Visual outcome and efficacy of conjunctival autograft, harvested from the body of pterygium in pterygium excision

Vipul Bhandari, Chandan Latha Rao, Sri Ganesh, Sheetal Brar Department of Cornea, Nethradhama Superspeciality Eye Hospital, Bangalore, India Purpose: To evaluate the efficacy of conjunctival autograft after the pterygium excision with fibrin adhesive using conjunctiva over the pterygium.Patients a...

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Autores principales:	Bhandari V, Rao CL, Ganesh S, Brar S
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	conjunctival auto graft body Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/8e94a321527d4033a8a30a6ee3806b54
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spelling	oai:doaj.org-article:8e94a321527d4033a8a30a6ee3806b542021-12-02T02:40:49ZVisual outcome and efficacy of conjunctival autograft, harvested from the body of pterygium in pterygium excision1177-5483https://doaj.org/article/8e94a321527d4033a8a30a6ee3806b542015-12-01T00:00:00Zhttps://www.dovepress.com/visual-outcome-and-efficacy-of-conjunctival-autograft-harvested-from-t-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Vipul Bhandari, Chandan Latha Rao, Sri Ganesh, Sheetal Brar Department of Cornea, Nethradhama Superspeciality Eye Hospital, Bangalore, India Purpose: To evaluate the efficacy of conjunctival autograft after the pterygium excision with fibrin adhesive using conjunctiva over the pterygium.Patients and methods: This prospective study included 25 eyes of 25 patients with a mean age of 40±10 years, who underwent the pterygium excision with conjunctival autograft derived from the body of the pterygium and attached using fibrin glue. The mean follow-up period was 6 months. On all postoperative visits, changes in uncorrected visual acuity, corrected distance visual acuity, astigmatism, complications, and the evidence of recurrence were recorded.Results: At the end of mean follow-up, uncorrected visual acuity and corrected distance visual acuity improved by one or two lines in all eyes treated. Mean astigmatism reduced significantly from a preoperative value from 2.308D to 1.248D postoperatively (P<0.026). Minor postoperative complications such as congestion, chemosis, and subconjunctival hemorrhage were seen, which resolved with time. No major sight-threatening or graft-related complications were detected. There was no evidence of recurrence during a follow-up period of 6 months.Conclusion: Self-conjunctival autograft following the pterygium excision appears to be a feasible, safe, and effective alternative method for management of pterygium. It also preserves the superior conjunctiva for future surgeries. However, longer follow-up is required to study the long-term outcomes, especially the incidence of recurrence. Keywords: Pterygium, self-conjunctival graft, body, autograftBhandari VRao CLGanesh SBrar SDove Medical Pressarticleconjunctival auto graftbodyOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2015, Iss Issue 1, Pp 2285-2290 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	conjunctival auto graft body Ophthalmology RE1-994
spellingShingle	conjunctival auto graft body Ophthalmology RE1-994 Bhandari V Rao CL Ganesh S Brar S Visual outcome and efficacy of conjunctival autograft, harvested from the body of pterygium in pterygium excision
description	Vipul Bhandari, Chandan Latha Rao, Sri Ganesh, Sheetal Brar Department of Cornea, Nethradhama Superspeciality Eye Hospital, Bangalore, India Purpose: To evaluate the efficacy of conjunctival autograft after the pterygium excision with fibrin adhesive using conjunctiva over the pterygium.Patients and methods: This prospective study included 25 eyes of 25 patients with a mean age of 40±10 years, who underwent the pterygium excision with conjunctival autograft derived from the body of the pterygium and attached using fibrin glue. The mean follow-up period was 6 months. On all postoperative visits, changes in uncorrected visual acuity, corrected distance visual acuity, astigmatism, complications, and the evidence of recurrence were recorded.Results: At the end of mean follow-up, uncorrected visual acuity and corrected distance visual acuity improved by one or two lines in all eyes treated. Mean astigmatism reduced significantly from a preoperative value from 2.308D to 1.248D postoperatively (P<0.026). Minor postoperative complications such as congestion, chemosis, and subconjunctival hemorrhage were seen, which resolved with time. No major sight-threatening or graft-related complications were detected. There was no evidence of recurrence during a follow-up period of 6 months.Conclusion: Self-conjunctival autograft following the pterygium excision appears to be a feasible, safe, and effective alternative method for management of pterygium. It also preserves the superior conjunctiva for future surgeries. However, longer follow-up is required to study the long-term outcomes, especially the incidence of recurrence. Keywords: Pterygium, self-conjunctival graft, body, autograft
format	article
author	Bhandari V Rao CL Ganesh S Brar S
author_facet	Bhandari V Rao CL Ganesh S Brar S
author_sort	Bhandari V
title	Visual outcome and efficacy of conjunctival autograft, harvested from the body of pterygium in pterygium excision
title_short	Visual outcome and efficacy of conjunctival autograft, harvested from the body of pterygium in pterygium excision
title_full	Visual outcome and efficacy of conjunctival autograft, harvested from the body of pterygium in pterygium excision
title_fullStr	Visual outcome and efficacy of conjunctival autograft, harvested from the body of pterygium in pterygium excision
title_full_unstemmed	Visual outcome and efficacy of conjunctival autograft, harvested from the body of pterygium in pterygium excision
title_sort	visual outcome and efficacy of conjunctival autograft, harvested from the body of pterygium in pterygium excision
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/8e94a321527d4033a8a30a6ee3806b54
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Visual outcome and efficacy of conjunctival autograft, harvested from the body of pterygium in pterygium excision

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