الفهرس | Only 14 pages are availabe for public view |
Abstract Background: A pterygium is a wing-shaped corneal incursion of an aberrant conjunctival wound healing response,characterized by the centripetal growth of an altered squamous epithelium with goblet cell hyperplasia and an underlying stroma of activated proliferating fibroblasts, neovascularization, inflammatory cells, and extracellular matrix. Aim Of The Study: Evaluation of sutureless glueless conjunctival autograft in pterygium surgery. Patients and Methods :This study is a prospective, non-comparative, interventional study included 30 eyes having pterygia requiring surgical excision.The study was carried out at the department of ophthalmology at Minia university hospital from January 2018 to October 2018. All cases had been operated with conjunctival autografts taken from superior bulbar conjunctiva. Grafts were fixed using patients own blood clot as tissue adhesive which oozed in the bare sclera after pterygium excision. The patients were followed up post operatively after 24 hours,3 days, 1 week, 3 weeks, 6 weeks,3 months and 6 monthes. Results: After 6 months follow up, neither symblepharon formation nor motility restriction or pyogenic granuloma were reported. Only one case of recurrence was reported. Conclusion: Sutureless and glueless conjunctival limbal autograft following pterygium excision is safe,easy,effective and economic technique in both primary and recurrent pterygium surgery. |