). Resurgery was required in the latter (2%) as the former refused the same. No other complication was noted. An average surgical time was 16 ± 2 min. Conclusion: The recurrence, complication rate, and the operative time of SFGF CAG seem to be comparable with the current techniques in practice, without adding possible potential hazard of the surgical adjunct.

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