Comparative Analysis of Two Low Cost Graft Fixation Procedures in Pterygium Surgery in a Developing Country

Shreesha Kumar Kodavoor; Raline Solomon Amalakaran; Dandapani Ramamurthy

doi:doi:10.11648/j.ijovs.20190403.12

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Comparative Analysis of Two Low Cost Graft Fixation Procedures in Pterygium Surgery in a Developing Country

Shreesha Kumar Kodavoor, Raline Solomon Amalakaran, Dandapani Ramamurthy

Published in International Journal of Ophthalmology & Visual Science (Volume 4, Issue 3)

Received: 8 July 2019 Accepted: 12 August 2019 Published: 23 August 2019

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Abstract

Aim: To compare surgical outcomes of pterygium excision with conjunctival autograft using Sutures and Autologous blood for primary pterygium. Materials and methods: Retrospective study done in 404 eyes with primary pterygium. Excision of the pterygium and conjunctival autograft fixation using sutures (group 1) or Autologous blood (group 2). Graft related complications such as recurrence, graft loss, graft retraction, granuloma were noted and compared between the two groups. Result: The average time taken for surgery was 10.66 ± 0.89 (group 1) and 10.44 ± 0.77 (group 2) (p=0.009). The recurrence rate following pterygium surgery was noted in 5eyes (2.5%) in group 1, and 10 eyes (4.9%) in group 2. Graft retraction was seen in 13 eyes in group 1,57 eyes in group 2, of the eyes with graft retraction only 2 eyes in group 1, and 7 eyes in group 2 developed recurrence (p=0.763). Graft loss was seen in 3eyes (1.49%) and in 7eyes (3.44%) in group 2, all patients who developed graft loss developed graft recurrence. Granuloma formation was seen in 2 eyes (0.99%) in group 1 and in 1eye (0.49%) in group 2. The cost of pterygium surgery using glue and autologous blood for conjunctival autograft fixation is much less than procuring and using fibrin glue. Conclusion: Fixing of graft and suturing it in place is important to prevent recurrence. Duration of surgical procedure is comparable. Recurrence and retraction rates are slightly higher in autologous blood group, but not statistically significant. Hence both sutures and autologous blood are very good treatment options for our patients with primary pterygium.

Published in	International Journal of Ophthalmology & Visual Science (Volume 4, Issue 3)
DOI	10.11648/j.ijovs.20190403.12
Page(s)	46-50
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Pterygium, Autologous Blood, Sutures, Autograft

References

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APA Style

Shreesha Kumar Kodavoor, Raline Solomon Amalakaran, Dandapani Ramamurthy. (2019). Comparative Analysis of Two Low Cost Graft Fixation Procedures in Pterygium Surgery in a Developing Country. International Journal of Ophthalmology & Visual Science, 4(3), 46-50. https://doi.org/10.11648/j.ijovs.20190403.12

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ACS Style

Shreesha Kumar Kodavoor; Raline Solomon Amalakaran; Dandapani Ramamurthy. Comparative Analysis of Two Low Cost Graft Fixation Procedures in Pterygium Surgery in a Developing Country. Int. J. Ophthalmol. Vis. Sci. 2019, 4(3), 46-50. doi: 10.11648/j.ijovs.20190403.12

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AMA Style

Shreesha Kumar Kodavoor, Raline Solomon Amalakaran, Dandapani Ramamurthy. Comparative Analysis of Two Low Cost Graft Fixation Procedures in Pterygium Surgery in a Developing Country. Int J Ophthalmol Vis Sci. 2019;4(3):46-50. doi: 10.11648/j.ijovs.20190403.12

