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Randomized clinical trial of autologous blood coagulum versus suture for conjunctival autografting in pterygium surgery

Author: 
Sangita Vasava, Pawan N. Jarwal, Ganvit, S.S., Kinjal Desai, Preeti and Pandya, N.N.
Subject Area: 
Health Sciences
Abstract: 

Background: This hospital based study to comparative evaluations of two different types of pterygium surgeries and to know efficacy, safety and complication in method of autologous insitu blood versus suture for fixation of conjunctival autograft in pterygium excision surgery. Materials and Method: A Prospective randomised clinical trial. The study included 50 eyes of 50 patients with primary pterygium. Simple excision under local anaesthesia was performed by closure of bare sclera by suture less and glue free conjunctival autograft in 25 eyes of 25 patients (Group A) versus conventional method of a sutured conjunctival autograft in25 eyes of 25 patients (Group B). Results: Thepost-operative pain, itching, watering, inflammation, subconjunctival haemorrhage was significantly less in group Aas compared to group B inpost-operativefollow up days. Graft stability and recurrence was found to be similar in both groups, which were statistically insignificant. Conclusion: Suture less and gluefree conjunctival autograft technique is easy,safe, effective, prevent adverse reactions and discomfort encountered with use of sutures.

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