Intra-operative Management of Torn Grafts and Small Grafts in Eyes Undergoing Pterygium Excision with Conjunctival Autografting

Shreesha Kumar Kodavoor; Soundarya Balajee; Ramamurthy Dandapani

doi:doi:10.11648/j.ijovs.20210604.16

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Intra-operative Management of Torn Grafts and Small Grafts in Eyes Undergoing Pterygium Excision with Conjunctival Autografting

Shreesha Kumar Kodavoor, Soundarya Balajee, Ramamurthy Dandapani

Published in International Journal of Ophthalmology & Visual Science (Volume 6, Issue 4)

Received: 20 September 2021 Accepted: 2 November 2021 Published: 10 November 2021

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Abstract

AIM-To demonstrate intraoperative techniques in managing torn grafts and small grafts in pterygium excision with conjunctival autografting (CAG). METHODS-Fifteen eyes that had graft tear during nasal pterygium excision with CAG and six eyes with small inadequately sized grafts during double head pterygium excision with split conjunctival grafting were included in the study. The graft tears occurred during dissection and the torn grafts were placed as separate pieces to cover the defect completely and in cases of double head pterygia with small graft on one side, a part of the graft from the other side (nasal or temporal) was used to cover the remaining defect. All the grafts were secured using tissue adhesives. RESULTS-Clinical outcomes in all cases were good. The recurrence rate was found to be 4.6%, with recurrence seen in one eye at four months post operatively. Other complications like graft edema and graft necrosis were also similar to those reported in previous literature for routine single head and double head pterygium surgeries. CONCLUSION- In complications like graft tear or small grafts, it is important to utilize the torn graft and part of the other graft in cases of split grafts and carefully resurface the bare area with proper orientation to give an adequate cover, in order to minimize recurrence.

Published in	International Journal of Ophthalmology & Visual Science (Volume 6, Issue 4)
DOI	10.11648/j.ijovs.20210604.16
Page(s)	215-218
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), 2021. Published by Science Publishing Group

Keywords

Pterygium, Conjunctival Autograft, Double Head Pterygium, Graft Tear

References

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[6]	Kodavoor SK, Preethi V, Dandapani R. Profile of complications in pterygium surgery - A retrospective analysis. Indian J Ophthalmol 2021; 69: 1697-701.
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[16]	Kodavoor Shreesha K, Soundarya B, Dandapani Ramamurthy. Comparison of vertical split conjunctival autograft with and without limbus to limbus orientation in cases of double-head pterygium—A retrospective analysis, Indian J Ophthalmol 2020; 68 (4): 573-576.
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APA Style

Shreesha Kumar Kodavoor, Soundarya Balajee, Ramamurthy Dandapani. (2021). Intra-operative Management of Torn Grafts and Small Grafts in Eyes Undergoing Pterygium Excision with Conjunctival Autografting. International Journal of Ophthalmology & Visual Science, 6(4), 215-218. https://doi.org/10.11648/j.ijovs.20210604.16

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ACS Style

Shreesha Kumar Kodavoor; Soundarya Balajee; Ramamurthy Dandapani. Intra-operative Management of Torn Grafts and Small Grafts in Eyes Undergoing Pterygium Excision with Conjunctival Autografting. Int. J. Ophthalmol. Vis. Sci. 2021, 6(4), 215-218. doi: 10.11648/j.ijovs.20210604.16

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AMA Style

Shreesha Kumar Kodavoor, Soundarya Balajee, Ramamurthy Dandapani. Intra-operative Management of Torn Grafts and Small Grafts in Eyes Undergoing Pterygium Excision with Conjunctival Autografting. Int J Ophthalmol Vis Sci. 2021;6(4):215-218. doi: 10.11648/j.ijovs.20210604.16