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@article{10.11648/j.ijovs.20190403.12,
  author = {Shreesha Kumar Kodavoor and Raline Solomon Amalakaran and Dandapani Ramamurthy},
  title = {Comparative Analysis of Two Low Cost Graft Fixation Procedures in Pterygium Surgery in a Developing Country},
  journal = {International Journal of Ophthalmology & Visual Science},
  volume = {4},
  number = {3},
  pages = {46-50},
  doi = {10.11648/j.ijovs.20190403.12},
  url = {https://doi.org/10.11648/j.ijovs.20190403.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijovs.20190403.12},
  abstract = {Aim: To compare surgical outcomes of pterygium excision with conjunctival autograft using Sutures and Autologous blood for primary pterygium. Materials and methods: Retrospective study done in 404 eyes with primary pterygium. Excision of the pterygium and conjunctival autograft fixation using sutures (group 1) or Autologous blood (group 2). Graft related complications such as recurrence, graft loss, graft retraction, granuloma were noted and compared between the two groups. Result: The average time taken for surgery was 10.66 ± 0.89 (group 1) and 10.44 ± 0.77 (group 2) (p=0.009). The recurrence rate following pterygium surgery was noted in 5eyes (2.5%) in group 1, and 10 eyes (4.9%) in group 2. Graft retraction was seen in 13 eyes in group 1,57 eyes in group 2, of the eyes with graft retraction only 2 eyes in group 1, and 7 eyes in group 2 developed recurrence (p=0.763). Graft loss was seen in 3eyes (1.49%) and in 7eyes (3.44%) in group 2, all patients who developed graft loss developed graft recurrence. Granuloma formation was seen in 2 eyes (0.99%) in group 1 and in 1eye (0.49%) in group 2. The cost of pterygium surgery using glue and autologous blood for conjunctival autograft fixation is much less than procuring and using fibrin glue. Conclusion: Fixing of graft and suturing it in place is important to prevent recurrence. Duration of surgical procedure is comparable. Recurrence and retraction rates are slightly higher in autologous blood group, but not statistically significant. Hence both sutures and autologous blood are very good treatment options for our patients with primary pterygium.},
 year = {2019}
}

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TY - JOUR
T1 - Comparative Analysis of Two Low Cost Graft Fixation Procedures in Pterygium Surgery in a Developing Country
AU - Shreesha Kumar Kodavoor
AU - Raline Solomon Amalakaran
AU - Dandapani Ramamurthy
Y1 - 2019/08/23
PY - 2019
N1 - https://doi.org/10.11648/j.ijovs.20190403.12
DO - 10.11648/j.ijovs.20190403.12
T2 - International Journal of Ophthalmology & Visual Science
JF - International Journal of Ophthalmology & Visual Science
JO - International Journal of Ophthalmology & Visual Science
SP - 46
EP - 50
PB - Science Publishing Group
SN - 2637-3858
UR - https://doi.org/10.11648/j.ijovs.20190403.12
AB - Aim: To compare surgical outcomes of pterygium excision with conjunctival autograft using Sutures and Autologous blood for primary pterygium. Materials and methods: Retrospective study done in 404 eyes with primary pterygium. Excision of the pterygium and conjunctival autograft fixation using sutures (group 1) or Autologous blood (group 2). Graft related complications such as recurrence, graft loss, graft retraction, granuloma were noted and compared between the two groups. Result: The average time taken for surgery was 10.66 ± 0.89 (group 1) and 10.44 ± 0.77 (group 2) (p=0.009). The recurrence rate following pterygium surgery was noted in 5eyes (2.5%) in group 1, and 10 eyes (4.9%) in group 2. Graft retraction was seen in 13 eyes in group 1,57 eyes in group 2, of the eyes with graft retraction only 2 eyes in group 1, and 7 eyes in group 2 developed recurrence (p=0.763). Graft loss was seen in 3eyes (1.49%) and in 7eyes (3.44%) in group 2, all patients who developed graft loss developed graft recurrence. Granuloma formation was seen in 2 eyes (0.99%) in group 1 and in 1eye (0.49%) in group 2. The cost of pterygium surgery using glue and autologous blood for conjunctival autograft fixation is much less than procuring and using fibrin glue. Conclusion: Fixing of graft and suturing it in place is important to prevent recurrence. Duration of surgical procedure is comparable. Recurrence and retraction rates are slightly higher in autologous blood group, but not statistically significant. Hence both sutures and autologous blood are very good treatment options for our patients with primary pterygium.
VL - 4
IS - 3
ER -

