Department of Ophthalmology, AFCME, New Delhi, India.
Department of Ophthalmology, INHS Asvini, Mumbai, Maharastra, India.
Indian J Ophthalmol. 2022 Mar;70(3):783-787. doi: 10.4103/ijo.IJO_1895_21.
To evaluate and analyze the outcomes of sutureless and glue-free limbal-conjunctival autografting in cases of primary as well as recurrent pterygium.
This prospective interventional study was carried out between February 2019 and February 2020 at a tertiary care hospital in North India. A.
total of 70 patients with pterygium underwent sutureless and glue-free limbal-conjunctival autograft. The patients were divided into two groups: group 1 patients with primary pterygium (n = 45), group 2 patients with recurrent pterygium (n = 25). The patients were followed up till 12 months postoperatively.
The mean age of the patients in group 1 and group 2 was 37.04 ± 8.69 years and 32.52 ± 6.49 years, respectively (P = 0.04). Postoperatively, no recurrence was recorded in group 1. Recurrence was noticed in two patients (8%) of group 2. The BCVA changed from 78.73 ± 9.86 letters to 80.15 ± 7.29 letters (P = 0.45) and from 79.6 ± 6.44 letters to 79.8 ± 5.86 letters (P = 0.45) in group 1 and group 2, respectively. Graft edema was found in seven (15.55%) cases of group 1 and four (16%) cases of group 2. Graft retraction was found in two (4.44%) cases of group 1 and three (12%) cases of group 2.
Sutureless and a glue-free limbal-conjunctival autograft is a safe and effective treatment option for primary as well as recurrent pterygium.
评估和分析在原发性和复发性翼状胬肉中无缝合线和无胶水的角膜缘结膜自体移植的结果。
这是一项在印度北部一家三级保健医院进行的前瞻性干预研究。共对 70 例翼状胬肉患者进行了无缝合线和无胶水的角膜缘结膜自体移植。将患者分为两组：第 1 组原发性翼状胬肉患者（n=45），第 2 组复发性翼状胬肉患者（n=25）。对患者进行了 12 个月的随访。
第 1 组和第 2 组患者的平均年龄分别为 37.04±8.69 岁和 32.52±6.49 岁（P=0.04）。术后第 1 组无复发。第 2 组有 2 例（8%）患者复发。第 1 组和第 2 组的 BCVA 分别从 78.73±9.86 个字母变为 80.15±7.29 个字母（P=0.45）和从 79.6±6.44 个字母变为 79.8±5.86 个字母（P=0.45）。第 1 组中有 7 例（15.55%）患者出现移植物水肿，第 2 组中有 4 例（16%）患者出现移植物回缩。第 1 组中有 2 例（4.44%）患者出现移植物回缩，第 2 组中有 3 例（12%）患者出现移植物回缩。
无缝合线和无胶水的角膜缘结膜自体移植是原发性和复发性翼状胬肉的一种安全有效的治疗选择。