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@article{10.11648/j.ijovs.20210604.16,
  author = {Shreesha Kumar Kodavoor and Soundarya Balajee and Ramamurthy Dandapani},
  title = {Intra-operative Management of Torn Grafts and Small Grafts in Eyes Undergoing Pterygium Excision with Conjunctival Autografting},
  journal = {International Journal of Ophthalmology & Visual Science},
  volume = {6},
  number = {4},
  pages = {215-218},
  doi = {10.11648/j.ijovs.20210604.16},
  url = {https://doi.org/10.11648/j.ijovs.20210604.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijovs.20210604.16},
  abstract = {AIM-To demonstrate intraoperative techniques in managing torn grafts and small grafts in pterygium excision with conjunctival autografting (CAG). METHODS-Fifteen eyes that had graft tear during nasal pterygium excision with CAG and six eyes with small inadequately sized grafts during double head pterygium excision with split conjunctival grafting were included in the study. The graft tears occurred during dissection and the torn grafts were placed as separate pieces to cover the defect completely and in cases of double head pterygia with small graft on one side, a part of the graft from the other side (nasal or temporal) was used to cover the remaining defect. All the grafts were secured using tissue adhesives. RESULTS-Clinical outcomes in all cases were good. The recurrence rate was found to be 4.6%, with recurrence seen in one eye at four months post operatively. Other complications like graft edema and graft necrosis were also similar to those reported in previous literature for routine single head and double head pterygium surgeries. CONCLUSION- In complications like graft tear or small grafts, it is important to utilize the torn graft and part of the other graft in cases of split grafts and carefully resurface the bare area with proper orientation to give an adequate cover, in order to minimize recurrence.},
 year = {2021}
}

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TY  - JOUR
T1  - Intra-operative Management of Torn Grafts and Small Grafts in Eyes Undergoing Pterygium Excision with Conjunctival Autografting
AU  - Shreesha Kumar Kodavoor
AU  - Soundarya Balajee
AU  - Ramamurthy Dandapani
Y1  - 2021/11/10
PY  - 2021
N1  - https://doi.org/10.11648/j.ijovs.20210604.16
DO  - 10.11648/j.ijovs.20210604.16
T2  - International Journal of Ophthalmology & Visual Science
JF  - International Journal of Ophthalmology & Visual Science
JO  - International Journal of Ophthalmology & Visual Science
SP  - 215
EP  - 218
PB  - Science Publishing Group
SN  - 2637-3858
UR  - https://doi.org/10.11648/j.ijovs.20210604.16
AB  - AIM-To demonstrate intraoperative techniques in managing torn grafts and small grafts in pterygium excision with conjunctival autografting (CAG). METHODS-Fifteen eyes that had graft tear during nasal pterygium excision with CAG and six eyes with small inadequately sized grafts during double head pterygium excision with split conjunctival grafting were included in the study. The graft tears occurred during dissection and the torn grafts were placed as separate pieces to cover the defect completely and in cases of double head pterygia with small graft on one side, a part of the graft from the other side (nasal or temporal) was used to cover the remaining defect. All the grafts were secured using tissue adhesives. RESULTS-Clinical outcomes in all cases were good. The recurrence rate was found to be 4.6%, with recurrence seen in one eye at four months post operatively. Other complications like graft edema and graft necrosis were also similar to those reported in previous literature for routine single head and double head pterygium surgeries. CONCLUSION- In complications like graft tear or small grafts, it is important to utilize the torn graft and part of the other graft in cases of split grafts and carefully resurface the bare area with proper orientation to give an adequate cover, in order to minimize recurrence.
VL  - 6
IS  - 4
ER  -

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Author Information

Shreesha Kumar Kodavoor

Cornea, Cataract and Refractive Services, The Eye Foundation, Coimbatore, India
Soundarya Balajee

Cornea, Cataract and Refractive Services, The Eye Foundation, Coimbatore, India
Ramamurthy Dandapani

Cataract and Refractive Services, The Eye Foundation, Coimbatore, India

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Plain Text BibTeX RIS

APA Style

Shreesha Kumar Kodavoor, Soundarya Balajee, Ramamurthy Dandapani. (2021). Intra-operative Management of Torn Grafts and Small Grafts in Eyes Undergoing Pterygium Excision with Conjunctival Autografting. International Journal of Ophthalmology & Visual Science, 6(4), 215-218. https://doi.org/10.11648/j.ijovs.20210604.16

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ACS Style

Shreesha Kumar Kodavoor; Soundarya Balajee; Ramamurthy Dandapani. Intra-operative Management of Torn Grafts and Small Grafts in Eyes Undergoing Pterygium Excision with Conjunctival Autografting. Int. J. Ophthalmol. Vis. Sci. 2021, 6(4), 215-218. doi: 10.11648/j.ijovs.20210604.16