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Author Information

Shreesha Kumar Kodavoor

Department of Cornea & Refractive Services, The Eye Foundation Hospital, Coimbatore, India
Raline Solomon Amalakaran

Post Graduate Resident, The Eye Foundation Hospital, Coimbatore, India
Dandapani Ramamurthy

Department Head, Cornea & Refractive Services, The Eye foundation Hospital, Coimbatore, India

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Shreesha Kumar Kodavoor, Raline Solomon Amalakaran, Dandapani Ramamurthy. (2019). Comparative Analysis of Two Low Cost Graft Fixation Procedures in Pterygium Surgery in a Developing Country. International Journal of Ophthalmology & Visual Science, 4(3), 46-50. https://doi.org/10.11648/j.ijovs.20190403.12

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ACS Style

Shreesha Kumar Kodavoor; Raline Solomon Amalakaran; Dandapani Ramamurthy. Comparative Analysis of Two Low Cost Graft Fixation Procedures in Pterygium Surgery in a Developing Country. Int. J. Ophthalmol. Vis. Sci. 2019, 4(3), 46-50. doi: 10.11648/j.ijovs.20190403.12

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AMA Style

Shreesha Kumar Kodavoor, Raline Solomon Amalakaran, Dandapani Ramamurthy. Comparative Analysis of Two Low Cost Graft Fixation Procedures in Pterygium Surgery in a Developing Country. Int J Ophthalmol Vis Sci. 2019;4(3):46-50. doi: 10.11648/j.ijovs.20190403.12

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@article{10.11648/j.ijovs.20190403.12,
  author = {Shreesha Kumar Kodavoor and Raline Solomon Amalakaran and Dandapani Ramamurthy},
  title = {Comparative Analysis of Two Low Cost Graft Fixation Procedures in Pterygium Surgery in a Developing Country},
  journal = {International Journal of Ophthalmology & Visual Science},
  volume = {4},
  number = {3},
  pages = {46-50},
  doi = {10.11648/j.ijovs.20190403.12},
  url = {https://doi.org/10.11648/j.ijovs.20190403.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijovs.20190403.12},
  abstract = {Aim: To compare surgical outcomes of pterygium excision with conjunctival autograft using Sutures and Autologous blood for primary pterygium. Materials and methods: Retrospective study done in 404 eyes with primary pterygium. Excision of the pterygium and conjunctival autograft fixation using sutures (group 1) or Autologous blood (group 2). Graft related complications such as recurrence, graft loss, graft retraction, granuloma were noted and compared between the two groups. Result: The average time taken for surgery was 10.66 ± 0.89 (group 1) and 10.44 ± 0.77 (group 2) (p=0.009). The recurrence rate following pterygium surgery was noted in 5eyes (2.5%) in group 1, and 10 eyes (4.9%) in group 2. Graft retraction was seen in 13 eyes in group 1,57 eyes in group 2, of the eyes with graft retraction only 2 eyes in group 1, and 7 eyes in group 2 developed recurrence (p=0.763). Graft loss was seen in 3eyes (1.49%) and in 7eyes (3.44%) in group 2, all patients who developed graft loss developed graft recurrence. Granuloma formation was seen in 2 eyes (0.99%) in group 1 and in 1eye (0.49%) in group 2. The cost of pterygium surgery using glue and autologous blood for conjunctival autograft fixation is much less than procuring and using fibrin glue. Conclusion: Fixing of graft and suturing it in place is important to prevent recurrence. Duration of surgical procedure is comparable. Recurrence and retraction rates are slightly higher in autologous blood group, but not statistically significant. Hence both sutures and autologous blood are very good treatment options for our patients with primary pterygium.},
 year = {2019}
}

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