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AMA Style

Shreesha Kumar Kodavoor, Soundarya Balajee, Ramamurthy Dandapani. Intra-operative Management of Torn Grafts and Small Grafts in Eyes Undergoing Pterygium Excision with Conjunctival Autografting. Int J Ophthalmol Vis Sci. 2021;6(4):215-218. doi: 10.11648/j.ijovs.20210604.16

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@article{10.11648/j.ijovs.20210604.16,
  author = {Shreesha Kumar Kodavoor and Soundarya Balajee and Ramamurthy Dandapani},
  title = {Intra-operative Management of Torn Grafts and Small Grafts in Eyes Undergoing Pterygium Excision with Conjunctival Autografting},
  journal = {International Journal of Ophthalmology & Visual Science},
  volume = {6},
  number = {4},
  pages = {215-218},
  doi = {10.11648/j.ijovs.20210604.16},
  url = {https://doi.org/10.11648/j.ijovs.20210604.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijovs.20210604.16},
  abstract = {AIM-To demonstrate intraoperative techniques in managing torn grafts and small grafts in pterygium excision with conjunctival autografting (CAG). METHODS-Fifteen eyes that had graft tear during nasal pterygium excision with CAG and six eyes with small inadequately sized grafts during double head pterygium excision with split conjunctival grafting were included in the study. The graft tears occurred during dissection and the torn grafts were placed as separate pieces to cover the defect completely and in cases of double head pterygia with small graft on one side, a part of the graft from the other side (nasal or temporal) was used to cover the remaining defect. All the grafts were secured using tissue adhesives. RESULTS-Clinical outcomes in all cases were good. The recurrence rate was found to be 4.6%, with recurrence seen in one eye at four months post operatively. Other complications like graft edema and graft necrosis were also similar to those reported in previous literature for routine single head and double head pterygium surgeries. CONCLUSION- In complications like graft tear or small grafts, it is important to utilize the torn graft and part of the other graft in cases of split grafts and carefully resurface the bare area with proper orientation to give an adequate cover, in order to minimize recurrence.},
 year = {2021}
}

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TY  - JOUR
T1  - Intra-operative Management of Torn Grafts and Small Grafts in Eyes Undergoing Pterygium Excision with Conjunctival Autografting
AU  - Shreesha Kumar Kodavoor
AU  - Soundarya Balajee
AU  - Ramamurthy Dandapani
Y1  - 2021/11/10
PY  - 2021
N1  - https://doi.org/10.11648/j.ijovs.20210604.16
DO  - 10.11648/j.ijovs.20210604.16
T2  - International Journal of Ophthalmology & Visual Science
JF  - International Journal of Ophthalmology & Visual Science
JO  - International Journal of Ophthalmology & Visual Science
SP  - 215
EP  - 218
PB  - Science Publishing Group
SN  - 2637-3858
UR  - https://doi.org/10.11648/j.ijovs.20210604.16
AB  - AIM-To demonstrate intraoperative techniques in managing torn grafts and small grafts in pterygium excision with conjunctival autografting (CAG). METHODS-Fifteen eyes that had graft tear during nasal pterygium excision with CAG and six eyes with small inadequately sized grafts during double head pterygium excision with split conjunctival grafting were included in the study. The graft tears occurred during dissection and the torn grafts were placed as separate pieces to cover the defect completely and in cases of double head pterygia with small graft on one side, a part of the graft from the other side (nasal or temporal) was used to cover the remaining defect. All the grafts were secured using tissue adhesives. RESULTS-Clinical outcomes in all cases were good. The recurrence rate was found to be 4.6%, with recurrence seen in one eye at four months post operatively. Other complications like graft edema and graft necrosis were also similar to those reported in previous literature for routine single head and double head pterygium surgeries. CONCLUSION- In complications like graft tear or small grafts, it is important to utilize the torn graft and part of the other graft in cases of split grafts and carefully resurface the bare area with proper orientation to give an adequate cover, in order to minimize recurrence.
VL  - 6
IS  - 4
ER  -

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